Association between Maternal Allergic Rhinitis and Asthma on the Prevalence of Atopic Disease in Offspring

作者：Wang Qiu Ping; Wu Kun Min^*; Li Ze Qing; Xue Fei; Chen Wei; Ji Han; Wang Bing Ling

来源：International Archives of Allergy and Immunology, 2012, 157(4): 379-386.

DOI：10.1159/000328789

• Allergic rhinitis
• Asthma
• Pediatric atopic diseases
• IgE levels
• Nasal eosinophilia

Background: Asthma is a common co-morbidity of allergic rhinitis (AR). The prevalence of these two allergic diseases has increased in China and has been shown to cluster in families independently. This study evaluated the association between maternal AR (presenting with or without asthma) and the allergic conditions in offspring. Methods: Women (n = 592) diagnosed with AR were recruited for this study; 379 patients presented with AR and 213 presented with both AR and asthma. Total serum IgE levels and nasal eosinophil counts were analyzed and correlated with disease presentation. Results: The prevalence of allergic conditions in offspring of mothers diagnosed with AR and asthma was significantly higher than the prevalence observed in children born to mothers presenting with AR only. Maternal total serum IgE and eosinophil counts were predictive of atopy in offspring. Children born to mothers presenting with persistent moderate-to-severe AR had the highest risk of developing atopic conditions (OR 6.26, 95% CI 3.26-12.02). Maternal age of 25-30 years at delivery was also associated with a higher risk for the allergic disease in offspring compared to maternal age of 36-40 (OR 2.13, 95% CI 1.31-3.47). Conclusions: The severity of maternal AR, asthma co-morbidity, elevated serum IgE levels and nasal eosinophilia were all associated with an increased risk of offspring developing allergic conditions. Children born to older mothers were protected against developing atopic disease.

• 出版日期2012
• 单位南京医科大学