A1 Refereed original research article in a scientific journal
Food diversity in infancy and the risk of childhood asthma and allergies
Authors: Bright I. Nwaru, Hanna-Mari Takkinen, Minna Kaila, Maijaliisa Erkkola, Suvi Ahonen, Juha Pekkanen, Olli Simell, Riitta Veijola, Jorma Ilonen, Heikki Hyöty, Mikael Knip, Suvi M. Virtanen
Publication year: 2014
Journal name in source: J Allergy Clin Immunol
Journal acronym: The Journal of allergy and clinical immunology
Volume: 133
Issue: 4
First page : 1084
Last page: 1091
Number of pages: 8
ISSN: 0091-6749
eISSN: 1097-6825
DOI: https://doi.org/10.1016/j.jaci.2013.12.1069
Web address : http://www.ncbi.nlm.nih.gov/pubmed/24472626DO - 10.1016/j.jaci.2013.12.1069
BACKGROUND: Recently, the bacterial diversity of the intestinal flora and the diversity of various environmental factors during infancy have been linked to the development of allergies in childhood. Food is an important environmental exposure, but the role of food diversity in the development of asthma and allergies in childhood is poorly defined. OBJECTIVE: We studied the associations between food diversity during the first year of life and the development of asthma and allergies by age 5 years. METHODS: In a Finnish birth cohort we analyzed data on 3142 consecutively born children. We studied food diversity at 3, 4, 6, and 12 months of age. Asthma, wheeze, atopic eczema, and allergic rhinitis were measured by using the International Study of Asthma and Allergies in Childhood questionnaire at age 5 years. RESULTS: By 3 and 4 months of age, food diversity was not associated with any of the allergic end points. By 6 months of age, less food diversity was associated with increased risk of allergic rhinitis but not with the other end points. By 12 months of age, less food diversity was associated with increased risk of any asthma, atopic asthma, wheeze, and allergic rhinitis. CONCLUSION: Less food diversity during the first year of life might increase the risk of asthma and allergies in childhood. The mechanisms for this association are unclear, but increased dietary antigen exposure might contribute to this link.