Association between maternal age at delivery and allergic rhinitis in schoolchildren: A population-based study.
World Allergy Organ J
; 13(6): 100127, 2020 Jun.
Article
em En
| MEDLINE
| ID: mdl-32612736
ABSTRACT
BACKGROUND:
Some studies have shown associations of maternal age at delivery with asthma and food allergy in offspring. However, the relationship between maternal age at delivery and allergic rhinitis is largely unclear. This study aimed to investigate the association between maternal age at delivery and allergic rhinitis in a population sample of Asian children, and to explore potential effect modifiers.METHODS:
A total of 1344 singleton-birth children (763 boys, 56.8%; mean age, 6.4 years) participating in the Longitudinal Investigation of Global Health in Taiwanese Schoolchildren (LIGHTS) cohort were evaluated by a modified International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire and interviewed by pediatricians. Allergic sensitization was determined by using Phadiatop Infant. Multiple logistic regression models with covariates adjustment were performed to investigate the association of maternal age at delivery with allergic rhinitis and allergic sensitization in offspring.RESULTS:
Among 1344 study children, 793 (59%) had physician-diagnosed allergic rhinitis. Advanced maternal age at delivery (≥40 years) was significantly associated with increased odds of allergic rhinitis (adjusted odds ratio [AOR] = 4.58, 95% confidence interval [CI] 1.90-11.03) and allergic sensitization (AOR = 2.86, 95% CI 1.13-7.22) in offspring. A sex-stratified analysis revealed that the association of advanced maternal age with allergic rhinitis was statistically significant only in female offspring (AOR = 7.02, 95% CI 1.89-26.14). Stratified analyses by birth order or environmental tobacco smoke exposure during pregnancy did not reveal any significant differences.CONCLUSION:
Advanced maternal age at delivery was associated with increased risk of allergic rhinitis in Asian children, probably more pronounced among girls.
ANOVA, analysis of variance; AOR, adjusted odds ratio; ARIA, allergic rhinitis and its impact on asthma; Allergic rhinitis; Allergic sensitization; CI, confidence interval; Children; EMR, electronic medical records; ETS, environmental tobacco smoke; ISAAC, International Study of Asthma and Allergies in Childhood; IgE, immunoglobulin E; LIGHTS, Longitudinal Investigation of Global Health in Taiwanese Schoolchildren; Maternal age at delivery; NTD, New Taiwan Dollar; SD, standard deviation
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Risk_factors_studies
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article