Atopic diseases in pediatric population: prematurity and small for gestational age

Yi-Yu Su1,2, Chi-Jen Chen3, Mei-Huei Chen4,5

  • 1Institute of Environmental and Occupational Health Sciences, College of Public Health, National Taiwan University, Room 733, 17 Xu-Zhou Road, Taipei, 10055, Taiwan.

BMC Pediatrics
|December 13, 2025
PubMed

Insights

Prematurity increases risks for asthma and allergic rhinitis in children but lowers atopic dermatitis risk. Small-for-gestational-age status showed no link to these pediatric atopic diseases.

Area of Science:

  • Pediatric Health
  • Allergy and Immunology
  • Perinatal Medicine

Background:

  • Atopic diseases (asthma, atopic dermatitis, allergic rhinitis) are common in children.
  • Prematurity and small-for-gestational-age (SGA) status impact long-term health.
  • Understanding these links is crucial for early intervention.

Purpose of the Study:

  • To investigate the association between prematurity, SGA status, and atopic disease development in children.
  • To analyze risks of specific atopic conditions in relation to birth status.

Main Methods:

  • Utilized Taiwan's National Health Insurance Research Database (NHIRD) for a nationwide longitudinal cohort.
  • Included over 1.7 million infants born between 2004-2019.
  • Employed Kaplan-Meier analysis and Cox proportional hazards models for risk assessment, adjusting for covariates.

Main Results:

  • Premature infants showed increased risks for allergic rhinitis (AR) and asthma.
  • Prematurity was associated with a decreased risk of atopic dermatitis (AD).
  • Small-for-gestational-age (SGA) status in term infants was not linked to atopic diseases.

Conclusions:

  • Prematurity is a significant factor for developing certain pediatric atopic diseases.
  • SGA status in term infants does not appear to influence atopic disease risk.
  • Further research is needed to elucidate mechanisms and causality.
Abstract

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