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Published on: June 4, 2014
Blood fatty acid composition in relation to allergy in children aged 2-9 years: results from the European IDEFICS
A Mikkelsen1,2, C Galli3, G Eiben1
1Section for Epidemiology and Social Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Insights
Higher intake of polyunsaturated fatty acids (PUFA) is linked to increased allergy risk in children, particularly younger ones. Monounsaturated fatty acids (MUFA) showed a protective effect against allergies.
Area of Science:
- Nutritional Immunology
- Pediatric Allergy Research
- Epidemiology
Background:
- Blood polyunsaturated fatty acids (PUFA) play a role in allergy development, but the specific impact of n-6 and n-3 PUFA remains debated.
- The IDEFICS study, a European multicenter initiative, offers insights into the relationship between fatty acids (FA) and allergy in children.
Purpose of the Study:
- To investigate the cross-sectional association between blood fatty acid profiles and allergy status in a large cohort of European children.
- To explore the differential roles of n-6 PUFA, n-3 PUFA, and monounsaturated fatty acids (MUFA) in childhood allergy development.
Main Methods:
- Blood FA levels were quantified in 2600 children aged 2-9 years.
- Logistic regression analysis was employed to assess allergy status against FA components, adjusting for multiple covariates.
- Results were reported as odds ratios (OR) per standard deviation increase in FA.
Main Results:
- Elevated proportions of n-6 PUFA were associated with increased odds of allergy (OR=1.21).
- Monounsaturated fatty acids (MUFA) demonstrated a protective association, reducing allergy risk (OR=0.75).
- Stronger associations were noted in younger children (<4 years), with n-3 PUFA showing increased allergy odds (OR=1.62) and MUFA reduced odds (OR=0.63). Docosapentaenoic acid and oleic acid were individually significant.
Conclusions:
- Both n-6 and n-3 PUFA subtypes showed a positive association with allergy in an age-dependent manner.
- MUFA consistently correlated with a lower risk of allergy.
- The findings suggest that high n-3 PUFA levels in young children may be relevant to the early onset of atopic diseases.
Background/Objectives:
Blood polyunsaturated fatty acids (PUFA) are involved in allergy development, but the etiological role of n-6 and n-3 PUFA is still controversial. A European multicenter study of children (IDEFICS) provided the opportunity to explore the cross-sectional association between fatty acids (FA) and allergy.
Subjects/Methods:
Blood FA levels were measured in 2600 children aged 2-9 years and were recorded as the percentage of weight of all FA detected. Logistic regression of allergy status on FA components was adjusted for age, sex, country, body mass index, family history of allergic disease, breast-feeding, and number of siblings. The results were given as odds ratios (OR) for current vs no allergy ever and an increase in FA by 1 s.d.
Results:
Overall, higher proportions of n-6 PUFA were associated with higher odds of allergy (OR=1.21 (1.05, 1.40)). Monounsaturated FA (MUFA) were associated with reduced risk for allergy (OR=0.75 (0.65, 0.87)), whereas saturated FA did not differ by allergy status. The strongest associations were observed in children <4 years old, with ORs of allergy given as 1.62 (1.15, 2.29) for n-3 PUFA and 0.63 (0.42, 0.95) for MUFA. With regard to individual FA, these associations were independently observed for docosapentaenoic acid (22:5 n-3) and oleic acid (18:1 n-9).
Conclusions:
Both PUFA subtypes were positively associated with allergy in an age-dependent manner, whereas MUFA was associated with less allergy. The observation of high proportions of n-3 PUFA in allergic children younger than 4 years might help to understand the nature of early onset of atopic disease.
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