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The Association of Maternal Dietary Patterns With Asthma and Wheeze Diagnosis in Canadian Children
Fazle Rabbi1, Pinaz Gulacha2, Lehana Thabane3,4
1Mary Heersink School of Global Health and Social Medicine, McMaster University, Hamilton, Canada.
Insights
Maternal prenatal diet patterns did not influence childhood asthma or wheeze risk in the CHILD cohort study. Familial history and gestational age were significant predictors of childhood respiratory conditions.
Area of Science:
- Pediatric respiratory health
- Maternal and child nutrition
- Epidemiology of chronic diseases
Background:
- Childhood asthma is a significant public health concern in Canada, affecting over 850,000 children.
- Prenatal dietary exposures are a suspected factor in the development of childhood asthma.
- The Canadian Healthy Infant Longitudinal Development (CHILD) study provides a valuable cohort for investigating these associations.
Purpose of the Study:
- To examine the association between maternal prenatal dietary patterns and the risk of asthma and recurrent wheeze in children.
- To identify key predictors of childhood asthma and wheeze within the CHILD cohort.
- To differentiate the impact of maternal diet from familial and perinatal factors on respiratory outcomes.
Main Methods:
- Principal component analysis was used to identify three distinct maternal dietary patterns: plant-based, Western, and balanced.
- Logistic regression and generalized estimating equations (GEE) models were employed to assess associations.
- Analyses adjusted for relevant covariates in a cohort of 2968 mother-child pairs.
Main Results:
- Maternal asthma, paternal asthma/wheeze, and gestational age were significant predictors of childhood asthma.
- Maternal wheeze and prior wheeze history predicted recurrent wheeze in children.
- No statistically significant associations were observed between maternal prenatal dietary patterns (plant-based, Western, balanced) and childhood asthma or wheeze.
Conclusions:
- Familial history of asthma/wheeze and perinatal factors are strong predictors of childhood respiratory conditions.
- Maternal dietary patterns during pregnancy, as defined in this study, do not appear to influence the risk of asthma or wheeze in early childhood.
- Further research may be needed to explore other prenatal exposures or more nuanced dietary components.
Abstract:
Asthma affects over 850,000 Canadian children under 14, ranking among the top chronic childhood diseases. Prenatal dietary factors are hypothesised to influence its development. We examined associations between maternal prenatal dietary patterns and childhood asthma/wheeze in the CHILD cohort. Principal component analysis derived three dietary patterns (plant-based, Western, balanced) from food frequency questionnaires. Logistic regression and generalised estimating equations (GEE) models assessed associations with physician-diagnosed asthma (n = 1574) and recurrent wheeze (n = 1799-2374) at ages 1-3 years, adjusting for covariates. Among 2968 mother-child pairs, maternal asthma (OR = 2.16, 95% CI: 1.10-4.18), paternal asthma/wheeze (OR = 2.14, 1.26-3.56), and gestational age (OR = 0.79, 0.67-0.93) predicted asthma risk. Maternal wheeze (OR = 1.59, 95% CI: 1.05-2.38) and prior wheeze (OR = 4.30, 2.93-6.25) predicted recurrent wheeze. No associations were found between dietary patterns and asthma (plant-based OR = 1.40/1-point DS increase, 0.80-2.43; Western OR = 1.20, 0.86-1.65; balanced OR = 0.98, 0.74-1.26) or wheeze. While familial and perinatal factors strongly predict asthma risk, maternal prenatal diet patterns showed no association with childhood respiratory outcomes.
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