Effects of Family History on the Occurrence of Atopic Dermatitis in Infants.
- Author:
Hye Young KIM
1
;
Eun Young JANG
;
Jae Hoon SIM
;
Ji Hyun KIM
;
Younghee CHUNG
;
Su Hwa PARK
;
Eun Mi HWANG
;
Youngshin HAN
;
Kangmo AHN
;
Sang Il LEE
Author Information
1. Departmet of Pediatrics, College of Medicine, Pusan National University, Busan, Korea.
- Publication Type:Original Article
- Keywords:
Atopic dermatitis;
Risk factor;
Family history;
Infants
- MeSH:
Breast Feeding;
Cesarean Section;
Cohort Studies;
Dermatitis, Atopic;
Female;
Humans;
Hypersensitivity;
Incidence;
Infant;
Korea;
Parents;
Parturition;
Pregnancy;
Prevalence;
Prospective Studies;
Surveys and Questionnaires;
Risk Factors;
Siblings;
Single Parent;
Skin;
Vaccination
- From:Pediatric Allergy and Respiratory Disease
2009;19(2):106-114
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The prevalence of atopic dermatitis (AD) has been increased in Korea. We aim to investigate the risk factors for development of AD in infants, especially those factors related to the family history. METHODS: The data from 542 infants in our prospective birth cohort study were analyzed. The data from their parent were collected by questionnaires and skin prick tests. They were regularly followed up at 1 year of age when the presence of AD and allergen sensitization was determined. Various factors such as sex, cesarean section delivery, duration of breast feeding, presence of siblings, vaccination, antibiotic use and pet keeping were also assessed. RESULTS: AD developed in 109 infants (20.4%). In univariate analysis, the presence of either maternal or paternal allergic diseases increased the risk for development of AD in their infants. Multivariate logistic analysis, however, showed that only the presence of maternal allergic diseases correlated with the development of AD (P=0.018). While AD developed in 14.7% in infants of parents with no allergic history, the incidences of AD in infants with a single parent allergy history and in those with 2 parent allergy history were 27.0% and 41.7%, respectively. Their adjusted relative risks (95% confidence intervals) were 1.85 (1.24-2.89) and 2.93 (1.68-4.96), respectively. CONCLUSION: Parental allergic diseases, especially maternal allergic diseases, are possible risk factors for development of AD in Korean infants.
