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Published on: September 27, 2017
[Maternal nutritional factors and environmental exposure in early life and childhood atopic dermatitis]
1Department of Dermatology, Children's Hospital of Fudan University, Shanghai 201102, China.
Insights
Maternal nutrition and environmental exposures during pregnancy may influence childhood atopic dermatitis (AD). Understanding these early life factors is crucial for preventing this chronic inflammatory skin condition.
Area of Science:
- Dermatology
- Immunology
- Pediatrics
Context:
- Atopic dermatitis (AD) is a prevalent, chronic inflammatory skin condition in children, significantly impacting quality of life.
- The exact pathogenesis of AD remains unclear, but involves genetic and environmental factors leading to skin barrier dysfunction and immune dysregulation.
Purpose:
- To review recent research on the impact of maternal nutritional factors and in-utero environmental exposures on the development of atopic dermatitis in offspring.
- To explore the hypothesis that allergic diseases originate during the fetal period, influenced by maternal exposures.
Summary:
- Early life exposures, including maternal nutrition (folate, vitamins D and E, polyunsaturated fatty acids) and environmental factors (tobacco, home environment) during pregnancy, are increasingly linked to childhood AD.
- This review focuses on the relationship between maternal nutritional status and family environmental exposures during gestation and their subsequent effects on offspring's risk of developing atopic dermatitis.
Impact:
- Highlights the critical role of the intrauterine environment and maternal health in shaping offspring's susceptibility to atopic dermatitis.
- Provides insights for potential early intervention strategies targeting maternal exposures to mitigate childhood AD risk.
Abstract:
Atopic dermatitis(AD)is a chronic, recurrent, inflammatory skin disease in children. The disease is characterized by dryness, chronic eczema-like lesions and obvious itching, seriously affecting the quality of life of children and their families. The pathogenesis of AD is not yet to be clear, and it might be the interaction of genetic susceptibility and environmental exposure to induce skin barrier impairment and immune system dysfunction. In recent years, the role of maternal factors or intrauterine environment exposure on childhood allergic diseases has been attracted attention, and the hypothesis that allergic diseases originate from the fetal period has been postulated. Maternal exposures called "early life exposure", such as nutritional factors during pregnancy (folate, vitamin D, vitamin E and polyunsaturated fatty acid) and tobacco exposure, home environmental exposure may be related with childhood atopic dermatitis. This article would focus on the recent research about maternal nutritional factors and family environmental exposure during pregnancy on offspring's atopic dermatitis.
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