Pet ownership is associated with increased risk of non-atopic asthma and reduced risk of atopy in childhood: findings from a UK birth cohort

被引:50
作者
Collin, S. M. [1 ]
Granell, R. [1 ]
Westgarth, C. [2 ]
Murray, J. [3 ]
Paul, E. [3 ]
Sterne, J. A. C.
Henderson, A. John [1 ]
机构
[1] Univ Bristol, Sch Social & Community Med, Bristol, Avon, England
[2] Univ Liverpool, Inst Infect & Global Hlth, Liverpool, Merseyside, England
[3] Univ Bristol, Sch Vet Sci, Bristol, Avon, England
基金
英国惠康基金; 英国医学研究理事会;
关键词
ALSPAC birth cohort; asthma; atopy; pets; EXPOSURE; LIFE; SENSITIZATION; PHENOTYPES; PREGNANCY; ALLERGENS; CHILDREN; RHINITIS; HISTORY; HEALTH;
D O I
10.1111/cea.12380
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
BackgroundStudies have shown an inverse association of pet ownership with allergy but inconclusive findings for asthma. ObjectiveTo investigate whether pet ownership during pregnancy and childhood was associated with asthma and atopy at the age of 7 in a UK population-based birth cohort. MethodsData from the Avon Longitudinal Study of Parents and Children (ALSPAC) were used to investigate associations of pet ownership at six time points from pregnancy to the age of 7 with asthma, atopy (grass, house dust mite, and cat skin prick test) and atopic vs. non-atopic asthma at the age of 7 using logistic regression models adjusted for child's sex, maternal history of asthma/atopy, maternal smoking during pregnancy, and family adversity. ResultsA total of 3768 children had complete data on pet ownership, asthma, and atopy. Compared with non-ownership, continuous ownership of any pet (before and after the age of 3) was associated with 52% lower odds of atopic asthma [odds ratio (OR) 0.48, 95% CI 0.34-0.68]. Pet ownership tended to be associated with increased risk of non-atopic asthma, particularly rabbits (OR 1.61, 1.04-2.51) and rodents (OR 1.86, 1.15-3.01), comparing continuous vs. non-ownership. Pet ownership was consistently associated with lower odds of sensitization to grass, house dust mite, and cat allergens, but rodent ownership was associated with higher odds of sensitization to rodent allergen. Differential effects of pet ownership on atopic vs. non-atopic asthma were evident for all pet types. Conclusions and Clinical RelevancePet ownership during pregnancy and childhood in this birth cohort was consistently associated with a reduced risk of aeroallergen sensitization and atopic asthma at the age of 7, but tended to be associated (particularly for rabbits and rodents) with an increased risk of non-atopic asthma. The opposing effects on atopy vs. non-atopic asthma might be considered by parents when they are deciding whether to acquire a pet.
引用
收藏
页码:200 / 210
页数:11
相关论文
共 40 条
[1]   50 years of asthma: UK trends from 1955 to 2004 [J].
Anderson, H. Ross ;
Gupta, Ramyani ;
Strachan, David P. ;
Limb, Elizabeth S. .
THORAX, 2007, 62 (01) :85-90
[2]   Systematic review: Exposure to pets and risk of asthma and asthma-like symptoms [J].
Apelberg, BJ ;
Aoki, Y ;
Jaakkola, JJK .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2001, 107 (03) :455-460
[3]   Agreement of self-reported medical history: Comparison of an in-person interview with a self-administered questionnaire [J].
Bergmann M.M. ;
Jacobs E.J. ;
Hoffmann K. ;
Boeing H. .
European Journal of Epidemiology, 2004, 19 (5) :411-416
[4]   Immune-mediated diseases and microbial exposure in early life [J].
Bisgaard, H. ;
Bonnelykke, K. ;
Stokholm, J. .
CLINICAL AND EXPERIMENTAL ALLERGY, 2014, 44 (04) :475-481
[5]   17q12-21 and asthma: interactions with early-life environmental exposures [J].
Blekic, Mario ;
Bukvic, Blazenka Kljaic ;
Aberle, Neda ;
Marinho, Susana ;
Hankinson, Jenny ;
Custovic, Adnan ;
Simpson, Angela .
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2013, 110 (05) :347-+
[6]   Cohort Profile: The 'Children of the 90s'-the index offspring of the Avon Longitudinal Study of Parents and Children [J].
Boyd, Andy ;
Golding, Jean ;
Macleod, John ;
Lawlor, Debbie A. ;
Fraser, Abigail ;
Henderson, John ;
Molloy, Lynn ;
Ness, Andy ;
Ring, Susan ;
Smith, George Davey .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2013, 42 (01) :111-127
[7]   An interaction between the IL-4Rα gene and infection is associated with atopic eczema in young children [J].
Callard, RE ;
Hamvas, R ;
Chatterton, C ;
Blanco, C ;
Pembrey, M ;
Jones, R ;
Sherriff, A ;
Henderson, J .
CLINICAL AND EXPERIMENTAL ALLERGY, 2002, 32 (07) :990-993
[8]   Does Pet Ownership in Infancy Lead to Asthma or Allergy at School Age? Pooled Analysis of Individual Participant Data from 11 European Birth Cohorts [J].
Carlsen, Karin C. Lodrup ;
Roll, Stephanie ;
Carlsen, Kai-Hakon ;
Mowinckel, Petter ;
Wijga, Alet H. ;
Brunekreef, Bert ;
Torrent, Maties ;
Roberts, Graham ;
Arshad, S. Hasan ;
Kull, Inger ;
Kraemer, Ursula ;
von Berg, Andrea ;
Eller, Esben ;
Host, Arne ;
Kuehni, Claudia ;
Spycher, Ben ;
Sunyer, Jordi ;
Chen, Chih-Mei ;
Reich, Andreas ;
Asarnoj, Anna ;
Puig, Carmen ;
Herbarth, Olf ;
John, Jestinah M. Mahachie ;
Van Steen, Kristel ;
Willich, Stefan N. ;
Wahn, Ulrich ;
Lau, Susanne ;
Keil, Thomas .
PLOS ONE, 2012, 7 (08)
[9]   Mothers' anxiety during pregnancy is associated with asthma in their children [J].
Cookson, Hannah ;
Granell, Raquel ;
Joinson, Carol ;
Ben-Shlomo, Yoav ;
Henderson, A. John .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2009, 123 (04) :847-853
[10]   Validating childhood asthma in an epidemiological study using linked electronic patient records [J].
Cornish, Rosaleen P. ;
Henderson, John ;
Boyd, Andrew W. ;
Granell, Raquel ;
Van Staa, Tjeerd ;
Macleod, John .
BMJ OPEN, 2014, 4 (04)