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Helicobacter pylori Infection and Risk Factors in Relation to Allergy in Children
Ilva Daugule1, Daiga Karklina1,2, Silvija Remberga1,2
1Faculty of Medicine, University of Latvia, Riga, Latvia.
Insights
Helicobacter pylori infection prevalence did not differ between allergic and non-allergic children. Factors like C-section delivery and antibiotic use may influence allergy development, alongside genetic predisposition.
Area of Science:
- Pediatric Allergy and Immunology
- Microbiology
- Environmental Health
Background:
- The relationship between Helicobacter pylori infection and allergic diseases in children remains incompletely understood.
- Investigating environmental factors associated with allergy is crucial for understanding disease etiology.
Purpose of the Study:
- To determine the prevalence of Helicobacter pylori infection in children with and without allergies.
- To identify environmental risk factors associated with allergy development in pediatric populations.
Main Methods:
- A cross-sectional study involving 220 children, comparing those with and without allergies.
- Data collection included parental questionnaires and stool samples for H. pylori antigen testing.
- Statistical analyses utilized chi-squared tests, ANOVA, and logistic regression.
Main Results:
- No significant difference in H. pylori positivity was observed between allergic (13.9%) and non-allergic (22.4%) children (p=0.106).
- Allergy was significantly associated with a family history of allergy (OR, 8.038), Caesarean section delivery (OR, 2.980), exclusive breastfeeding for 5 months (OR, 2.601), and recent antibacterial treatment (OR, 2.381).
Conclusions:
- Helicobacter pylori infection prevalence does not differ significantly between allergic and non-allergic children.
- Factors such as Caesarean section delivery and antibacterial therapy suggest a potential role for gut microbiota in allergy development.
- Genetic factors, indicated by a family history of allergy, remain a significant contributor to allergy etiology.
Purpose:
To analyze presence of Helicobacter pylori infection and environmental risk factors among children with and without allergy.
Methods:
Parents of children at primary health care centres/kindergartens and allergologist consultation were asked to answer a questionnaire and to bring a faecal sample. H. pylori infection was detected by monoclonal stool antigen test. Prevalence of H. pylori infection and risk factors were compared between individuals with and without allergy using χ2 test, ANOVA test and parameters and logistic regression.
Results:
Among 220 children (mean age, 4.7 years; ±standard deviation 2.3 years) H. pylori positivity was non-significantly lower among patients with allergy (n=122) compared to individuals without allergy (n=98): 13.9% (17/122) vs. 22.4% (22/98); p=0.106. In logistic regression analysis presence of allergy was significantly associated with family history of allergy (odds ratio [OR], 8.038; 95% confidence interval [CI], 4.067-15.886; p<0.0001), delivery by Caesarean section (OR, 2.980; 95% CI, 1.300-6.831; p=0.009), exclusive breast feeding for five months (OR, 2.601; 95% CI, 1.316-5.142; p=0.006), antibacterial treatment during the previous year (OR, 2.381; 95% CI, 1.186-4.782; p=0.015).
Conclusion:
Prevalence of H. pylori infection did not differ significantly between children with and without allergy. Significant association of allergy with delivery by Caesarean section and antibacterial therapy possibly suggests the role of gastrointestinal flora in the development of allergy, while association with family history of allergy indicates the importance of genetic factors in the arise of allergy.
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