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Published on: May 31, 2021
Pediatric allergy: a brief review of risk factors associated with developing allergic disease in childhood
1Allergy/Immunology, Mayo Clinic, Rochester, Minnesota, USA. oconnell.edward@mayo.edu
Insights
The prevalence of allergic diseases in children is rising. Research suggests a multifactorial cause, including genetics, environmental exposures, and lifestyle factors, contributing to childhood allergies.
Area of Science:
- Pediatric Allergy and Immunology
- Environmental Health
- Public Health
Background:
- Increasing prevalence of allergic diseases in children globally.
- Need to identify causative factors for effective prevention strategies.
Purpose of the Study:
- To review factors implicated in the rising incidence of childhood allergic diseases.
- To consolidate current understanding of allergy etiology in pediatric populations.
Main Methods:
- Comprehensive MEDLINE search of original research and review articles.
- Inclusion of author-selected relevant references.
- Focus on risk factors for increased allergic disease prevalence in children.
Main Results:
- Identified genetic predisposition (atopic, Th2-prone) as a key factor.
- Highlighted early life exposures: allergen sensitization, viral infections, maternal smoking, diet, breastfeeding, obesity.
- Included environmental factors like air pollution and childhood immunizations.
Conclusions:
- Childhood allergic disease occurrence is multifactorial.
- Genetic and environmental interactions play a significant role.
- Further research is needed to elucidate complex etiological pathways.
Objective:
To briefly review some of the factors that have been implicated in the causation of the increased prevalence of allergic disease in children.
Data Sources:
MEDLINE search of original research and review articles related to the various risk factors considered responsible for the increased prevalence of allergic disease in children.
Study Selection:
Author selected references.
Conclusions:
It has been established that there is an increased prevalence of allergic disease, especially in children. Risk factors that are currently under investigation include: genetic atopic predisposition, early childhood allergen exposure and sensitization, occurrence of viral respiratory infections in young children, maternal smoking during pregnancy, poor dietary factors, lack of breast-feeding, childhood obesity, having a certain immunologic predisposition (Th2-prone), air pollution, and frequent immunizations in childhood. It is most likely that the occurrence of allergic disease will be found to be multifactorial.
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