早期暴露于阳光和过敏性发病率:巴黎出生队列
Léa Lefebvre1, Hélène Amazouz1, Fanny Rancière2
1Université Paris Cité, Sorbonne Paris-Nord, INRAE, INSERM, UMR 1153-CRESS, HERA Team, 1 Parvis Notre-Dame - Pl. Jean-Paul II, 75004 Paris, France.
The Science of the total environment
|April 18, 2024
概括
早期暴露在阳光下可能会保护儿童免受过敏. 较高的太阳辐射与较低的过敏敏感性和喘风险有关,特别是当母亲在怀孕期间服用维生素D补充剂时.
科学领域:
- 环境健康 环境健康
- 儿科过敏 儿科过敏
- 流行病学 流行病学
背景情况:
- 关于阳光和儿童过敏之间的联系的研究有限.
- 了解像太阳辐射这样的环境因素对于预防儿科过敏疾病至关重要.
研究的目的:
- 调查早期阳光辐射暴露与儿童过敏发病率之间的关联.
- 探索母体维生素D补充剂在修改这种关系中的作用.
主要方法:
- 利用PARIS出生队列研究的数据,包括18个月和8-9岁儿童的健康检查.
- 通过气象数据评估早期的太阳辐射暴露,并通过集群分析将儿童分组成轨迹.
- 使用多变量逻辑回归,调整混因子和测试维生素D补充剂对效果的修改进行量化关联.
主要成果:
- 确定了四种不同的气象暴露轨迹.
- 最高的太阳辐射暴露轨迹显示,在8-9年 (p=0.06) 降低敏感性风险的趋势.
- 产前和产后的太阳辐射暴露与较低的敏感化风险相关,产前暴露与较低的喘风险相关,特别是与维生素D补充剂相关.
结论:
- 早期暴露于阳光似乎可以降低学龄儿童过敏敏感和喘的风险.
- 孕产妇补充维生素D可能会增强太阳辐射对过敏的保护作用.
- 这些发现强调了从阳光或补充剂中获得维生素D在儿童过敏预防中的重要性.
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