Maternal vitamin D and E intakes during pregnancy are associated with asthma in children

被引:60
|
作者
Allan, Keith M. [1 ]
Prabhu, Nanda [1 ]
Craig, Leone C. A. [2 ]
McNeill, Geraldine [2 ]
Kirby, Bradley [1 ]
McLay, James [1 ]
Helms, Peter J. [1 ]
Ayres, Jon G. [3 ]
Seaton, Anthony [4 ]
Turner, Stephen W. [1 ]
Devereux, Graham [1 ]
机构
[1] Univ Aberdeen, Dept Child Hlth, Aberdeen, Scotland
[2] Univ Aberdeen, Publ Hlth Nutr Grp, Aberdeen, Scotland
[3] Univ Birmingham, Inst Occupat & Environm Med, Birmingham, W Midlands, England
[4] Univ Aberdeen, Dept Environm & Occupat Med, Aberdeen, Scotland
基金
英国医学研究理事会;
关键词
25-HYDROXYVITAMIN D LEVELS; ALLERGIC DISEASE; 5-YEAR-OLD CHILDREN; ANTIOXIDANT INTAKE; ATOPIC OUTCOMES; MID-PREGNANCY; LUNG GROWTH; WHEEZE; RISK; FOOD;
D O I
10.1183/09031936.00102214
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Are maternal vitamin D and E intakes during pregnancy associated with asthma in 10-yearold children? In a longitudinal study of 1924 children born to women recruited during pregnancy, maternal vitamin D intake during pregnancy was assessed by the Food Frequency Questionnaire (FFQ) and vitamin E by FFQ and plasma alpha-tocopherol; respiratory questionnaires were completed for the 10-year-old children. Their treatment for asthma was also ascertained using administrative data. Longitudinal analyses included data collected at 1, 2, 5 and 10 years. Symptom data were available for 934 (49%) children and use of asthma medication for 1748 (91%). In the children maternal vitamin D intake during pregnancy was negatively associated with doctor-diagnosed asthma at 10 years of age (OR per intake quintile 0.86, 95% CI 0.74-0.99) and over the first 10 years (hazard ratio 0.90, 95% CI 0.81-1.00). Maternal plasma a-tocopherol at 11 weeks gestation was negatively associated with children receiving asthma treatment (OR per standard deviation increase 0.52, 95% CI 0.31-0.87). Maternal vitamin E intake was negatively associated with doctor-diagnosed asthma (OR 0.89, 95% CI 0.81-0.99) in the first 10 years. Low maternal vitamin D and E intakes during pregnancy are associated with increased risk of children developing asthma in the first 10 years of life. These associations may have significant public health implications.
引用
收藏
页码:1027 / 1036
页数:10
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