Dog ownership and contact during childhood and later allergy development

被引:42
作者
Chen, C-M. [1 ,2 ]
Morgenstern, V. [1 ]
Bischof, W. [8 ]
Herbarth, O. [9 ]
Borte, M. [10 ,11 ]
Behrendt, H. [6 ,7 ]
Kraemer, U. [12 ]
von Berg, A. [13 ]
Berdel, D. [13 ]
Bauer, C. P. [3 ]
Koletzko, S. [4 ,5 ]
Wichmann, H-E. [1 ,2 ]
Heinrich, J. [1 ]
机构
[1] German Res Ctr Environm Hlth, Helmholtz Zentrum Munchen, Inst Epidemiol, D-85764 Neuherberg, Germany
[2] Univ Munich, Inst Med Data Management Biometr & Epidemiol, Munich, Germany
[3] Tech Univ Munich, Clin & Childrens Clin, Munich, Germany
[4] Univ Munich, Childrens Hosp, D-8000 Munich, Germany
[5] Munich Univ Hosp, Childrens Clin, Dr Von Haunerschen Kinderspital, Munich, Germany
[6] Helmholtz Zentrum Muchen, German Res Ctr Environm Hlth, Munich, Germany
[7] Biederstein Tech Univ, Dermatol & Allergol Clin, Munich, Germany
[8] Univ Jena, Dept Indoor Climatol, Inst Occupat Social Environm Med & Hyg, Jena, Germany
[9] UFZ Helmholtz Ctr Environm Res, Dept Human Exposure Res & Epidemiol, Leipzig, Germany
[10] Acad Teaching Hosp, St Georg Clin, Dept Child & Adolescent Med, Leipzig, Germany
[11] Univ Leipzig, Dept Paediat, Leipzig, Germany
[12] Inst Environm Res, Dusseldorf, Germany
[13] Hosp Wesel, Wesel, Germany
关键词
allergy; cohort study; dog ownership; endotoxin; sensitisation;
D O I
10.1183/09031936.00092807
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
The effect of dog ownership during childhood on the development of allergy has been investigated in few studies with conflicting results. The association between dog contact and indoor endotoxin exposure during infancy and the development of allergic sensitisation and atopic disease up to age 6 yrs was investigated. Two ongoing birth cohorts, the German Infant Nutrition Intervention Programme (GINI; n=1,962) and the Influences of Lifestyle Related Factors on the Human Immune System and Development of Allergies in Children (LISA; n=1,193), were analysed. In both studies, information on children's contact with dogs and their allergic symptoms and doctor-diagnosed allergic disease were collected during follow-up using questionnaires. Specific immunoglobulin E to common aeroallergens was measured at age 6 yrs. House dust samples were collected at age 3 months and the amount of endotoxin was determined. Dog ownership in early childhood was associated with a significantly lower rate of mixed pollen and inhalant sensitisation but not with dog sensitisation or allergic symptoms and diseases up to age 6 yrs. Regular contact with dogs, without ownership, during childhood was not associated with those health outcomes. No associations were found between house dust endotoxin exposure during infancy and sensitisation outcomes. In conclusion, dog ownership in early childhood protects against the development of inhalant sensitisation and this effect cannot be attributed to the simultaneous exposure to endotoxin.
引用
收藏
页码:963 / 973
页数:11
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