Maternal dietary and environmental risk factors in children with asthma comorbid neuropsychiatric disorders
10.3760/cma.j.issn.2095-428X.2019.09.009
- VernacularTitle: 支气管哮喘患儿并神经精神共患病母亲孕期环境和饮食危险因素
- Author:
Zhihe CHEN
1
;
Ye LIU
2
;
Ruolan WANG
1
;
Mi ZHOU
1
;
Weiqing ZHAO
1
;
Cen LI
1
;
Yuxia CUI
1
;
Hao ZHOU
1
Author Information
1. Department of Pediatrics, Guizhou Provincial People′s Hospital, Guiyang 550002, China
2. Department of Otolaryngology, Guizhou Provincial People′s Hospital, Guiyang 550002, China
- Publication Type:Journal Article
- Keywords:
Asthma;
Neuropsychiatric comorbidities;
Pregnancy;
Risk factors;
Child
- From:
Chinese Journal of Applied Clinical Pediatrics
2019;34(9):675-679
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the prenatal dietary and environmental risk factors in children aged 6-16 years with asthma (CWA) comorbid neuropsychiatric disorders.
Methods:This cross-sectional study was conducted from March 2016 to March 2017.CWA aged 6 to 16 years were recruited as the study participants at the Outpatient Asthma Unit of Guizhou Provincial People′s Hospital, China.Informed consent was obtained from their parents, and their parents were invited to participate in the Mini International Neuropsychiatric Interview of children and adolescents (MINI Kid) to assess the current neuropsychiatric disorders.Meanwhile, the questionnaires information about prenatal diet and environment were collected from their mothers as well.Patients were divided into 2 groups, one group with asthma comorbid neuropsychiatric disorders and the other with asthma only.Single factor analysis and multivariate non-conditional Logistic regression analysis were used to determine the risk factors associated with neuropsychiatric comorbidity.
Results:The study consisted of 261 patients (male: 163 cases, female: 98 cases) with asthma, with the age of (11.25±3.12) years, the rate of asthma comorbid neuropsychiatric disorders was 26.4% (69/261 cases). Single factor analysis showed that prenatal tobacco smoke exposure, winter coal combustion, food additives had statistically significant differences between the 2 group (χ2=7.385, 3.993, 4.529, all P<0.05), the other factors were not significantly different between two groups (all P>0.05); multivariate analysis indicated that prenatal tobacco smoke exposure was the independent risk factor for neuropsychiatric comorbidity in CWA (OR=5.098, 95%CI: 1.089-23.871, P=0.039).
Conclusions:The result revealed that the prenatal tobacco smoke exposure is the independent risk factor for neuropsychiatric comorbidity in CWA, need to enhance the propaganda and education of negative effects for parents should be enhanced during pregnancy to diminish the prevalence.
