BACKGROUND: Studies have found associations between birth weight and risk of atopic eczema or allergic rhinitis (AR), although this could be due to confounding. OBJECTIVE: We sought to evaluate associations between fetal growth and the risk of atopic eczema or AR in childhood, controlling for gestational age (GA), shared (familial) environmental and genetic factors. METHODS: Data on atopic eczema, AR, birth characteristics and confounders were collected from registers and telephone interviews with the parents of 9- and 12-year-old twins. Firstly, cohort analyses on all twins (eczema n=10 132 and AR n=10 896) were performed. Secondly, to control for genetic and shared environment, co-twin-control analyses were performed in twin pairs discordant for atopic eczema (n=480) and AR (n=332). RESULTS: The rate of atopic eczema increased with birth weight, from 12.6% in twin children <2000 g to 17.3% in children >or=3500 g. The rate of AR varied between 7.8% and 8.8%. In the cohort analyses, the odds ratio (OR) for atopic eczema was 1.62 (95% CI: 1.27-2.06) for 500 g increase in birth weight and 1.00 (95% CI: 0.75-1.33) for AR. In co-twin-control analyses on atopic eczema, OR was 3.93 (95% CI: 1.55-9.98) for 500 g increase in birth weight, with no significant difference between monozygotic and dizygotic twins (P=0.84). CONCLUSIONS: We found a positive association between fetal growth and childhood atopic eczema, but not AR, independent of GA, shared environmental and genetic factors. This indicates fetal growth affects the immune system, and supports further studies on early mechanisms.
BACKGROUND: Studies have found associations between birth weight and risk of atopic eczema or allergic rhinitis (AR), although this could be due to confounding. OBJECTIVE: We sought to evaluate associations between fetal growth and the risk of atopic eczema or AR in childhood, controlling for gestational age (GA), shared (familial) environmental and genetic factors. METHODS: Data on atopic eczema, AR, birth characteristics and confounders were collected from registers and telephone interviews with the parents of 9- and 12-year-old twins. Firstly, cohort analyses on all twins (eczema n=10 132 and AR n=10 896) were performed. Secondly, to control for genetic and shared environment, co-twin-control analyses were performed in twin pairs discordant for atopic eczema (n=480) and AR (n=332). RESULTS: The rate of atopic eczema increased with birth weight, from 12.6% in twin children <2000 g to 17.3% in children >or=3500 g. The rate of AR varied between 7.8% and 8.8%. In the cohort analyses, the odds ratio (OR) for atopic eczema was 1.62 (95% CI: 1.27-2.06) for 500 g increase in birth weight and 1.00 (95% CI: 0.75-1.33) for AR. In co-twin-control analyses on atopic eczema, OR was 3.93 (95% CI: 1.55-9.98) for 500 g increase in birth weight, with no significant difference between monozygotic and dizygotic twins (P=0.84). CONCLUSIONS: We found a positive association between fetal growth and childhood atopic eczema, but not AR, independent of GA, shared environmental and genetic factors. This indicates fetal growth affects the immune system, and supports further studies on early mechanisms.
Authors: Amy L Wooldridge; Robert J Bischof; Els N Meeusen; Hong Liu; Gary K Heinemann; Damien S Hunter; Lynne C Giles; Karen L Kind; Julie A Owens; Vicki L Clifton; Kathryn L Gatford Journal: Am J Physiol Regul Integr Comp Physiol Date: 2014-02-05 Impact factor: 3.619
Authors: Lawrence F Eichenfield; Wynnis L Tom; Sarah L Chamlin; Steven R Feldman; Jon M Hanifin; Eric L Simpson; Timothy G Berger; James N Bergman; David E Cohen; Kevin D Cooper; Kelly M Cordoro; Dawn M Davis; Alfons Krol; David J Margolis; Amy S Paller; Kathryn Schwarzenberger; Robert A Silverman; Hywel C Williams; Craig A Elmets; Julie Block; Christopher G Harrod; Wendy Smith Begolka; Robert Sidbury Journal: J Am Acad Dermatol Date: 2013-11-27 Impact factor: 11.527
Authors: Amy L Wooldridge; Robert J Bischof; Hong Liu; Gary K Heinemann; Damien S Hunter; Lynne C Giles; Rebecca A Simmons; Yu-Chin Lien; Wenyun Lu; Joshua D Rabinowitz; Karen L Kind; Julie A Owens; Vicki L Clifton; Kathryn L Gatford Journal: Am J Physiol Regul Integr Comp Physiol Date: 2017-10-04 Impact factor: 3.619