Journal of Peking University(Health Sciences) >
Association of pregnancy factors with cow's milk protein allergy in infants
Received date: 2022-10-31
Online published: 2024-02-06
Supported by
the 2018 Beijing Key Clinical Specialty Construction Project-Pediatrics(2199000726)
Objective: To preliminarily explore the association of pregnancy factors with cow's milk protein allergy in infants. Methods: This study was based on data from a subcohort of a study called genetic susceptibility to cow's milk allergy in Chinese children, including infants born in Peking University People's Hospital between March 1, 2020, and December 31, 2020. The infants were divided into a cow's milk protein allergy (CMPA) group and a control group according to whether they had developed cow's milk protein allergy at the age of 1 year. We retrospectively collected the clinical data of infants and their mothers before and during pregnancy, and analyzed the association of multiple factors during pregnancy with cow's milk protein allergy in infants. Results: A total of 278 infants were enrolled in this study, including 52 infants with CMPA and 226 infants without CMPA. Among them, there were 143 boys and 135 girls. The proportion of male infants in the CMPA group (69.2%) was higher than that in the control group (47.3%), and the difference was statistically significant (P=0.004). There were no significant differences in the distribution of birth weight, gestational age at birth, low-birth-weight infants, premature, umbilical cord entangle neck, and neonatal asphyxia between the CMPA group and the control group (P>0.05). The proportion of mothers complicated with autoimmune diseases, anemia or antibiotics exposure during pregnancy in the CMPA group was higher than that in the control group, and there were statistical differences between the two groups (P < 0.05). There was no significant difference in the distribution of other pregnancy complications between the two groups (P>0.05), such as eclampsia/preeclampsia, chronic hypertension/gestational hypertension, diabetes/gestational diabetes, thyroid diseases, and so on. There was no significant difference in the overall distribution of some blood routine indexes during pregnancy between the CMPA group and the control group (P>0.05). Multivariate Logistic regression analysis showed that male infant, mothers complicated with autoimmune diseases or anemia, antibiotic exposure during pregnancy were independent risk factors for cow's milk protein allergy. Conclusion: Male infant, mothers complicated with autoimmune diseases or anemia, antibiotic exposure during pregnancy were independent risk factors for cow's milk protein allergy.
Key words: Cow's milk protein allergy; Risk factors; Infant; Pregnancy
Yangyang LI , Lin HOU , Zijun MA , Shanyamei HUANG , Jie LIU , Chaomei ZENG , Jiong QIN . Association of pregnancy factors with cow's milk protein allergy in infants[J]. Journal of Peking University(Health Sciences), 2024 , 56(1) : 144 -149 . DOI: 10.19723/j.issn.1671-167X.2024.01.022
| 1 | Venter C , Arshad SH . Epidemiology of food allergy[J]. Pediatr Clin North Am, 2011, 58 (2): 327- 349. |
| 2 | 陈静, 廖艳, 张红忠, 等. 三城市两岁以下儿童食物过敏现状调查[J]. 中华儿科杂志, 2012, 50 (1): 5- 9. |
| 3 | Prescott SL . Early-life environmental determinants of allergic diseases and the wider pandemic of inflammatory noncommunicable diseases[J]. J Allergy Clin Immunol, 2013, 131 (1): 23- 30. |
| 4 | Chen Y , Zhu J , Lyu J , et al. Association of maternal prepregnancy weight and gestational weight gain with children's allergic diseases[J]. JAMA Netw Open, 2020, 3 (9): e2015643. |
