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Published on: August 7, 2017
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.
Abstract:
Analysis of the month of birth of 1715 children with asthma shows clear evidence of a higher proportion of the group having been born between May and October (54.8%) than would be expected by comparison with the population of England and Wales (50.2%). Inspection of the distribution of month of patients with hay fever and for patients with positive skin reactions to mixed grass pollen does not account for this seasonal variation but children with positive skin reactions to Dermatophagoides pteronyssinus show a high proportion (56.2%) born in the period May to October. Although the reasons for the variation of pattern of month of birth in asthmatic children are uncertain, further study of sensitization in early life might clarify them.
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