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In 2020, the Australian and New Zealand flux research and monitoring network, OzFlux, celebrated its 20th anniversary by reflecting on the lessons learned through two decades of ecosystem studies on global change biology. OzFlux is a network not only for ecosystem researchers, but also for those 'next users' of the knowledge, information and data that such networks provide. Here, we focus on eight lessons across topics of climate change and variability, disturbance and resilience, drought and heat stress and synergies with remote sensing and modelling. In distilling the key lessons learned, we also identify where further research is needed to fill knowledge gaps and improve the utility and relevance of the outputs from OzFlux. Extreme climate variability across Australia and New Zealand (droughts and flooding rains) provides a natural laboratory for a global understanding of ecosystems in this time of accelerating climate change. As evidence of worsening global fire risk emerges, the natural ability of these ecosystems to recover from disturbances, such as fire and cyclones, provides lessons on adaptation and resilience to disturbance. Drought and heatwaves are common occurrences across large parts of the region and can tip an ecosystem's carbon budget from a net CO2 sink to a net CO2 source. Despite such responses to stress, ecosystems at OzFlux sites show their resilience to climate variability by rapidly pivoting back to a strong carbon sink upon the return of favourable conditions. Located in under-represented areas, OzFlux data have the potential for reducing uncertainties in global remote sensing products, and these data provide several opportunities to develop new theories and improve our ecosystem models. The accumulated impacts of these lessons over the last 20 years highlights the value of long-term flux observations for natural and managed systems. A future vision for OzFlux includes ongoing and newly developed synergies with ecophysiologists, ecologists, geologists, remote sensors and modellers.
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Dióxido de Carbono , Ecosistema , Australia , Ciclo del Carbono , Cambio ClimáticoRESUMEN
While wetlands are the largest natural source of methane (CH4 ) to the atmosphere, they represent a large source of uncertainty in the global CH4 budget due to the complex biogeochemical controls on CH4 dynamics. Here we present, to our knowledge, the first multi-site synthesis of how predictors of CH4 fluxes (FCH4) in freshwater wetlands vary across wetland types at diel, multiday (synoptic), and seasonal time scales. We used several statistical approaches (correlation analysis, generalized additive modeling, mutual information, and random forests) in a wavelet-based multi-resolution framework to assess the importance of environmental predictors, nonlinearities and lags on FCH4 across 23 eddy covariance sites. Seasonally, soil and air temperature were dominant predictors of FCH4 at sites with smaller seasonal variation in water table depth (WTD). In contrast, WTD was the dominant predictor for wetlands with smaller variations in temperature (e.g., seasonal tropical/subtropical wetlands). Changes in seasonal FCH4 lagged fluctuations in WTD by ~17 ± 11 days, and lagged air and soil temperature by median values of 8 ± 16 and 5 ± 15 days, respectively. Temperature and WTD were also dominant predictors at the multiday scale. Atmospheric pressure (PA) was another important multiday scale predictor for peat-dominated sites, with drops in PA coinciding with synchronous releases of CH4 . At the diel scale, synchronous relationships with latent heat flux and vapor pressure deficit suggest that physical processes controlling evaporation and boundary layer mixing exert similar controls on CH4 volatilization, and suggest the influence of pressurized ventilation in aerenchymatous vegetation. In addition, 1- to 4-h lagged relationships with ecosystem photosynthesis indicate recent carbon substrates, such as root exudates, may also control FCH4. By addressing issues of scale, asynchrony, and nonlinearity, this work improves understanding of the predictors and timing of wetland FCH4 that can inform future studies and models, and help constrain wetland CH4 emissions.
