Infant feeding clusters are associated with respiratory health and allergy at school age in the PARIS birth cohort

Amazouz Helene; de Lauzon-Guillain Blandine; Bourgoin-Heck Melisande; Just Jocelyne; Beydon Nicole; Lezmi Guillaume; Ranciere Fanny; Momas Isabelle

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Infant feeding clusters are associated with respiratory health and allergy at school age in the PARIS birth cohort

机译：婴儿喂养群集与巴黎出生队列中学年龄的呼吸系统健康和过敏有关

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Background As infant feeding may influence allergy development, we aimed to identify groups of infants based on feeding practices and to examine their associations with respiratory health/allergy at 8 years in the PARIS birth cohort. Methods Data on breastfeeding, consumption of infant formula (regular, pre-/probiotics, partially hydrolysed with hypoallergenic label [pHF-HA], extensively hydrolysed [eHF], soya) and solid food introduction were collected using repeated questionnaires at 1, 3, 6, 9 and 12 months. Infants with similar feeding practices over the first year of life were grouped using multidimensional longitudinal cluster analysis. Respiratory/allergic morbidity was studied at 8 years as symptoms, doctor's diagnoses (asthma, hay fever, eczema, food allergy), and measurement of lung function, FeNO and specific IgE. Associations between feeding-related clusters and respiratory/allergic morbidity were investigated using multivariable logistic and linear regression models adjusted for potential confounders including early respiratory/allergic outcomes and parental history of allergy. Results Five clusters were identified among 3446 infants: Cluster 1 (45%) mainly fed with regular formula, Cluster 2 (27%) exclusively breastfed during the first 3 months, and three other clusters consuming different types of formula (pre-/probiotics for Cluster 3 [17%], pHF-HA for Cluster 4 [7%], eHF/soya for Cluster 5 [4%]). Compared to Cluster 1, children from Cluster 2 tended to have a lower risk of asthma and children from Cluster 4 had a significant lower lung function (FEV1, FVC), higher FeNO and higher risk of sensitization at 8 years. Conclusion Early pHF-HA use was negatively associated with objective measures of respiratory/allergic morbidity at school age, while children breastfed for at least 3 months seem protected against asthma at 8 years old.

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来源
《Allergy》 |2021年第4期|共12页
作者
Amazouz Helene; de Lauzon-Guillain Blandine; Bourgoin-Heck Melisande; Just Jocelyne; Beydon Nicole; Lezmi Guillaume; Ranciere Fanny; Momas Isabelle;
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作者单位

Univ Paris HERA Team CRESS Inserm INRAE Paris France;

Univ Paris EARoH Team CRESS Inserm INRAE Paris France;

Hop Armand Trousseau AP HP Serv Allergol Pediat Paris France;

Hop Armand Trousseau AP HP Serv Allergol Pediat Paris France;

Hop Armand Trousseau AP HP Unite Fonct Physiol Explorat Fonct Resp EFR Paris France;

Hop Necker Enfants Malad AP HP Serv Pneumol &

Allergol Pediat Paris France;

Univ Paris HERA Team CRESS Inserm INRAE Paris France;

Univ Paris HERA Team CRESS Inserm INRAE Paris France;

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原文格式 PDF
正文语种 eng
中图分类医学免疫学;
关键词
allergic morbidity; birth cohort; breastfeeding; hypoallergenic infant formula; lung function;

机译：过敏性发病率;出生队列;母乳喂养;低过敏性婴儿配方;肺功能;

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9. Risk factors associated with acute lower respiratory tract infection in a cohort of newborns from birth to 24 months of age in a rural community of Bangladesh. [D] . Hasan, Khundkar Zahid. 2001

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12. Linked Birth/Infant Death Data Set: 1987 Birth Cohort. Public Use Data Tape Documentation. [R] . 1992

机译：相关出生/婴儿死亡数据集：1987年出生队列。公共使用数据磁带文档。

Infant feeding clusters are associated with respiratory health and allergy at school age in the PARIS birth cohort

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