The effect of farming environment on asthma; time dependent or universal?


Journal

European journal of epidemiology
ISSN: 1573-7284
Titre abrégé: Eur J Epidemiol
Pays: Netherlands
ID NLM: 8508062

Informations de publication

Date de publication:
Aug 2022
Historique:
received: 15 03 2021
accepted: 20 06 2022
pubmed: 29 7 2022
medline: 14 9 2022
entrez: 28 7 2022
Statut: ppublish

Résumé

The increasing prevalence of asthma is linked to westernization and urbanization. Farm environments have been associated with a lower risk of asthma development. However, this may not be universal, as the association differs across birth cohorts and farming methods. The aim of this study was to investigate the associations of farm upbringing with asthma in different generations and at different times in history. The study population consisted of three generations: 13,868 subjects participating in the ECRHS in 2010, their 9,638 parents, and their 8,885 offspring participating in RHINESSA in 2013. Information on place of upbringing and self-reported ever asthma was provided via questionnaires. Logistic regression was performed including subgroup analysis stratified by generation and birthyear into ten-year-intervals. The prevalence of asthma increased from 8% among grandparents to 13% among parents and to 18% among offspring. An overall analysis showed an inverse association of farm upbringing on the risk of asthma (OR = 0.64; 95%CI 0.55-0.74). Subgroup analysis stratified into ten-year-intervals showed a tendency towards a more pronounced inverse association between growing up on a farm and asthma among subjects born in the 1940s (0.74; 0.48-1.12), 1950s (0.70; 0.54-0.90) and 1960s (0.70; 0.52-0.93). For subjects born in 1970 and thereafter this association appeared less consistent. While growing up on a farm was associated with a reduced risk of developing asthma in participants born between 1945-1999, this was mainly driven by generations born from 1945 to 1973.

Identifiants

pubmed: 35900634
doi: 10.1007/s10654-022-00893-2
pii: 10.1007/s10654-022-00893-2
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

779-788

Subventions

Organisme : The Faculty of Health, Aarhus University, Denmark
ID : 240008
Organisme : The Wood Dust Foundation
ID : 444508795
Organisme : The Norwegian Research Council
ID : 214123
Organisme : The Norwegian Research Council
ID : 230827/F20
Organisme : The Norwegian Research Council
ID : 228174
Organisme : The Norwegian Research Council
ID : 135773/330
Organisme : HelseVest Norway
ID : 911 631
Organisme : The Estonian Science Foundation
ID : 4350
Organisme : The Estonian Research Council
ID : PUT562
Organisme : SEPAR Spain, Sociedad Española de Neumologia y Cirugía Toracica Spain and Horizon2020 PHC1
ID : 633212

Informations de copyright

© 2022. Springer Nature B.V.