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Metano , Humedales , Dióxido de Carbono , Ecosistema , Agua Dulce , Estaciones del AñoRESUMEN
Dystonias can arise from any painful stimuli in neurologically disabled children. Classically, feed-induced dystonias from mediastinal pain due to severe gastroesophageal reflux disease are described as Sandifer spasm. We report a case series of 12 severely neurologically impaired children with enteral feed-induced dystonias. Intestinal dysmotility was demonstrated in several. Improvements are seen with jejunal feeds or gut rest with total parenteral nutrition. Use of parenteral nutrition in children with severe neurodisability requires thorough discussion with patient groups and commissioners to give clinicians guidelines to standardize care.
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Enfermedades del Sistema Nervioso Central/terapia , Distonía/etiología , Nutrición Enteral/efectos adversos , Adolescente , Enfermedades del Sistema Nervioso Central/complicaciones , Enfermedades del Sistema Nervioso Central/fisiopatología , Niño , Preescolar , Distonía/diagnóstico , Femenino , Reflujo Gastroesofágico/diagnóstico , Reflujo Gastroesofágico/etiología , Motilidad Gastrointestinal , Humanos , Lactante , Masculino , Nutrición Parenteral , Estudios RetrospectivosRESUMEN
AIM: The Bravo wireless pH monitoring system enables oesophageal pH to be monitored in children intolerant to nasal catheters and records measurements over 48 hours. This study aimed to document the minimum child weight that enabled successful capsule placement and any associated complications. We also compared the diagnostic sensitivity of 48 hours versus 24 hours. METHODS: We included 203 consecutive patients (122 male children) with clinically documented or suspected reflux symptoms. The age range was two years to 19 years, and the minimum weight was 9.29 kg. The pH capsule was deployed endoscopically under general anaesthetic. Recordings taken over 24 and 48 hours were compared to determine the frequency of differences and correlations in the reflux index and DeMeester scores. RESULTS: Testing using the detached probe was successful in 190 children (93.6%) with weight as low as 9.29 kg, with no side effects, with failed deployment being the most frequent problem. Clinically different results in the reflux index were found in 16% of the children's day 1 or day 2 readings (p < 0.0001), suggesting the benefit of 48-hour measurements. CONCLUSION: Measuring oesophageal pH with the Bravo wireless pH monitoring system was successful in 93.6% of cases. A 48-hour test improved the detection rate of gastro-oesophageal reflux disease by 16%.
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Monitorización del pH Esofágico/instrumentación , Reflujo Gastroesofágico/diagnóstico , Adolescente , Peso Corporal , Niño , Preescolar , Femenino , Humanos , Masculino , Estudios Retrospectivos , Factores de Tiempo , Tecnología Inalámbrica , Adulto JovenRESUMEN
BACKGROUND: Cyclical vomiting syndrome is a disorder characterised by recurrent episodes of profuse vomiting. There are no cases in the literature on the management of children with presenting with cyclical vomiting syndrome and a Chiari malformation type I. DISCUSSION: We report the case of a 12-year-old child diagnosed with cyclical vomiting syndrome and a Chiari malformation type I. The patient received symptomatic relief following a craniocervical decompression.
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Malformación de Arnold-Chiari/complicaciones , Malformación de Arnold-Chiari/diagnóstico por imagen , Vómitos/diagnóstico por imagen , Vómitos/etiología , Malformación de Arnold-Chiari/cirugía , Niño , Descompresión Quirúrgica/métodos , Humanos , Masculino , Vómitos/cirugíaRESUMEN
The drainage and conversion of peatlands to productive agro-ecosystems leads to ongoing surface subsidence because of densification (shrinkage and consolidation) and oxidation of the peat substrate. Knowing the ra0te of this surface subsidence is important for future land-use planning, carbon accounting, and economic analysis of drainage and pumping costs. We measured subsidence rates over the past decade at 119 sites across three large, agriculturally managed peatlands in the Waikato region, New Zealand. The average contemporary (2000s-2012) subsidence rate for Waikato peatlands was 19 ± 2 mm yr (± SE) and was significantly less ( = 0.01) than the historic rate of 26 ± 1 mm yr between the 1920s and 2000s. A reduction in the rate of subsidence through time was attributed to the transition from rapid initial consolidation and shrinkage to slower, long-term, ongoing oxidation. These subsidence rates agree well with a literature synthesis of temperate zone subsidence rates reported for similar lengths of time since drainage. A strong nonlinear relationship was found between temperate zone subsidence rates and time since initial peatland drainage: Subsidence (mm yr) = 226 × (years since drained) ( = 0.88). This relationship suggests that time since drainage exerts strong control over the rate of peatland subsidence and that ongoing peatland subsidence rates can be predicted to gradually decline with time in the absence of major land disturbance.
