Document Detail


The EuroPrevall birth cohort study on food allergy: baseline characteristics of 12,000 newborns and their families from nine European countries.
MedLine Citation:
PMID:  22192443     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
To cite this article: McBride D, Keil T, Grabenhenrich L, Dubakiene R, Drasutiene G, Fiocchi A, Dahdah L, Sprikkelman AB, Schoemaker AA, Roberts G, Grimshaw K, Kowalski ML, Stanczyk-Przyluska A, Sigurdardottir S, Clausen M, Papadopoulos NG, Mitsias D, Rosenfeld L, Reche M, Pascual C, Reich A, Hourihane J, Wahn U, Mills ENC, Mackie A, Beyer K. The EuroPrevall birth cohort study on food allergy: baseline characteristics of 12,000 newborns and their families from nine European countries. Pediatric Allergy Immunology 2011: doi: 10.1111/j.1399-3038.2011.01254.x. ABSTRACT: It is unclear why some children develop food allergy. The EuroPrevall birth cohort was established to examine regional differences in the prevalence and risk factors of food allergy in European children using gold-standard diagnostic criteria. The aim of this report was to describe pre-, post-natal and environmental characteristics among the participating countries. In nine countries across four major European climatic regions, mothers and their newborns were enrolled from October 2005 through February 2010. Using standardized questionnaires, we assessed allergic diseases and self-reported food hypersensitivity of parents and siblings, nutrition during pregnancy, nutritional supplements, medications, mode of delivery, socio-demographic data and home environmental exposures. A total of 12,049 babies and their families were recruited. Self-reported adverse reactions to food ever were considerably more common in mothers from Germany (30%), Iceland, United Kingdom, and the Netherlands (all 20-22%) compared with those from Italy (11%), Lithuania, Greece, Poland, and Spain (all 5-8%). Prevalence estimates of parental asthma, allergic rhinitis and eczema were highest in north-west (Iceland, UK), followed by west (Germany, the Netherlands), south (Greece, Italy, Spain) and lowest in central and east Europe (Poland, Lithuania). Over 17% of Spanish and Greek children were exposed to tobacco smoke in utero compared with only 8-11% in other countries. Caesarean section rate was highest in Greece (44%) and lowest in Spain (<3%). We found country-specific differences in antibiotic use, pet ownership, type of flooring and baby's mattress. In the EuroPrevall birth cohort study, the largest study using gold-standard diagnostic criteria for food allergy in children worldwide, we found considerable country-specific baseline differences regarding a wide range of factors that are hypothesized to play a role in the development of food allergy including allergic family history, obstetrical practices, pre- and post-natal environmental exposures.
Authors:
D McBride; T Keil; L Grabenhenrich; R Dubakiene; G Drasutiene; A Fiocchi; L Dahdah; A B Sprikkelman; A A Schoemaker; G Roberts; K Grimshaw; M L Kowalski; A Stanczyk-Przyluska; S Sigurdardottir; M Clausen; N G Papadopoulos; D Mitsias; L Rosenfeld; M Reche; C Pascual; A Reich; J Hourihane; U Wahn; E N C Mills; A Mackie; K Beyer
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-23
Journal Detail:
Title:  Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology     Volume:  -     ISSN:  1399-3038     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106718     Medline TA:  Pediatr Allergy Immunol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 John Wiley & Sons A/S.
Affiliation:
Institute of Social Medicine, Epidemiology and Health Economics, Charité University Medical Center, Berlin, Germany Faculty of Medicine, Vilnius University, Vilnius, Lithuania Melloni Paediatria, University of Milan Medical School at the Macedonio Melloni Hospital, Milano, Italy Department of Pediatric Respiratory Medicine and Allergy, Emma Children's Hospital, Academic Medical Center, Amsterdam, The Netherlands Paediatric Allergy and Respiratory Medicine, University of Southampton Faculty of Medicine, Southampton, UK Department of Immunology, Rheumatology and Allergy, Medical University of Lodz, Lodz, Poland Department of Pediatrics, Preventive Cardiology and Immunology, Medical University of Lodz, Lodz, Poland Department of Immunology, Landspitali, The National University Hospital, Reykjavik, Iceland The Children's Hospital, Landspitali, The National University Hospital, Reykjavik, Iceland Allergy Department, 2nd Pediatric Clinic, University of Athens, Athens, Greece Department of Paediatric Pneumology and Immunology, Charité University Medical Center, Berlin, Germany Department of Allergy Services, Hospital la Paz, Madrid, Spain Department of Paediatrics and Child Health, University College, Cork, Ireland Institute of Food Research, Materials Science, Norwich, UK.
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