Références

von Mutius E. The rising trends in asthma and allergic disease. Clin Exp Allergy. 1998;28(Suppl 5):45–9. https://doi.org/10.1046/j.1365-2222.1998.028s5045.x .
doi: 10.1046/j.1365-2222.1998.028s5045.x
Janson C, Anto J, Burney P, et al. The European community respiratory health survey: what are the main results so far? European Community Respiratory Health Survey II. Eur Respir J. 2001;18(3):598–611. https://doi.org/10.1183/09031936.01.00205801 .
doi: 10.1183/09031936.01.00205801 pubmed: 11589359
Asher MI, Weiland SK. The international study of asthma and allergies in childhood (ISAAC) ISAAC steering committee. Clin Exp Allergy. 1998;28(Suppl 5):52–66. https://doi.org/10.1046/j.1365-2222.1998.028s5052.x .
doi: 10.1046/j.1365-2222.1998.028s5052.x pubmed: 9988448
Douwes J, Pearce N. Asthma and the westernization “package.” Int J Epidemiol. 2002;31(6):1098–102. https://doi.org/10.1093/ije/31.6.1098 .
doi: 10.1093/ije/31.6.1098 pubmed: 12540698
Pearce N, Aït-Khaled N, Beasley R, et al. Worldwide trends in the prevalence of asthma symptoms: phase III of the International Study of Asthma and Allergies in Childhood (ISAAC). Thorax. 2007;62(9):758–66. https://doi.org/10.1136/thx.2006.070169 .
doi: 10.1136/thx.2006.070169 pubmed: 17504817 pmcid: 2117323
Strachan DP. Hay fever, hygiene, and household size. BMJ (Clin Res ed). 1989;299(6710):1259–60. https://doi.org/10.1136/bmj.299.6710.1259 .
doi: 10.1136/bmj.299.6710.1259
von Mutius E, Vercelli D. Farm living: effects on childhood asthma and allergy. Nat Rev Immunol. 2010;10(12):861–8. https://doi.org/10.1038/nri2871 .
doi: 10.1038/nri2871
Martinez FD, Holt PG. Role of microbial burden in aetiology of allergy and asthma. Lancet (London, England). 1999;354 Suppl 2:Sii12–5. doi: https://doi.org/10.1016/s0140-6736(99)90437-3
Riedler J, Braun-Fahrländer C, Eder W, et al. Exposure to farming in early life and development of asthma and allergy: a cross-sectional survey. Lancet (London, England). 2001;358(9288):1129–33. https://doi.org/10.1016/s0140-6736(01)06252-3 .
doi: 10.1016/s0140-6736(01)06252-3
Ege MJ, Frei R, Bieli C, et al. Not all farming environments protect against the development of asthma and wheeze in children. J Allergy Clin Immunol. 2007;119(5):1140–7. https://doi.org/10.1016/j.jaci.2007.01.037 .
doi: 10.1016/j.jaci.2007.01.037 pubmed: 17349684
Riedler J, Eder W, Oberfeld G, Schreuer M. Austrian children living on a farm have less hay fever, asthma and allergic sensitization. Clin Exp Allergy. 2000;30(2):194–200. https://doi.org/10.1046/j.1365-2222.2000.00799.x .
doi: 10.1046/j.1365-2222.2000.00799.x pubmed: 10651771
Klintberg B, Berglund N, Lilja G, Wickman M, van Hage-Hamsten M. Fewer allergic respiratory disorders among farmers’ children in a closed birth cohort from Sweden. Eur Respir J. 2001;17(6):1151–7. https://doi.org/10.1183/09031936.01.00027301 .
doi: 10.1183/09031936.01.00027301 pubmed: 11491158
Adler A, Tager I, Quintero DR. Decreased prevalence of asthma among farm-reared children compared with those who are rural but not farm-reared. J Allergy Clin Immunol. 2005;115(1):67–73. https://doi.org/10.1016/j.jaci.2004.10.008 .
doi: 10.1016/j.jaci.2004.10.008 pubmed: 15637549
Perkin MR, Strachan DP. Which aspects of the farming lifestyle explain the inverse association with childhood allergy? J Allergy Clin Immunol. 2006;117(6):1374–81. https://doi.org/10.1016/j.jaci.2006.03.008 .
doi: 10.1016/j.jaci.2006.03.008 pubmed: 16751000
Ernst P, Cormier Y. Relative scarcity of asthma and atopy among rural adolescents raised on a farm. Am J Respir Crit Care Med. 2000;161(5):1563–6. https://doi.org/10.1164/ajrccm.161.5.9908119 .
doi: 10.1164/ajrccm.161.5.9908119 pubmed: 10806155
Kilpeläinen M, Terho EO, Helenius H, Koskenvuo M. Farm environment in childhood prevents the development of allergies. Clin Exp Allergy. 2000;30(2):201–8. https://doi.org/10.1046/j.1365-2222.2000.00800.x .
doi: 10.1046/j.1365-2222.2000.00800.x pubmed: 10651772
Bråbäck L, Hjern A, Rasmussen F. Trends in asthma, allergic rhinitis and eczema among Swedish conscripts from farming and non-farming environments A nationwide study over three decades. Clin Exp Allergy. 2004;34(1):38–43. https://doi.org/10.1111/j.1365-2222.2004.01841.x .
doi: 10.1111/j.1365-2222.2004.01841.x pubmed: 14720260
Leynaert B, Neukirch C, Jarvis D, Chinn S, Burney P, Neukirch F. Does living on a farm during childhood protect against asthma, allergic rhinitis, and atopy in adulthood? Am J Respir Crit Care Med. 2001;164(10 Pt 1):1829–34. https://doi.org/10.1164/ajrccm.164.10.2103137 .
doi: 10.1164/ajrccm.164.10.2103137 pubmed: 11734431
Timm S, Svanes C, Janson C, et al. Place of upbringing in early childhood as related to inflammatory bowel diseases in adulthood: a population-based cohort study in Northern Europe. Eur J Epidemiol. 2014;29(6):429–37. https://doi.org/10.1007/s10654-014-9922-3 .
doi: 10.1007/s10654-014-9922-3 pubmed: 24916994 pmcid: 4065648
Ober C, Sperling AI, von Mutius E, Vercelli D. Immune development and environment: lessons from Amish and Hutterite children. Curr Opin Immunol. 2017;48:51–60. https://doi.org/10.1016/j.coi.2017.08.003 .
doi: 10.1016/j.coi.2017.08.003 pubmed: 28843541 pmcid: 5682224
Timm S, Frydenberg M, Janson C, et al. The urban-rural gradient in asthma: a population-based study in Northern Europe. Int J Environ Res Public Health. 2015. https://doi.org/10.3390/ijerph13010093 .
doi: 10.3390/ijerph13010093 pubmed: 26729146 pmcid: 4730484
Timm S, Svanes C, Frydenberg M, et al. Does parental farm upbringing influence the risk of asthma in offspring? A three-generation study. Int J Epidemiol. 2020. https://doi.org/10.1093/ije/dyaa091 .
doi: 10.1093/ije/dyaa091
Johannessen A, Verlato G, Benediktsdottir B, et al. Longterm follow-up in European respiratory health studies - patterns and implications. BMC Pulm Med. 2014;14:63. https://doi.org/10.1186/1471-2466-14-63 .
doi: 10.1186/1471-2466-14-63 pubmed: 24739530 pmcid: 4021078
Timm S, Schlünssen V, Benediktsdottir B, et al. Offspring reports on parental place of upbringing: is it valid? Epidemiology. 2019;30(3):e16–8. https://doi.org/10.1097/ede.0000000000000988 .
doi: 10.1097/ede.0000000000000988 pubmed: 30789435
Weiss ST. Eat dirt — the hygiene hypothesis and allergic diseases. N Engl J Med. 2002;347(12):930–1. https://doi.org/10.1056/NEJMe020092 .
doi: 10.1056/NEJMe020092 pubmed: 12239263

