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Published on: May 31, 2021
Dietary antioxidant intake, allergic sensitization and allergic diseases in young children
S Patel1, C S Murray, A Woodcock
1School of Translational Medicine, University of Manchester and NIHR Translational Research Facility in Respiratory Medicine, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK.
Insights
Higher beta-carotene intake in children is linked to a lower risk of developing allergies. This dietary antioxidant may play a role in preventing allergic sensitization and reducing immunoglobulin E (IgE) levels.
Area of Science:
- Nutritional Immunology
- Pediatric Allergy
- Epidemiology
Background:
- Allergic diseases are increasing globally, with unclear causes.
- Changing lifestyles and reduced intake of fruits/vegetables may contribute.
- Dietary antioxidants are a potential factor in allergy development.
Purpose of the Study:
- To examine the relationship between dietary antioxidant intake at age 5 and atopy at ages 5 and 8.
- Investigate the impact of antioxidants on allergic sensitization in children.
Main Methods:
- Longitudinal study of a birth cohort from birth to 8 years.
- Validated respiratory questionnaires, skin prick tests (SPT) at ages 5 and 8.
- Serum IgE measurement at age 5 and antioxidant intake assessment via food frequency questionnaire (FFQ).
Main Results:
- Beta-carotene intake correlated with reduced allergic sensitization at ages 5 and 8 (OR 0.80-0.81).
- Higher beta-carotene intake was associated with lower total IgE levels (P=0.002).
- Vitamin E intake showed a slight increase in sensitization risk at age 5 (OR 1.19).
Conclusions:
- Increased beta-carotene intake is associated with decreased allergic sensitization and IgE levels in children.
- Dietary antioxidants, particularly beta-carotene, may influence the development of allergic sensitization.
- Further research into dietary interventions for allergy prevention is warranted.
Background:
Allergic diseases have risen in prevalence over recent decades. The aetiology remains unclear but is likely to be a result of changing lifestyle and/or environment. A reduction in antioxidant intake, consequent to reduced intake of fresh fruits and vegetables, has been suggested as a possible cause.
Objective:
To investigate whether dietary antioxidant intake at age 5 was related to atopy at 5 and 8 years of age amongst children in an unselected birth cohort.
Methods:
Children were followed from birth. Parents completed a validated respiratory questionnaire and children were skin prick tested at 5 and 8 years of age. Serum IgE levels were measured at age 5. At age 5, antioxidant intake was assessed using a semi-quantitative food frequency questionnaire (FFQ). A nutrient analysis program computed nutrient intake, and frequency counts of foods high in the antioxidant vitamins A, C and E were assessed.
Results:
Eight hundred and sixty-one children completed both the respiratory and FFQ. Beta-carotene intake was associated with reduced risk of allergic sensitization at age 5 [0.80 (0.68-0.93)] and 8 [0.81 (0.70-0.94)]. In addition, beta-carotene intake was negatively associated with total IgE levels (P = 0.002). Vitamin E intake was associated with an increased risk of allergic sensitization [1.19 (1.02-1.39)], only at age 5. There was no association between antioxidant intakes and wheeze or eczema.
Conclusion:
Increased beta-carotene intake was associated with a reduced risk of allergic sensitization and lower IgE levels, in 5- and 8-year-old children. Dietary antioxidants may play a role in the development of allergic sensitization.
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