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Dietary Patterns and Asthma Endotypes in Puerto Rican Youth.
Allen Joe1, Franziska J Rosser1, Kristina Gaietto1
1Division of Pediatric Pulmonary Medicine, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, PA.
An unhealthy diet is linked to T helper 17 high asthma in Puerto Rican youth. This suggests T helper 17 pathways may mediate diet’s effects on asthma development.
Area of Science:
- Pediatric Allergy and Immunology
- Nutritional Epidemiology
- Molecular Asthma Pathogenesis
Background:
- Diet significantly influences asthma pathogenesis, which is a complex syndrome with distinct endotypes.
- Limited research exists on the relationship between diet and specific asthma endotypes in pediatric populations.
Purpose of the Study:
- To investigate the association between dietary patterns and T helper 17 (T17)-high asthma in Puerto Rican children and adolescents.
- To explore if T17 pathways mediate the impact of diet on asthma.
Main Methods:
- Cross-sectional and longitudinal analyses were conducted on 465 and 358 Puerto Rican youths, respectively.
- A dietary score was developed from food frequency questionnaires, with an unhealthy diet defined as a nonpositive score.
- Asthma endotypes (T2-high, T17-high, T2-low/T17-low) were identified based on nasal epithelial gene expression.
Main Results:
- Cross-sectional analysis showed an unhealthy diet was associated with increased odds of T17-high asthma (OR=2.31).
- Prospective analysis revealed that an unhealthy diet at both study visits increased the odds of T17-high asthma (OR=4.30) and T2-low/T17-low asthma (OR=2.48).
Conclusions:
- An unhealthy diet is significantly associated with T17-high asthma in Puerto Rican youth.
- Findings suggest that T17 immune pathways may play a role in mediating the effects of diet on asthma.
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