دورية أكاديمية
Association of Cow's Milk Protein Allergy Prevalence With Socioeconomic Status in a Cohort of Chilean Infants
| العنوان: | Association of Cow's Milk Protein Allergy Prevalence With Socioeconomic Status in a Cohort of Chilean Infants |
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| المؤلفون: | Arancibia, María, Yalda, Lucero, Miquel, Isabel, Marchant, Pamela, Rodríguez, Lorena, Alliende, Francisco, Ríos, Gloria, Maturana, Andrés |
| سنة النشر: | 2020 |
| المجموعة: | Repositorio Universidad del Desarrollo (UDD) |
| مصطلحات موضوعية: | Atopy, Cow's milk protein allergy, Diversity, Food allergy, Sociodemographic determinants |
| الوصف: | Objectives: The aim of the study was to compare the cow's milk protein allergy (CMPA) prevalence in 2 cohorts of children from different socioeconomic strata. Methods: Prospective birth cohort that included patients from 2 hospitals providing care for a low- and high-income population, respectively. Healthy newborns >= 34 gestational weeks were recruited and followed up to 12 months by a monthly telephone survey. If >= 2 predefined symptoms/signs suggestive of CMPA were detected, the patient was evaluated by a pediatric gastroenterologist. Diagnosis was confirmed by exclusion diet followed by open oral food challenge. Results: Overall the prevalence of CMPA was 5.2%, with a 6 times higher prevalence in the high income cohort (9.2%) compared with the low-income group (1.5%; relative risk 6.2; 95% confidence interval 1.8-20.7;P = 0.0005). All the cases were non-immunoglobulin E-mediated with predominantly gastrointestinal symptoms. High-income cohort did have higher frequency of Csection, mother's previous chronic disease, mother's history of atopy/food allergy, older age, and higher educational level of parents. Parent smoking and presence of pets at home were more frequent in the low-income cohort. Multiple logistic regression showed that the high-income cohort did have older age and higher educational level of both parents. Conclusion: In these cohorts the prevalence of CMPA was higher than reported previously in other developing countries and significantly higher in the high-income group. Our findings were associated with sociodemographic characteristics of the parents. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | Journal of Pediatric Gastroenterology and Nutrition, 2020 september, vol.71. n°3: E80-E83; https://doi.org/10.1097/MPG.0000000000002787Test; http://hdl.handle.net/11447/4245Test |
| DOI: | 10.1097/MPG.0000000000002787 |
| الإتاحة: | https://doi.org/10.1097/MPG.0000000000002787Test http://hdl.handle.net/11447/4245Test |
| رقم الانضمام: | edsbas.F5744640 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/MPG.0000000000002787 |
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