Impact of early life geohelminths on wheeze, asthma and atopy in ecuadorian children at 8 years

Detalhes bibliográficos
Autor(a) principal: Cooper, Philip J.
Data de Publicação: 2021
Outros Autores: Ster, Irina Chis, Chico, Martha E., Vaca, Maritza, Oviedo, Yisela, Maldonado, Augusto, Barreto, Maurício Lima, Mills, Thomas A. E. Platts, Strachan, David P.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/48148
Resumo: Wellcome Trust, Grant/Award Number: 088862/Z/09/Z
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spelling Cooper, Philip J.Ster, Irina ChisChico, Martha E.Vaca, MaritzaOviedo, YiselaMaldonado, AugustoBarreto, Maurício LimaMills, Thomas A. E. PlattsStrachan, David P.2021-07-12T14:18:29Z2021-07-12T14:18:29Z2021COOPER, Philip J. et al. Impact of early life geohelminths on wheeze, asthma and atopy in ecuadorian children at 8 years. Allergy, p. 1-11, 20 Mar. 2021.0105-4538https://www.arca.fiocruz.br/handle/icict/4814810.1111/all.148211398-9995Wellcome Trust, Grant/Award Number: 088862/Z/09/ZSt George's University of London. Institute of Infection and Immunity. London, UK / Universidad Internacional del Ecuador. School of Medicine. Quito, Ecuador / Fundacion Ecuatoriana Para La Investigacion en Salud. Quito, Ecuador.St George's University of London. Institute of Infection and Immunity. London, United Kingdom.Fundacion Ecuatoriana Para La Investigacion en Salud. Quito, Ecuador.Fundacion Ecuatoriana Para La Investigacion en Salud. Quito, Ecuador.Fundacion Ecuatoriana Para La Investigacion en Salud. Quito, Ecuador.Fundacion Ecuatoriana Para La Investigacion en Salud. Quito, Ecuador / Universidad San Francisco de Quito. Colegio de Ciencias de la Salud. Quito, Ecuador.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.University of Virginia. Division of Allergy and Clinical Immunology. Charlottesville, VA, USA.St George's University of London. Population Health Research Institute. London, United Kingdom.Background: Early-life exposures to geohelminths may protect against development of wheeze/asthma and atopy. Objective: To study the effect of maternal geohelminths and infections in children during the first 5 years on atopy, wheeze/asthma and airways reactivity/inflammation at 8 years. Methods: Birth cohort of 2404 neonates followed to 8 years in rural Ecuador. Data on wheeze/asthma were collected by questionnaire and atopy by skin prick test (SPT) reactivity to 9 allergens. We measured airways reactivity to bronchodilator, fractional exhaled nitric oxide (FeNO) and nasal eosinophilia. Stool samples were examined for geohelminths by microscopy. Results: 1933 (80.4%) children were evaluated at 8 years. Geohelminths were detected in 45.8% of mothers and 45.5% of children to 5 years. Frequencies of outcomes at 8 years were as follows: wheeze (6.6%), asthma between 5 and 8 years (7.9%), SPT (14.7%), airways reactivity (10%) and elevated FeNO (10.3%) and nasal eosinophilia (9.2%). Any maternal geohelminth was associated with reduced SPT prevalence (OR 0.72). Childhood Trichuris trichiura infections during the first 5 years were associated with reduced wheeze (OR 0.57) but greater parasite burdens with Ascaris lumbricoides at 5 years were associated with increased wheeze (OR 2.83) and asthma (OR 2.60). Associations between maternal geohelminths and wheeze/asthma were modified by atopy. Parasite-specific effects on wheeze/asthma and airways reactivity and inflammation were observed in non-atopic children. Conclusions: Our data provide novel evidence for persistent effects of in utero geohelminth exposures on childhood atopy but highlight the complex nature of the relationship between geohelminths and the airways. Registered as an observational study (ISRCTN41239086).engJohn Wiley and SonsAsmaInfecçõesEquadorÓxido nítricoCriançaBroncodilatadoresAsthmaAtopyEcuadorGeohelminthsWheezeImpact of early life geohelminths on wheeze, asthma and atopy in ecuadorian children at 8 yearsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83097https://www.arca.fiocruz.br/bitstream/icict/48148/1/license.txt36b51ef91c52b5338d9d29ba0cc807bcMD51ORIGINALCooper, J. P. Impact of early....pdfCooper, J. P. Impact of early....pdfapplication/pdf1218802https://www.arca.fiocruz.br/bitstream/icict/48148/2/Cooper%2c%20J.%20P.%20Impact%20of%20early....pdfa56248c360e93d0f668bad7390a52601MD52TEXTCooper, J. P. Impact of early....pdf.txtCooper, J. P. 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dc.title.en.fl_str_mv Impact of early life geohelminths on wheeze, asthma and atopy in ecuadorian children at 8 years
title Impact of early life geohelminths on wheeze, asthma and atopy in ecuadorian children at 8 years
spellingShingle Impact of early life geohelminths on wheeze, asthma and atopy in ecuadorian children at 8 years
Cooper, Philip J.
