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Published on: January 27, 2019
Probiotic milk consumption in pregnancy and infancy and subsequent childhood allergic diseases
Randi J Bertelsen1, Anne Lise Brantsæter2, Maria C Magnus3
1Department of Food, Water and Cosmetics, Norwegian Institute of Public Health, Oslo, Norway; Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Research Triangle Park, NC.
Insights
Probiotic milk consumption during pregnancy and infancy may reduce the risk of infant eczema and rhinoconjunctivitis. However, it did not show an association with asthma development by age 36 months.
Area of Science:
- Microbiome research
- Pediatric allergy and immunology
- Public health and epidemiology
Background:
- The role of probiotics in influencing the infant microbiome and preventing allergic diseases is not fully understood.
- Previous studies on probiotics for infant allergies primarily focused on high-risk infants.
Purpose of the Study:
- To investigate the association between probiotic milk product consumption and the incidence of atopic eczema, rhinoconjunctivitis, and asthma in early childhood.
- Utilized a large, population-based pregnancy cohort in Norway for this investigation.
Main Methods:
- Examined data from 40,614 children within the Norwegian Mother and Child Cohort study.
- Assessed correlations between maternal probiotic milk intake during pregnancy and infant intake with reported allergic outcomes.
- Employed general linear models to calculate relative risks (RRs), adjusting for potential confounding factors.
Main Results:
- Maternal probiotic milk consumption during pregnancy was linked to a reduced risk of atopic eczema at 6 months (adjusted RR, 0.94) and rhinoconjunctivitis between 18-36 months (adjusted RR, 0.87).
- Combined maternal and infant probiotic milk consumption showed a stronger association with reduced rhinoconjunctivitis risk (adjusted RR, 0.80).
- No significant association was found between probiotic milk consumption and asthma incidence by 36 months of age.
Conclusions:
- Consumption of probiotic milk products in a general population cohort was associated with lower incidence of atopic eczema and rhinoconjunctivitis.
- Probiotic milk consumption did not demonstrate a significant association with the incidence of asthma by 36 months of age.
Background:
Whether probiotics, which can influence the microbiome, prevent infant eczema or allergic disease remains an open question. Most studies have focused on high-risk infants.
Objectives:
We sought to assess whether consumption of probiotic milk products protects against atopic eczema, rhinoconjunctivitis, and asthma in early childhood in a large population-based pregnancy cohort (the Norwegian Mother and Child Cohort study).
Methods:
We examined associations between consumption of probiotic milk products in pregnancy and infancy with questionnaire-reported atopic eczema, rhinoconjunctivitis, and asthma in 40,614 children. Relative risks (RRs) were calculated by using general linear models adjusted for potential confounders.
Results:
Consumption of probiotic milk in pregnancy was associated with a slightly reduced relative risk (RR) of atopic eczema at 6 months (adjusted RR, 0.94; 95% CI, 0.89-0.99) and of rhinoconjunctivitis between 18 and 36 months (adjusted RR, 0.87; 95% CI, 0.78-0.98) compared with no consumption during pregnancy. Maternal history of allergic disease did not notably influence the associations. When both the mother (during pregnancy) and infant (after 6 months of age) had consumed probiotic milk, the adjusted RR of rhinoconjunctivitis was 0.80 (95% CI, 0.68-0.93) relative to no consumption by either. Probiotic milk consumption was not associated with asthma at 36 months.
Conclusions:
In this population-based cohort consumption of probiotic milk products was related to a reduced incidence of atopic eczema and rhinoconjunctivitis, but no association was seen for incidence of asthma by 36 months of age.
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