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Polyunsaturated fatty acids in plasma at 8 years and subsequent allergic disease - 04/08/18

Doi : 10.1016/j.jaci.2017.09.023 
Jessica Magnusson, PhD a, Sandra Ekström, MSc a, Inger Kull, PhD a, b, c, Niclas Håkansson, PhD a, Sara Nilsson, MSc a, d, Magnus Wickman, MD, PhD a, c, Erik Melén, MD, PhD a, c, d, Ulf Risérus, PhD e, Anna Bergström, PhD a, d,
a Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden 
b Department of Education and Clinical Science, Karolinska Institutet, Stockholm, Sweden 
c Department of Pediatrics, Sachs' Children's Hospital, South General Hospital, Stockholm, Sweden 
d Center for Occupational and Environmental Medicine, Stockholm County Council, Stockholm, Sweden 
e Department of Public Health and Caring Sciences, Clinical nutrition and metabolism, Uppsala University, Uppsala, Sweden 

Corresponding author: Anna Bergström, PhD, Box 210, SE-171 77, Stockholm, Sweden.Box 210, SE-171 77StockholmSweden

Abstract

Background

Polyunsaturated fatty acids (PUFAs) are hypothesized to modulate the risk of allergic disease. However, evidence from previous studies is inconclusive, and limited longitudinal data exist using circulating biomarkers of PUFA intake and metabolism.

Objective

We aimed to investigate associations between n-3 and n-6 PUFAs at age 8 years and asthma, rhinitis, and aeroallergen sensitization at age 16 years.

Methods

Proportions of n-3 PUFAs (very long-chain n-3 [VLC n-3; sum of eicosapentaenoic acid, docosapentaenoic acid, and docosahexaenoic acid] and α-linolenic acid) and n-6 PUFAs (linoleic acid and arachidonic acid [AA]) in blood samples at age 8 years were measured for 940 children from the prospective Swedish birth cohort BAMSE (Children, Allergy, Milieu, Stockholm, Epidemiology). Allergic disease phenotypes were defined by using questionnaires and IgE measures at the ages of 8 and 16 years. Logistic regression was used to examine potential associations.

Results

A higher proportion of total VLC n-3 PUFAs in plasma at age 8 years was associated with a reduced risk of prevalent asthma, rhinitis, and aeroallergen sensitization at age 16 years and with incidence of asthma between 8 and 16 years (adjusted odds ratio, 0.67; 95% CI, 0.47-0.94). AA was associated with a reduced risk of asthma, aeroallergen sensitization, and allergic rhinitis. The findings were most evident for allergic phenotypes of asthma and rhinitis. Additionally, AA was associated with an increased probability of asthma and rhinitis remission between 8 and 16 years of age.

Conclusion

Higher proportions of certain VLC n-3 and very long-chain n-6 PUFAs in plasma phospholipids at age 8 years were associated with a reduced risk of allergic disease at age 16 years.

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Key words : Adolescent, allergy, asthma, Children, Allergy, Milieu, Stockholm, Epidemiology study, children, fatty acid, rhinitis, plasma, prospective studies

Abbreviations used : AA, ALA, DHA, DPA, EPA, FFQ, LA, OR, PUFA, VLC n-3


Plan


 Supported by the Stockholm County Council; the Swedish Research Council; the Swedish Research Council Formas; the Swedish Heart-Lung Foundation; the Swedish Asthma and Allergy Association; the Swedish Research Council for Health, Working Life and Welfare; and the European Commission's Seventh Framework 29 Program MeDALL (grant agreement no. 261357). Thermo Fisher Scientific kindly provided the reagents.
 Disclosure of potential conflict of interest: A. Bergström's institution received grants from the Swedish Research Council; the Swedish Research Council for Health, Working Life and Welfare; and the Swedish Asthma and Allergy Association for this work. The rest of the authors declare that they have no relevant conflicts of interest.


© 2017  The Authors. Publié par Elsevier Masson SAS. Tous droits réservés.
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P. 510 - août 2018 Retour au numéro
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