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Development of atopy and wheezing symptoms in relation to heredity and early pet keeping in a Swedish birth cohort
Author(s) -
Sandin Anna,
Björkstén Bengt,
Bråbäck Lennart
Publication year - 2004
Publication title -
pediatric allergy and immunology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.269
H-Index - 89
eISSN - 1399-3038
pISSN - 0905-6157
DOI - 10.1111/j.1399-3038.2004.00166.x
Subject(s) - medicine , atopy , heredity , cohort , cohort study , wheeze , asthma , pediatrics , immunology , genetics , biology
The role of pet keeping during infancy for the development of allergy and asthma is still controversial. The objective of this population‐based birth cohort study was to assess the development of atopy and different wheezing phenotypes during the first 4 yr of life in relation to heredity and early pet keeping. The cohort comprised all 1228 infants living in a Swedish county who were born over a 1‐yr period. The parents replied to repeated questionnaires and 817 of the children were skin prick tested both at 1 and 4 yr. Cat keeping during the first year of life was associated with an increased risk of a positive skin prick test to cat at 1 yr of age [odds ratio (OR) 2.2, 95% confidence interval (CI) 0.9–5.6], but neither with sensitivity nor clinical symptoms of allergy at 4 yr. Dog keeping during the first year of life was associated with an increased risk of early‐onset transient wheezing, but only in children with parental asthma (adjusted OR 4.3, 95% CI 1.5–12.1). In contrast, early dog keeping had an inverse association with sensitivity to pollen allergen at 4 yr (adjusted OR 0.3, 95% CI 0.1–0.9) and late‐onset wheezing (adjusted OR 0.4, 95% CI 0.2–1.0). Thus, pet keeping during the first year of life was not associated with an increased risk of atopy at 4 yr, although a positive SPT to cat was more common at 1 yr. Our findings may even suggest that dog keeping during the first year of life might provide some protection from pollen allergy and late‐onset wheezing and increase the risk of early‐onset transient wheezing in children with heredity for asthma.