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BACKGROUND: Helicobacter pylori infection is acquired in early childhood and persists for life (or until eradication treatment is taken). Seropositivity of H. pylori at age 49-51 years was assessed in relation to socio-economic deprivation in early life and the timing of other childhood infections common at that time. METHODS: Prospectively collected socio-economic and morbidity data from the Newcastle Thousand Families study, a birth cohort established in 1947. H. pylori IgG seropositivity was assessed at 49-51 years and examined in relation to both whether the individual had been diagnosed with one of measles, mumps or chicken pox, and, if so, the age at first infection. This was done in logistic regression models, allowing adjustment for socio-economic status and housing quality in childhood. RESULTS: Adult H. pylori status was strongly linked to disadvantaged socio-economic status in early life (p ≤ 0.002), unlike measles, mumps and chicken pox which showed no associations. Early measles infection was independently associated with H. pylori seropositivity (p = 0.01). CONCLUSIONS: Of the four infectious diseases that we have studied, it appears that H. pylori differs from the others by the strength of association with socio economic deprivation in early childhood. Our findings further highlight the complex interaction between measles, childhood infections and other non-microbiological factors that occur within a whole population. These data suggest a strong association between H. pylori and deprivation and raise the possibility of an interaction between early measles exposure and increased risk of exposure to H. pylori infection.
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Anticuerpos Antibacterianos/inmunología , Infecciones por Helicobacter/inmunología , Helicobacter pylori/inmunología , Preescolar , Estudios de Cohortes , Femenino , Infecciones por Helicobacter/economía , Infecciones por Helicobacter/epidemiología , Infecciones por Helicobacter/etiología , Humanos , Masculino , Sarampión/complicaciones , Persona de Mediana Edad , Factores de Riesgo , Factores Socioeconómicos , Reino Unido/epidemiologíaRESUMEN
This observational study describes the procedure technique, safety outcomes, and patient responses to celiac plexus blockade (CPB) in children with severe neurodisability with refractory feed intolerance, feed induced pain or feed induced dystonia (FID). Method: A review of the pathophysiological response to feeding in children with significant neurodisability and the effect on the neuroenteric system. A 2-stage CT-guided temporary celiac plexus blockade followed by neurolysis technique is described. We compile a case series of 5 patients with life limiting conditions and significant disability undergoing CPB in a single tertiary pediatric hospital. Results: A total of 10 separate procedures in 5 children were completed. A positive outcome was observed in 3 out of 4 cases of pediatric FID. Two of the three patients on parenteral nutrition had improved feed tolerance postprocedure. All children tolerated the procedure well, no postprocedure complications were documented. Conclusions: In selected cases, children with life-threatening feed induced dystonia or effective intestinal failure can be safely treated with celiac plexus blockade when other therapies have failed.
