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Published on: November 19, 2016
Allergy in day care children: prevalence and environmental risk factors
Katja Hatakka1, Laura Piirainen, Sara Pohjavuori
1Valio R&D, Helsinki, Finland.
Insights
Breastfeeding for six months or more may protect children from atopic diseases. However, older age and parental history of atopy increase a child's risk for these conditions.
Area of Science:
- Pediatrics
- Environmental Health
- Epidemiology
Background:
- Atopic diseases are common in children.
- Environmental factors play a role in atopy development.
Purpose of the Study:
- Investigate atopic disease prevalence in Finnish daycare children.
- Examine the relationship between atopy and environmental factors.
Main Methods:
- Cross-sectional study of 594 children (aged 1-6 years) in Helsinki, Finland.
- Parental questionnaires collected data on atopic disease history and environmental exposures.
Main Results:
- Prevalence: Asthma (0.9%-5.5%), Eczema (16%), Allergic Rhinitis (5%-9%).
- Breastfeeding (≥4-6 months) reduced atopy risk (OR=0.60).
- Increased risk with older age (5-6 yrs) and parental atopy history (OR=1.89-3.17).
Conclusions:
- Findings support breastfeeding for at least six months to protect against atopic diseases.
- Older age and parental atopy history are significant risk factors for childhood atopy.
Aim:
To investigate the prevalence of atopic disease among Finnish day care children and the relationship between atopy and environmental factors.
Methods:
A cross-sectional study of 594 day care children aged 1-6 years from Helsinki, Finland. Each child's history of atopic diseases and environmental exposure was collected in a questionnaire completed by the parents.
Results:
The prevalence of diagnosed asthma was 0.9% for the 1-3-year olds and 5.5% for the 4-6-year olds, atopic eczema/dermatis was 16% in both groups, and allergic rhinitis 5% in the younger group, 9% in the older group. According to multivariable logistic regression models, breastfeeding (exclusive > or =4 months or partial > or =6 months) reduced the risk of atopic diseases (OR = 0.60; CI(95) 0.39-0.93, p = 0.021). Atopic diseases were more common in the oldest age group, 5-6-year olds, compared to the youngest, 1-2-year olds (OR = 2.18; CI(95) 1.14-4.15, p = 0.018). One parent with atopic disease increased the child's risk (OR = 1.89; CI(95) 1.20-2.97, p = 0.006), more so if both parents had a history (OR = 3.17; CI(95) 1.48-6.78, p = 0.003).
Conclusion:
Our results support the hypothesis that breastfeeding for at least six months may protect against atopic diseases. The child's greater age (5-6 years) and parental history of atopic diseases increased the risk of atopy.
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