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Does heredity modify the association between farming and allergy in children?
S T Remes1, J Pekkanen, L Soininen
1Department of Pediatrics, Kuopio University Hospital, Kuopio, Finland. Sami.Remes@ktl.fi
Acta Paediatrica (Oslo, Norway : 1992)
|December 5, 2002
Summary
Living on a farm is linked to a reduced risk of allergic rhinoconjunctivitis in children. This protective effect is more pronounced in children with a family history of hay fever, suggesting a role for farm environments in allergy prevention.
Area of Science:
- Environmental Epidemiology
- Pediatric Allergy
- Immunology
Background:
- Childhood allergy prevalence is a growing public health concern.
- Farm environments have been anecdotally linked to reduced allergy risk.
- The role of atopic heredity in this association requires further clarification.
Purpose of the Study:
- To investigate the association between living on a farm and the risk of allergies in children.
- To explore the influence of parental atopic heredity on this association.
- To determine if livestock presence on farms modifies allergy risk.
Main Methods:
- Cross-sectional study utilizing data from 7981 children aged 13-14 years.
- Data collected as part of the Finnish International Study of Asthma and Allergies in Childhood (ISAAC) between 1994-1995.
- Statistical analysis to evaluate associations between farming, allergy symptoms, and parental hay fever history.
Main Results:
- Living on a farm was associated with decreased risk of allergic rhinoconjunctivitis (aOR 0.79).
- Hay fever risk was significantly lower in children with parental hay fever history (aOR 0.60).
- Farms with livestock showed the lowest risk for allergic rhinoconjunctivitis compared to non-farming children (aOR 0.69).
Conclusions:
- Findings support the hypothesis that farm environments may reduce allergy risk in children.
- Parental history of hay fever may modify the protective effect of farm environments.
- Further research is warranted to elucidate the mechanisms behind these observations.