Atopic disease and month of birth

Clinical Allergy
|March 1, 1979
PubMed

Insights

Asthma in children shows a seasonal birth pattern, with more cases born between May and October. This trend is linked to sensitization to dust mites, suggesting early-life factors may influence asthma development.

Area of Science:

  • Pediatric Allergy and Immunology
  • Environmental Epidemiology

Background:

  • Asthma is a common chronic respiratory disease in children.
  • Seasonal variations in asthma prevalence have been observed, but the underlying causes are not fully understood.
  • Early-life environmental exposures are suspected to play a role in asthma development.

Purpose of the Study:

  • To investigate the month of birth distribution in children diagnosed with asthma.
  • To explore potential links between birth season, allergic sensitization, and asthma development.

Main Methods:

  • Analysis of birth months for 1715 children with asthma.
  • Comparison of birth month distribution with the general population of England and Wales.
  • Examination of allergic sensitization patterns (hay fever, grass pollen, Dermatophagoides pteronyssinus) in relation to birth season.

Main Results:

  • A higher proportion of children with asthma (54.8%) were born between May and October compared to the general population (50.2%).
  • This seasonal birth pattern was not explained by hay fever or grass pollen sensitization.
  • Children with asthma and positive skin reactions to Dermatophagoides pteronyssinus showed a significant overrepresentation of births between May and October (56.2%).

Conclusions:

  • The month of birth may be a relevant factor in childhood asthma.
  • Sensitization to Dermatophagoides pteronyssinus in early life might be associated with the observed seasonal birth pattern in asthmatic children.
  • Further research into early-life sensitization is warranted to elucidate the mechanisms behind this association.

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