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A Traditional Diet Is Associated with a Reduced Risk of Eczema and Wheeze in Colombian Children.

Abstract

BACKGROUND

Diet might influence the risk of allergic diseases. Evidence from developing countries with high prevalence of childhood asthma is scant.

METHODS

Information on wheeze, rhinitis, and eczema was collected from 3209 children aged 6-7 years in 2005, who were taking part in the International Study on Asthma and Allergy in Children (ISAAC) in Colombia. Intake frequency of twelve food groups was assessed. Associations between each food group and current wheeze, rhino-conjunctivitis, and eczema were investigated with multiple logistic regressions, adjusting for potential confounders. Simes' procedure was used to test for multiple comparisons.

RESULTS

14.9% of children reported wheeze in the last 12 months, 16% rhino-conjunctivitis, and 22% eczema. Eczema was negatively associated with consumption of fresh fruits and pulses three or more times per week (adjusted Odds ratio (aOR): 0.64; 95% Confidence Interval (CI): 0.49 to 0.83; p value = 0.004; and aOR: 0.62, 95% CI: 0.47 to 0.80; p value < 0.001, respectively). Current wheeze was negatively associated with intake of potatoes (aOR: 0.44, 95% CI: 0.31 to 0.62, p value = 0.005), whilst this outcome was positively associated with consumption of fast food (aOR: 1.76, 95% CI: 1.32 to 2.35, p value = 0.001). These associations remained statistically significant after controlling for multiple comparisons.

CONCLUSIONS

A traditional diet might have a protective effect against eczema and wheeze in Colombian children, whilst intake of fast foods increases this risk.

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  • Authors+Show Affiliations

    ,

    Fundación Hospital Universitario Metropolitano de Barranquilla, Barranquilla KRA 42F No. 75B-18, Colombia. alerlab@yahoo.es.

    ,

    Department of Medical Sciences, University of Cagliari, Cagliari 09042, Italy. delgiac@gmail.com.

    ,

    Fundación Hospital Universitario Metropolitano de Barranquilla, Barranquilla KRA 42F No. 75B-18, Colombia. saravivar@yahoo.es.

    ,

    Fundación Hospital Universitario Metropolitano de Barranquilla, Barranquilla KRA 42F No. 75B-18, Colombia. elmtapias@yahoo.es.

    ,

    Fundación Hospital Universitario Metropolitano de Barranquilla, Barranquilla KRA 42F No. 75B-18, Colombia. rodolfojaller@hotmail.com.

    ,

    Fundación Hospital Universitario Metropolitano de Barranquilla, Barranquilla KRA 42F No. 75B-18, Colombia. asegurar25@yahoo.es.

    ,

    Fundación Hospital Universitario Metropolitano de Barranquilla, Barranquilla KRA 42F No. 75B-18, Colombia. gloreyesc@hotmail.com.

    ,

    Respiratory Epidemiology and Public Health Group, National Heart & Lung Institute, Imperial College London, London SW3 6LR, UK. j.potts@imperial.ac.uk.

    Respiratory Epidemiology and Public Health Group, National Heart & Lung Institute, Imperial College London, London SW3 6LR, UK. v.garcialarsen@imperial.ac.uk. Royal Brompton Hospital and Harefield NHS Foundation Trust, London SW3 6NP, UK. v.garcialarsen@imperial.ac.uk.

    Source

    Nutrients 7:7 2015 Jun 25 pg 5098-110

    MeSH

    Child
    Colombia
    Conjunctivitis, Allergic
    Dermatitis, Atopic
    Diet
    Diet Surveys
    Fast Foods
    Female
    Fruit
    Humans
    Logistic Models
    Male
    Odds Ratio
    Prevalence
    Respiratory Sounds
    Rhinitis, Allergic
    Risk Factors
    Risk Reduction Behavior
    Solanum tuberosum

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    26121530

    Citation

    Cepeda, Alfonso M., et al. "A Traditional Diet Is Associated With a Reduced Risk of Eczema and Wheeze in Colombian Children." Nutrients, vol. 7, no. 7, 2015, pp. 5098-110.
    Cepeda AM, Del Giacco SR, Villalba S, et al. A Traditional Diet Is Associated with a Reduced Risk of Eczema and Wheeze in Colombian Children. Nutrients. 2015;7(7):5098-110.
    Cepeda, A. M., Del Giacco, S. R., Villalba, S., Tapias, E., Jaller, R., Segura, A. M., ... Garcia-Larsen, V. (2015). A Traditional Diet Is Associated with a Reduced Risk of Eczema and Wheeze in Colombian Children. Nutrients, 7(7), pp. 5098-110. doi:10.3390/nu7075098.
    Cepeda AM, et al. A Traditional Diet Is Associated With a Reduced Risk of Eczema and Wheeze in Colombian Children. Nutrients. 2015 Jun 25;7(7):5098-110. PubMed PMID: 26121530.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - A Traditional Diet Is Associated with a Reduced Risk of Eczema and Wheeze in Colombian Children. AU - Cepeda,Alfonso M, AU - Del Giacco,Stefano R, AU - Villalba,Sara, AU - Tapias,Elmy, AU - Jaller,Rodolfo, AU - Segura,Ana María, AU - Reyes,Gloria, AU - Potts,James, AU - Garcia-Larsen,Vanessa, Y1 - 2015/06/25/ PY - 2015/05/07/received PY - 2015/06/04/revised PY - 2015/06/16/accepted PY - 2015/6/30/entrez PY - 2015/6/30/pubmed PY - 2016/3/26/medline KW - Colombia KW - ISAAC KW - asthma KW - diet KW - eczema KW - fast food KW - fruits KW - pulses SP - 5098 EP - 110 JF - Nutrients JO - Nutrients VL - 7 IS - 7 N2 - BACKGROUND: Diet might influence the risk of allergic diseases. Evidence from developing countries with high prevalence of childhood asthma is scant. METHODS: Information on wheeze, rhinitis, and eczema was collected from 3209 children aged 6-7 years in 2005, who were taking part in the International Study on Asthma and Allergy in Children (ISAAC) in Colombia. Intake frequency of twelve food groups was assessed. Associations between each food group and current wheeze, rhino-conjunctivitis, and eczema were investigated with multiple logistic regressions, adjusting for potential confounders. Simes' procedure was used to test for multiple comparisons. RESULTS: 14.9% of children reported wheeze in the last 12 months, 16% rhino-conjunctivitis, and 22% eczema. Eczema was negatively associated with consumption of fresh fruits and pulses three or more times per week (adjusted Odds ratio (aOR): 0.64; 95% Confidence Interval (CI): 0.49 to 0.83; p value = 0.004; and aOR: 0.62, 95% CI: 0.47 to 0.80; p value < 0.001, respectively). Current wheeze was negatively associated with intake of potatoes (aOR: 0.44, 95% CI: 0.31 to 0.62, p value = 0.005), whilst this outcome was positively associated with consumption of fast food (aOR: 1.76, 95% CI: 1.32 to 2.35, p value = 0.001). These associations remained statistically significant after controlling for multiple comparisons. CONCLUSIONS: A traditional diet might have a protective effect against eczema and wheeze in Colombian children, whilst intake of fast foods increases this risk. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/26121530/full_citation L2 - http://www.mdpi.com/resolver?pii=nu7075098 DB - PRIME DP - Unbound Medicine ER -