Parental occupational exposures prior to conception and offspring wheeze and eczema during first year of life
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Published on: August 7, 2017
Felix Forster1, Christian Heumann2, Bianca Schaub3
1Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Munich, Germany.
Insights
Parental occupational exposures to allergens and irritants before conception may increase offspring eczema risk. Reducing these exposures could protect children
Area of Science:
- Environmental Health
- Occupational Medicine
- Pediatric Allergy
Background:
- Parental pre-conception exposures may impact offspring asthma and allergy development.
- Occupational exposures are known risk factors for adult asthma and allergies.
Purpose of the Study:
- To investigate the association between parental occupational exposures before conception and the risk of wheeze and eczema in offspring during their first year of life.
Main Methods:
- Analysis of 436 families from a German offspring cohort (2009-2019).
- Occupational exposures assessed using Job-Exposure-Matrix based on work histories.
- Bayesian logistic regression models employed for statistical analysis, with directed acyclic graphs for confounder selection.
Main Results:
- Maternal occupational exposure to allergens before conception showed a suggestive association with offspring eczema (OR 1.22, 95% CI 0.92-1.57).
- Maternal exposure to irritants prior to conception also suggested an increased risk of offspring eczema (OR 1.36, 95% CI 0.99-1.77).
- No significant association was found between parental occupational exposures and offspring wheeze.
Conclusions:
- Parental occupational exposures prior to conception may influence the risk of eczema in offspring.
- Reducing occupational exposures could benefit both employees and their children by lowering the incidence of asthma and allergies.
Purpose:
Parental exposures prior to conception might influence asthma and allergy risk in offspring. As occupational exposures are established risk factors for asthma and allergies, we investigated if parental occupational exposures prior to conception cause wheeze and eczema in offspring during the first year of life.
Methods:
We analysed data of 436 families from an offspring cohort based on a follow-up study of German participants of the International Study of Asthma and Allergies in Childhood (ISAAC). Offspring cohort data was collected between 2009 and 2019. Occupational exposures were based on participants' work histories and measured by a Job-Exposure-Matrix. We used Bayesian logistic regression models for analysis. Inference and confounder selection were based on directed acyclic graphs.
Results:
In mothers, for both allergic and irritative occupational exposures prior to conception suggestive effects on offspring eczema during the first year of life were found (allergens: odds ratio (OR) 1.22, 95% compatibility interval (CI) 0.92-1.57; irritants: OR 1.36, 95% CI 0.99-1.77), while no relation with wheeze was suggested.
Conclusions:
Our results suggest that reduction of asthma-related occupational exposures might not only reduce the burden of disease for occupationally induced or aggravated asthma and allergies in employees but also in their children.
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