Asma
Infecções
Equador
Óxido nítrico
Criança
Broncodilatadores
Asthma
Atopy
Ecuador
Geohelminths
Wheeze
title_short Impact of early life geohelminths on wheeze, asthma and atopy in ecuadorian children at 8 years
title_full Impact of early life geohelminths on wheeze, asthma and atopy in ecuadorian children at 8 years
title_fullStr Impact of early life geohelminths on wheeze, asthma and atopy in ecuadorian children at 8 years
title_full_unstemmed Impact of early life geohelminths on wheeze, asthma and atopy in ecuadorian children at 8 years
title_sort Impact of early life geohelminths on wheeze, asthma and atopy in ecuadorian children at 8 years
author Cooper, Philip J.
author_facet Cooper, Philip J.
Ster, Irina Chis
Chico, Martha E.
Vaca, Maritza
Oviedo, Yisela
Maldonado, Augusto
Barreto, Maurício Lima
Mills, Thomas A. E. Platts
Strachan, David P.
author_role author
author2 Ster, Irina Chis
Chico, Martha E.
Vaca, Maritza
Oviedo, Yisela
Maldonado, Augusto
Barreto, Maurício Lima
Mills, Thomas A. E. Platts
Strachan, David P.
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Cooper, Philip J.
Ster, Irina Chis
Chico, Martha E.
Vaca, Maritza
Oviedo, Yisela
Maldonado, Augusto
Barreto, Maurício Lima
Mills, Thomas A. E. Platts
Strachan, David P.
dc.subject.other.pt_BR.fl_str_mv Asma
Infecções
Equador
Óxido nítrico
Criança
Broncodilatadores
topic Asma
Infecções
Equador
Óxido nítrico
Criança
Broncodilatadores
Asthma
Atopy
Ecuador
Geohelminths
Wheeze
dc.subject.en.en.fl_str_mv Asthma
Atopy
Ecuador
Geohelminths
Wheeze
description Wellcome Trust, Grant/Award Number: 088862/Z/09/Z
publishDate 2021
dc.date.accessioned.fl_str_mv 2021-07-12T14:18:29Z
dc.date.available.fl_str_mv 2021-07-12T14:18:29Z
dc.date.issued.fl_str_mv 2021
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv COOPER, Philip J. et al. Impact of early life geohelminths on wheeze, asthma and atopy in ecuadorian children at 8 years. Allergy, p. 1-11, 20 Mar. 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/48148
dc.identifier.issn.pt_BR.fl_str_mv 0105-4538
dc.identifier.doi.pt_BR.fl_str_mv 10.1111/all.14821
dc.identifier.eissn.pt_BR.fl_str_mv 1398-9995
identifier_str_mv COOPER, Philip J. et al. Impact of early life geohelminths on wheeze, asthma and atopy in ecuadorian children at 8 years. Allergy, p. 1-11, 20 Mar. 2021.
0105-4538
10.1111/all.14821
1398-9995
url https://www.arca.fiocruz.br/handle/icict/48148
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv John Wiley and Sons
publisher.none.fl_str_mv John Wiley and Sons
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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instacron_str FIOCRUZ
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reponame_str Repositório Institucional da FIOCRUZ (ARCA)
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