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Drained peatlands are major sources of CO2 to the atmosphere, yet the effects of land management and hydrological extremes have been little-studied at spatial scales relevant to agricultural enterprises. We measured fluxes of CO2 using the eddy covariance (EC) technique at two adjacent dairy farms on a drained peatland in Aotearoa New Zealand with remaining peat depths 5.5-8 m. One site (SD) had shallow surface drains and mean water table depth (WTD) -657 mm, while the other site (BD) had deep field border drains and mean WTD -838 mm. Net ecosystem CO2 production (NEP) was similar at the two sites when the soils were moist but diverged during late-summer drying, with site BD having 4.56 t C ha-1 greater CO2 emission than site SD over the four-month dry period. Soil drying reduced gross primary production (GPP) at both sites, while ecosystem respiration (ER) was reduced at site SD but not at site BD. The low dry season respiration rates at site SD contributed to near-zero annual NEP, while higher respiration rates at site BD led to annual CO2 loss of -4.95 ± 0.59 t C ha-1 yr-1. Accounting for other imports and exports of carbon, annual net ecosystem carbon balances were -2.23 and -8.47 t C ha-1 yr-1 at sites SD and BD, respectively. It is likely that the contrasting dry season respiration rates resulted from differences in soil physical properties affecting soil moisture vertical redistribution and availability to plants and microbes rather than from the relatively small differences in WTD. These differences could be caused by soil physical disturbances during pasture renewal or paddock recontouring, or time since initial drainage. Therefore, improved soil management might provide practical mitigation against excessive CO2 emissions during dry conditions, including droughts.
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Wetland methane (CH4) emissions ([Formula: see text]) are important in global carbon budgets and climate change assessments. Currently, [Formula: see text] projections rely on prescribed static temperature sensitivity that varies among biogeochemical models. Meta-analyses have proposed a consistent [Formula: see text] temperature dependence across spatial scales for use in models; however, site-level studies demonstrate that [Formula: see text] are often controlled by factors beyond temperature. Here, we evaluate the relationship between [Formula: see text] and temperature using observations from the FLUXNET-CH4 database. Measurements collected across the globe show substantial seasonal hysteresis between [Formula: see text] and temperature, suggesting larger [Formula: see text] sensitivity to temperature later in the frost-free season (about 77% of site-years). Results derived from a machine-learning model and several regression models highlight the importance of representing the large spatial and temporal variability within site-years and ecosystem types. Mechanistic advancements in biogeochemical model parameterization and detailed measurements in factors modulating CH4 production are thus needed to improve global CH4 budget assessments.
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In New Zealand, pasture renewal is a routine management method for maintaining pasture productivity. However, knowledge of the renewal effects on soil organic carbon (SOC) stocks is still limited. Here we use a process-based model, CenW, to comprehensively assess the effects of pasture renewal on the carbon balance of a temperate pasture in the Waikato region of New Zealand. We investigated the effects of renewal frequency, length of fallow period, renewal timing, and the importance and quantification of age-related reductions in productivity. Our results suggest that SOC change depends on the combined effects of renewal on gross primary productivity (GPP), autotrophic and heterotrophic respiration, carbon removal by grazing and carbon allocation to roots. Pasture renewal reduces grazing removal proportionately more than GPP because newly established plants need to allocate more carbon to re-build their root system following renewal which limits foliage production. That lengthens the time before above-ground biomass has grown sufficiently to be grazed again. New plants have a lower ratio of autotrophic respiration to GPP, however, which partly compensates for the GPP loss during renewal. Our simulations suggested an average SOC loss of 0.16â¯tCâ¯ha-1â¯yr-1 if pastures were renewed every 25â¯years, but could gain an average of 0.3â¯tCâ¯ha-1â¯yr-1 if pastures were renewed every year. For maximizing pasture production, the optimal renewal frequency depends on the rate of pasture deterioration with more rapid deterioration rates favouring more frequent renewal. Additionally, the length of the fallow period, renewal timing, and associated environmental conditions are important factors that can affect SOC temporally, but the importance of those effects diminishes at the annual or longer time scales. A major uncertainty for a full understanding of the renewal effect on SOC lies in the rate of pasture deterioration with time since previous renewal.