Auteurs

Marie Kjær Madsen (MK)

Department of Public Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark. mariekjaer94@gmail.com.

Vivi Schlünssen (V)

Department of Public Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.
National Research Centre for Working Environment, Copenhagen, Denmark.

Cecilie Svanes (C)

Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway.

Ane Johannessen (A)

Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway.

Nils Oskar Jõgi (NO)

Department of Clinical Science, University of Bergen, Bergen, Norway.

Mathias Holm (M)

Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Christer Janson (C)

Department of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.

Antonio Pereira-Vega (A)

Pneumology Service of the Juan Ramón Jiménez Hospital, Huelva, Spain.

Adrian J Lowe (AJ)

Allergy and Lung Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.

Karl A Franklin (KA)

Department of Surgical and Preoperative Sciences, Umeå University, 901 85, Surgery, Umeå, Sweden.

Andrei Malinovschi (A)

Department of Medical Sciences, Clinical Physiology, Uppsala University, Uppsala, Sweden.

Torben Sigsgaard (T)

Department of Public Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.

Michael J Abramson (MJ)

School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia.

Randi Bertelsen (R)

Department of Clinical Science, University of Bergen, Bergen, Norway.
Oral Health Centre of Expertise in Western Norway, Bergen, Norway.

Anna Oudin (A)

Department of Public Health and Clinical Medicine, Sustainable Health, Umeå University, Umeå, Sweden.

Thorarinn Gislason (T)

Department of Sleep, Landspitali University Hospital, Reykjavík, Iceland.
Medical Faculty, University of Iceland, Reykjavík, Iceland.

Signe Timm (S)

Department of Public Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH