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Is maternal age at delivery related to childhood food allergy?
Anahita F Dioun1, Sion Kim Harris, Patricia L Hibberd
1Division of Immunology, Children's Hospital, Boston, Massachusetts, USA. anahita.dioun@tch.harvard.edu
Insights
Older maternal age at delivery is linked to a higher risk of food allergies in children. This preliminary study suggests maternal age over 30 and being a firstborn child are key predictors.
Area of Science:
- Pediatric Allergy and Immunology
- Reproductive Epidemiology
Background:
- Rising prevalence of childhood food allergies.
- Increasing average maternal age at childbirth.
Purpose of the Study:
- To investigate the association between maternal age at delivery and the development of food allergies in children.
- To identify potential risk factors for pediatric food allergies.
Main Methods:
- Case-control study comparing children with food allergies to healthy controls.
- Inclusion of a large population-based birth cohort for comparison.
- Analysis of maternal age at birth and birth order using logistic regression.
Main Results:
- Mothers of children with food allergies were significantly more likely to be aged 30 or over at delivery (78% vs. 55%).
- Maternal age over 30 and being a firstborn child were independent predictors of childhood food allergy.
- Children with food allergies had approximately three times greater odds of having mothers aged 30+.
Conclusions:
- Older maternal age at delivery is associated with an increased risk of food allergies in children.
- Maternal age and birth order may play roles in the development of pediatric food allergies.
- Further research is warranted to explore preventive strategies for food allergies.
Abstract:
The prevalence of food allergies is increasing. Concurrently, the average maternal age at birth is also increasing. We conducted a preliminary study to evaluate whether maternal age at the time of delivery is associated with a food allergy in children. Case and control patients were identified among consecutive patients seen by one of us (AD) in the Allergy/Immunology program at the Children's Hospital Boston between 11/1/98 and 2/28/00. Case patients were born in Massachusetts and had evidence of clinical sensitivity and IgE to one or more food allergens (n = 58). Control patients were those born in Massachusetts who had a negative skin test and/or RAST to inhalant and/or food allergens (n = 96). A second comparison group consisted of all live births in Massachusetts in 1999 (n = 80,866). Information on maternal age at birth was missing from 3/58 (5%) of patients with a food allergy and 4/96 (4%) of the control patients, so these patients were not included in the analysis. The proportion of children whose mother was aged 30 and over at their birth was significantly higher in children with a food allergy than control patients (78% vs. 55% p = 0.005) and higher than all births in Massachusetts (78% vs. 53% p = 0.0002). Mothers of children with a food allergy had about three times greater odds of being aged 30 or over at the time of delivery than mothers in either of the comparison groups. Further exploration of the data using logistic regression showed that maternal age over 30 at delivery and being first born were independent predictors of the child having a food allergy. In this study, the presence of a food allergy in children was related to older maternal age at delivery. Additional studies are needed to further evaluate this relationship and its potential implication in preventive strategies for food allergies in children.
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