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Peatland biological, physical and chemical properties change over time in response to alterations in long-term water table position. Such changes complicate our ability to predict the response of peatland carbon stocks to sustained drying. In order to better understand the effect of sustained lowering of the water table on peatland carbon dynamics, we re-visited a drainage-affected bog, repeating eddy covariance measurements of CO2 flux after a 16-year interval. We found the ecosystem CO2 sink to have strengthened across the intervening period, despite a deep and fluctuating water table. This was mostly due to an increase in CO2 uptake through photosynthesis associated with increased shrub growth. We also observed a decline in CO2 loss through ecosystem respiration. These changes could not be attributed to environmental conditions. Air temperature was the only significant contemporaneous driver of monthly anomalies in CO2 fluxes, with higher temperatures decreasing the net CO2 sink via increased ecosystem respiration. However, the effect of air temperature was weak in comparison to the underlying differences between time periods. Therefore, we demonstrate that for drying peatlands, long-term changes within the ecosystem can be of primary importance as drivers of CO2 exchange. In this peatland, the ecosystem carbon sink has shown resilience to water table drawdown, with internal feedbacks leading to a recovery of the CO2 sink after a 16-year interval.
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High water tables (WT) stabilise peatland carbon (C) through regulation of biogeochemical processes. The impact of peatland WT on ecosystem function, including C exchange, alters over time, and the factors that cause some peatlands to display resilience and others to undergo degradation are poorly understood. Here we use CO2 flux measurements, measured by eddy covariance, to compare ecosystem function between two raised bogs; one drainage-affected, with a deep and fluctuating water table and the other near-natural, with a shallow and stable water table. The drainage-affected bog was found to be a moderate sink for CO2 (69â¯gâ¯Câ¯m-2â¯yr-1), which was 134â¯gâ¯Câ¯m-2â¯yr-1 less than the near-natural bog (203â¯gâ¯Câ¯m-2â¯yr-1). Greater ecosystem productivity has allowed the drainage-impacted bog to act as a CO2 sink despite higher ecosystem respiration; most likely due to an increase in photosynthetic capacity caused by expansion of ericaceous shrub cover. The tolerance of the vegetation community, particularly the main peat former Empodisma robustum (Restionaceae), to low and fluctuating WT appears to have been key in allowing the site to remain a sink. Despite the current resilience of the ecosystem CO2 sink, we found gross primary production to be limited under both high and low water tables, even in a year with typical rainfall. This is best explained by the limited physiological ability of ericaceous shrubs to tolerate a fluctuating WT. As such we hypothesise that if the WT continues to drop and become even more unstable, then without further vegetation change, a reduction in gross primary production is likely which may in turn cause the site to become a source for CO2.
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Contaminantes Atmosféricos/análisis , Ciclo del Carbono , Dióxido de Carbono/análisis , Agua Subterránea/análisis , Humedales , Secuestro de Carbono , FinlandiaRESUMEN
Helicobacter pylori colonization was measured by [13C]-urea breath test in 198 Gambian infants and by fecal enzyme-linked immunosorbent assay in 52 of the 198 at ages 2, 5, and 12 months. By 12 months there was good concordance between tests; 33 of 44 (75%) test results were positive by enzyme-linked immunosorbent assay, and 29 of 44 (66%) test results were positive by urea breath test. H. pylori colonization is common among Gambian infants, and noninvasive tests can provide a reliable means of diagnosis.
