NDLI: Lack of relationship between birth conditions and allergic disorders in Japanese children aged 3 years.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Miyake, Yoshihiro Tanaka, Keiko
Spatial Coverage	Japan
Description	Country affiliation: Japan Author Affiliation: Miyake Y ( Department of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University, Fukuoka, Japan. miyake-y@fukuoka-u.ac.jp)
Abstract	BACKGROUND: The current cross-sectional study examined the associations between low birth weight (LBW), preterm birth, and small-for-gestational-age (SGA) and the prevalence of wheeze, asthma, and eczema in Japanese children aged 3 years. METHODS: Study subjects were 2004 children. All data were obtained using a questionnaire. Outcomes were defined according to the criteria of the International Study of Asthma and Allergies in Childhood. Adjustment was made for sex, number of siblings, breastfeeding duration, paternal and maternal educational level, paternal and maternal history of allergic disorders, maternal smoking during pregnancy, secondhand smoke exposure at home, and gestational age at birth. RESULTS: The prevalence of wheeze, asthma, and eczema in the previous 12 months were 22.1%, 9.0%, and 17.5%, respectively, and 8.4% were classified as LBW (<2500 g), 4.7% as preterm birth (<37 weeks), and 7.1% as SGA (<10th percentile). There were no significant associations between LBW, preterm birth, or SGA and the prevalence of wheeze, asthma, or eczema. A positive relationship between preterm birth and asthma was of borderline significance in children whose mothers had smoked during pregnancy (adjusted OR: 4.71 [95% CI: 0.97-21.39]), but not in those whose mothers had never smoked during pregnancy; the multiplicative interaction between preterm birth and maternal smoking during pregnancy with respect to asthma was significant (p = .04). CONCLUSIONS: The current study failed to detect significant associations between birth conditions and allergic disorders. Nevertheless, we did find evidence for an interaction between preterm birth and maternal smoking during pregnancy affecting asthma.
File Format	HTM / HTML
ISSN	02770903
Issue Number	6
Volume Number	50
e-ISSN	15324303
Journal	Journal of Asthma
Language	English
Publisher	Taylor & Francis
Publisher Date	2013-08-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Pulmonology Asthma Epidemiology Eczema Respiratory Sounds Asian Continental Ancestry Group Birth Weight Breast Feeding Child, Preschool Environmental Exposure Fathers Female Gestational Age Humans Japan Male Maternal-fetal Exchange Mothers Odds Ratio Pregnancy Prevalence Smoking Questionnaires Tobacco Smoke Pollution Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine Immunology and Allergy Pediatrics, Perinatology and Child Health

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