| 5 | Rosa MJ , Lee AG , Wright RJ . Evidence establishing a link between prenatal and early-life stress and asthma development[J]. Curr Opin Allergy Clin Immunol, 2018, 18 (2): 148- 158. |
| 6 | 韦茹, 王静, 杨延萍, 等. 婴幼儿牛奶蛋白过敏的临床特点与危险因素分析[J]. 实用医学杂志, 2019, 35 (21): 3322- 3326. |
| 7 | 杨秀梅. 婴幼儿牛奶蛋白过敏的临床特点与危险因素分析[J]. 中国保健营养, 2021, 31 (14): 43. |
| 8 | 姚家瑜, 邹国新, 胡红梅. 80例牛奶蛋白过敏婴幼儿的临床表现及触发因素分析[J]. 中国实用医药, 2022, 17 (5): 69- 71. |
| 9 | Hou L , Ma Z , Chao S , et al. Genetic susceptibility to cow's milk allergy in Chinese children[J]. Asia Pac J Clin Nutr, 2022, 31 (1): 147- 155. |
| 10 | Venter C , Brown T , Meyer R , et al. Better recognition, diagnosis and management of non-IgE-mediated cow's milk allergy in infancy: iMAP, an international interpretation of the MAP (Milk Allergy in Primary Care) guideline[J]. Clin Transl Allergy, 2017, 7, 26. |
| 11 | Erre GL , Paliogiannis P , Castagna F , et al. Meta-analysis of neutrophil-to-lymphocyte and platelet-to-lymphocyte ratio in rheumatoid arthritis[J]. Eur J Clin Invest, 2019, 49 (1): e13037. |
| 12 | Patel B , Oye M , Norez D , et al. Peripheral blood lymphocyte-to-monocyte ratio as a screening marker for influenza infection[J]. J Investig Med, 2021, 69 (1): 47- 51. |
| 13 | Huang Z , Fu Z , Huang W , et al. Prognostic value of neutrophil-to-lymphocyte ratio in sepsis: A meta-analysis[J]. Am J Emerg Med, 2020, 38 (3): 641- 647. |
| 14 | Mousan G , Kamat D . Cow's milk protein allergy[J]. Clin Pediatr (Phila), 2016, 55 (11): 1054- 1063. |
| 15 | Flom JD , Sicherer SH . Epidemiology of cow's milk allergy[J]. Nutrients, 2019, 11 (5): 1051. |
| 16 | 王念蓉. 儿童食物过敏的预后及影响因素研究[J]. 国际儿科学杂志, 2008, 35 (5): 460- 462. |
| 17 | 张纪泳, 周少明, 王少华, 等. 婴儿牛奶蛋白过敏的危险因素: 多中心调查分析[J]. 中国当代儿科杂志, 2020, 22 (1): 42- 46. |
| 18 | Metsälä J , Lundqvist A , Virta LJ , et al. Mother's and offspring's use of antibiotics and infant allergy to cow's milk[J]. Epidemio-logy, 2013, 24 (2): 303- 309. |
| 19 | Jakobsson HE , Jernberg C , Andersson AF , et al. Short-term antibiotic treatment has differing long-term impacts on the human throat and gut microbiome[J]. PLoS One, 2010, 5 (3): e9836. |
| 20 | Bedford Russell AR , Murch SH . Could peripartum antibiotics have delayed health consequences for the infant?[J]. BJOG, 2006, 113 (7): 758- 765. |
| 21 | Ji C , Zhang G , Xu S , et al. Antibiotic treatments to mothers during the perinatal period leaving hidden trouble on infants[J]. Eur J Pediatr, 2022, 181 (9): 3459- 3471. |
| 22 | Zhang H , Zhang Z , Liao Y , et al. The Complex link and disease between the gut microbiome and the immune system in infants[J]. Front Cell Infect Microbiol, 2022, 12, 924119. |
| 23 | Jenmalm MC . The mother-offspring dyad: Microbial transmission, immune interactions and allergy development[J]. J Intern Med, 2017, 282 (6): 484- 495. |
| 24 | Triche EW , Lundsberg LS , Wickner PG , et al. Association of maternal anemia with increased wheeze and asthma in children[J]. Ann Allergy Asthma Immunol, 2011, 106 (2): 131- 139. |
| 25 | Alcalay I, Wainstock T, Sheiner E. Maternal anemia and long-term respiratory morbidity of the offspring: Results of a population-based cohort [J]. Arch Gynecol Obstet, 2022, 9(2022-09-21)[2022-10-11]. https://pubmed.ncbi.nlm.nih.gov/36129519. |
| 26 | Kumfer AM , Commins SP . Primary prevention of food allergy[J]. Curr Allergy Asthma Rep, 2019, 19 (1): 7. |
| 27 | Pali-Schöll I , Renz H , Jensen-Jarolim E . Update on allergies in pregnancy, lactation, and early childhood[J]. J Allergy Clin Immunol, 2009, 123 (5): 1012- 1021. |
| 28 | Sardecka I , ?o?-Rycharska E , Ludwig H , et al. Early risk factors for cow's milk allergy in children in the first year of life[J]. Allergy Asthma Proc, 2018, 39 (6): e44- e54. |
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