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Pruebas Respiratorias/métodos , Heces/microbiología , Infecciones por Helicobacter/diagnóstico , Helicobacter pylori/aislamiento & purificación , Antígenos Bacterianos/aislamiento & purificación , Ensayo de Inmunoadsorción Enzimática , Gambia , Humanos , Lactante , Estudios ProspectivosRESUMEN
A possible agricultural climate change mitigation option is to increase the amount of soil organic carbon (SOC). Conversely, some factors might lead to inadvertent losses of SOC. Here, we explore the effect of various management options and environmental changes on SOC storage and milk production of dairy pastures in New Zealand. We used CenW 4.1, a process-based ecophysiological model, to run a range of scenarios to assess the effects of changes in management options, plant properties and environmental factors on SOC and milk production. We tested the model by using 2years of observations of the exchanges of water and CO2 measured with an eddy covariance system on a dairy farm in New Zealand's Waikato region. We obtained excellent agreement between the model and observations, especially for evapotranspiration and net photosynthesis. For the scenario analysis, we found that SOC could be increased through supplying supplemental feed, increasing fertiliser application, or increasing water availability through irrigation on very dry sites, but SOC decreased again for larger increases in water availability. Soil warming strongly reduced SOC. For other changes in key properties, such as changes in soil water-holding capacity and plant root:shoot ratios, SOC changes were often negatively correlated with changes in milk production. The work showed that changes in SOC were determined by the complex interplay between (1) changes in net primary production; (2) the carbon fraction taken off-site through grazing; (3) carbon allocation within the system between labile and stabilised SOC; and (4) changes in SOC decomposition rates. There is a particularly important trade-off between carbon either being removed by grazing or remaining on site and available for SOC formation. Changes in SOC cannot be fully understood unless all four factors are considered together in an overall assessment.
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Secuestro de Carbono , Carbono , Industria Lechera , Leche , Animales , Cambio Climático , Nueva Zelanda , Suelo/químicaRESUMEN
We used two years of eddy covariance (EC) measurements collected over an intensively grazed dairy pasture to better understand the key drivers of changes in soil organic carbon stocks. Analysing grazing systems with EC measurements poses significant challenges as the respiration from grazing animals can result in large short-term CO2 fluxes. As paddocks are grazed only periodically, EC observations derive from a mosaic of paddocks with very different exchange rates. This violates the assumptions implicit in the use of EC methodology. To test whether these challenges could be overcome, and to develop a tool for wider scenario testing, we compared EC measurements with simulation runs with the detailed ecosystem model CenW 4.1. Simulations were run separately for 26 paddocks around the EC tower and coupled to a footprint analysis to estimate net fluxes at the EC tower. Overall, we obtained good agreement between modelled and measured fluxes, especially for the comparison of evapotranspiration rates, with model efficiency of 0.96 for weekly averaged values of the validation data. For net ecosystem productivity (NEP) comparisons, observations were omitted when cattle grazed the paddocks immediately around the tower. With those points omitted, model efficiencies for weekly averaged values of the validation data were 0.78, 0.67 and 0.54 for daytime, night-time and 24-hour NEP, respectively. While not included for model parameterisation, simulated gross primary production also agreed closely with values inferred from eddy covariance measurements (model efficiency of 0.84 for weekly averages). The study confirmed that CenW simulations could adequately model carbon and water exchange in grazed pastures. It highlighted the critical role of animal respiration for net CO2 fluxes, and showed that EC studies of grazed pastures need to consider the best approach of accounting for this important flux to avoid unbalanced accounting.
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In the developing world major public health issues such as malnutrition and compromised physical development are intimately linked to altered gut morphology and function with underlying chronic inflammatory responses. In these societies the downward spiral of malnutrition and infections does not seem to be remedied by well-informed nutritional interventions that supplement the identified nutrient deficiencies, suggesting that additional strategies are needed. The aim of this scientific opinion paper is to consider how a child from the developing world might benefit, separately and additively, from interventions targeted to impact hygiene, nutritional status, disease resistance and gut function, if successful interventions could be found. A failure to tackle environmental enteropathy (EE) may be a critical limiting factor that can explain the relative lack of success of interventions focussed on micronutrient supplementation so far. Therefore this paper starts with a summary of the aetiology and consequences of EE on child health and the current recommendations aimed at tackling this problem. Then a number of hypotheses will be considered in terms of research strategy to positively affect nutritional status, intestinal health and growth of children with EE, with the aim of inspiring future innovative strategies, for both the food industry and the public health sector, which could benefit millions of children.
