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Allergies are associated with arterial changes in young children
Annemieke M V Evelein1, Frank L J Visseren2, Cornelis K van der Ent3
1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, the Netherlands a.m.v.evelein@umcutrecht.nl.
Insights
Allergies in childhood are linked to thicker arterial walls, a potential early sign of atherosclerosis. This study found that allergic predisposition, even without a diagnosis, impacts children's vascular health.
Area of Science:
- Pediatric cardiovascular health
- Inflammation and atherosclerosis
- Early life exposures and vascular development
Background:
- Inflammation plays a key role in atherosclerosis development.
- The influence of common inflammatory triggers like allergies and infections in early childhood on vascular health is not well understood.
- Investigating early childhood inflammation is crucial for understanding long-term cardiovascular risk.
Purpose of the Study:
- To examine the association between allergies and infections in children and their vascular parameters.
- To determine if early childhood allergic conditions impact arterial wall thickness and stiffness.
- To assess the relationship between parental allergy history and childhood vascular health.
Main Methods:
- Longitudinal study of 390 children from the WHISTLER birth cohort at age five.
- Carotid intima-media thickness (CIMT) and arterial stiffness measured ultrasonographically.
- Allergies, infections, medication use (antihistamines, antibiotics), and parental allergy history analyzed using general linear regression.
Main Results:
- Positive parental allergy history and a child's allergy diagnosis were associated with significantly larger CIMT.
- A positive parental allergy history alone was linked to increased CIMT.
- Recent use of antihistamines and antibiotics correlated with increased CIMT, suggesting a link between medication use for inflammatory conditions and vascular changes.
- Childhood infections and arterial stiffness showed no clear associations with the studied inflammatory markers.
Conclusions:
- An allergic predisposition in early childhood is associated with measurable changes in arterial wall thickness.
- These findings suggest that allergic conditions may contribute to the early stages of atherosclerosis development.
- Further research is needed to understand the long-term cardiovascular implications of early-life allergies.
Background:
Inflammation is important in atherosclerosis development. Whether common causes of inflammation, such as allergies and infections, already exert this influence in early childhood is unknown. The objective of this study was to investigate the association between both allergies and infections with children's vasculature.
Design:
This was a longitudinal study in a general population cohort.
Methods:
In 390 five-year-olds of the WHISTLER (Wheezing-Illnesses-Study-LEidsche-Rijn) birth cohort, carotid intima-media thickness (CIMT) and arterial stiffness were obtained ultrasonographically. Physician-diagnosed allergies and infections and recent prescriptions of systemic antihistamines and antibiotics were obtained, as well as parental history of allergies. General linear regression was performed with vascular characteristics as dependent variables and measures of inflammation as independent variables.
Results:
Having both a positive parental history of allergy and an allergy diagnosis showed 15.0 µm (95% confidence interval (CI): 2.3-27.8, p = 0.02) larger CIMT than not having such history and diagnosis. Having a positive parental history of allergy only showed 11.9 µm (0.87-23.0, p = 0.04) larger CIMT. Recent use of antihistamines and antibiotics showed 18.8 µm (1.6-35.9, p = 0.03) and 16.1 µm (4.5-27.7, p = 0.01) larger CIMT, respectively. Childhood infections were not clearly related to vascular parameters. Neither allergy nor infections were associated with arterial stiffness.
Conclusion:
An allergic predisposition is already associated with thicker arterial walls in early childhood.
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