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Published on: May 15, 2013
Parental smoking, breast feeding, and respiratory infection in development of allergic diseases
Insights
Environmental factors significantly impact allergic disease development in children. Parental smoking is linked to wheezing, while early allergen exposure may influence eczema onset in susceptible children.
Area of Science:
- Pediatric Allergy and Immunology
- Environmental Health
- Clinical Epidemiology
Background:
- Children born to atopic parents have a higher predisposition to allergic diseases.
- Understanding environmental influences is crucial for preventing childhood allergic conditions.
- Early life exposures play a significant role in the development of atopy.
Purpose of the Study:
- To prospectively investigate environmental factors contributing to clinical disease in children of atopic parents.
- To identify specific environmental exposures associated with the development of eczema and wheezing.
- To provide evidence-based guidance for reducing environmental allergen exposure in susceptible children.
Main Methods:
- A five-year prospective study involving 73 children from atopic families.
- Clinical assessments for eczema and wheezing.
- Regular skin testing for ingestants and inhalants, immunoglobulin assays, and respiratory viral cultures.
Main Results:
- Eczema developed in 36 children, often linked to ingestant sensitivity (first year) and inhalant sensitivity (fifth year).
- Wheezing occurred in 32 children; recurrent wheeze was not associated with specific early-life respiratory infections.
- Parental smoking habits showed a significant association with wheezing episodes by the fifth birthday.
Conclusions:
- Environmental factors, including parental smoking and allergen exposure, significantly influence allergic disease development in genetically susceptible children.
- Breastfeeding did not demonstrate a protective effect against allergic disease in this cohort.
- Parents should be advised to minimize environmental allergen exposure and strictly avoid smoking in the child's presence.
Abstract:
Environmental factors were examined as determinants of clinical disease in a five year prospective study of 73 children born to atopic parents. Clinical follow up for evidence of eczema and wheezing was combined with regular skin testing, immunoglobulin assay, and respiratory viral culture where appropriate. Thirty six children developed eczema, which was often associated with a positive result of a skin test to ingestants in the first year and inhalants by the fifth year. Thirty two children developed one or more episodes of wheeze. Fifteen children wheezed once only, and not all of these developed atopy. No pattern of respiratory infection in early life was characteristic of children with recurrent wheeze. There was a significant difference in parental smoking habits between children with and without episodes of wheeze at the fifth birthday. No protective effect of breast feeding could be shown. The development of allergic disease in susceptible children is influenced by many environmental factors. Advice to families about reduction of environmental allergens continues to pose problems, but parents should be advised to avoid smoking in the child's presence.
Related Concept Videos
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-I: Introduction
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma I: Introduction
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