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Azathioprine leads to changes in mean corpuscular volume (MCV) and white blood cell (WBC) indices reflecting efficacy or toxicity. Understanding the interactions between bone marrow stem cells and azathioprine could highlight abnormal response patterns as forerunners for hematologic malignancies. This study gives a statistical description of factors influencing the relationship between MCV and WBC in children with inflammatory bowel disease treated with azathioprine. We found that leukopenia preceded macrocytosis. Macrocytosis is therefore not a good predictor of leukopenia. Further studies will be necessary to determine the subgroup of patients at increased risk of malignancies based on bone marrow response.
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Azatioprina/efectos adversos , Índices de Eritrocitos/efectos de los fármacos , Inmunosupresores/efectos adversos , Enfermedades Inflamatorias del Intestino/sangre , Enfermedades Inflamatorias del Intestino/tratamiento farmacológico , Leucopenia/inducido químicamente , Adolescente , Niño , Estudios de Cohortes , Femenino , Humanos , Recuento de Leucocitos , Masculino , Metiltransferasas/sangre , Factores de TiempoRESUMEN
OBJECTIVE: Helicobacter pylori acquired in childhood is an important risk factor for gastric carcinoma. Once colonization is established, infection may be carried for life. This study used prospectively recorded, detailed information on infant feeding and investigated the potential link between duration of exclusive breastfeeding in infancy and seropositivity at age 50 years, as measured by enzyme-linked immunosorbent assay. METHODS: H. pylori seropositivity at age 50 years was investigated among 407 individuals born in Newcastle in May and June 1947 and related to the duration of exclusive breastfeeding after adjusting for measures of socioeconomic status and adverse housing conditions at birth. RESULTS: Duration of exclusive breastfeeding in infancy was significantly associated with H. pylori seropositivity (odds ratio per 30 days, 0.88; 95% confidence interval, 0.78 to 0.98). The significant protective trend was only seen among men (odds ratio per 30 days, 0.78; 95% confidence interval, 0.65 to 0.95), with no significant effect seen among women. CONCLUSION: Increased duration of exclusive breastfeeding in infancy may have a long-term protective effect against chronic H. pylori infection and hence the risk of gastric carcinoma. Although further research is required, particularly as to why a significant effect was only seen among men, the results provide additional support for the concept that breastfeeding may have long-term influences on health and that human milk is the ideal complete first diet for human infants.
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Anticuerpos Antibacterianos/sangre , Lactancia Materna , Infecciones por Helicobacter/epidemiología , Infecciones por Helicobacter/prevención & control , Helicobacter pylori , Estudios de Cohortes , Intervalos de Confianza , Ensayo de Inmunoadsorción Enzimática/métodos , Femenino , Infecciones por Helicobacter/sangre , Helicobacter pylori/inmunología , Humanos , Masculino , Persona de Mediana Edad , Oportunidad Relativa , Factores de Riesgo , Estudios Seroepidemiológicos , Factores Sexuales , Clase Social , Neoplasias Gástricas/sangre , Neoplasias Gástricas/epidemiología , Neoplasias Gástricas/prevención & control , Factores de TiempoRESUMEN
BACKGROUND: Helicobacter pylori, one of the commonest chronic bacterial infections of humankind, is an important risk factor for gastric carcinoma. It has also been suggested to be present in dental plaque. This study investigated the potential link between the number of teeth lost and H. pylori seropositivity at age 50 years. METHODS: H. pylori seropositivity at age 50 years was investigated among 334 individuals born in Newcastle upon Tyne, United Kingdom, in May and June 1947 and related to the number of teeth lost, after adjusting for socioeconomic status. RESULTS: The unadjusted risk of being seropositive for H. pylori increased with increasing number of teeth lost (odds ratio per tooth 1.03, 95% confidence interval 1.01-1.06, p = .019). However, after adjustment for socioeconomic status at birth and at age 50 years, the relationship was no longer significant (p = .36). CONCLUSIONS: Our results, obtained using prospectively collected data, suggest that any relationship between poor oral health and seropositivity to H. pylori may be due to both tooth loss and H. pylori colonization being associated with socioeconomic status and related factors.