Dietary patterns and respiratory symptoms in pre-school children: the Generation R Study

Tromp, Ilse; Jong, Jessica C. Kiefte-de; Vries, J.H.M. de; Jaddoe, Vincent W.V.; Raat, Hein; Hofman, Albert; Jongste, Johan C. de; Moll, Henriëtte A.

doi:10.1183/09031936.00119111

Cited by 48 publications

(44 citation statements)

References 28 publications

(45 reference statements)

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“…2 Indeed, we have previously found that a "Westernlike" dietary pattern in toddlers was associated with asthmalike symptoms at preschool age. 3 In contrast, we did not find any association with a dietary pattern characterized by high intake of fish, vegetables, and fruit 3 whereas adherence to this diet during pregnancy or at school age has been noted to protect against asthma in previous studies. [4][5][6][7][8] Because we did not find a clear association between a dietary pattern including fish and asthmalike symptoms, 3 we hypothesized that any potential beneficial effect of fish consumption in toddlers may be diluted in our previous study as a result of the dietary pattern approach and therefore deserves additional study.…”

Section: Discussioncontrasting

confidence: 89%

“…Nonetheless, we have previously demonstrated that timing of introduction of food allergens and a dietary pattern including fish, vegetables, and fruit at age 14 months were not significantly associated with asthmalike symptoms in our cohort. 3,41 Also, the timing of introduction of fish showed no similarities with timing of introduction of other foods (Supplemental Table 9). This raises questions as to whether confounding by other diet factors plays a role.…”

Section: Discussionmentioning

confidence: 99%

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Fish Consumption in Infancy and Asthma-like Symptoms at Preschool Age

Jong

Vries²,

Franco³

et al. 2012

Pediatrics

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OBJECTIVE: To assess whether timing of introduction of fish and the amount of fish consumption in infancy were associated with asthmalike symptoms at preschool age. METHODS: This study was embedded in the Generation R study (a population-based birth cohort in Rotterdam, Netherlands). At the age of 12 and 14 months, timing of introduction of fish into the infant’s diet was assessed. The amount of fish consumption at 14 months was assessed by a semiquantitative food frequency questionnaire. Presence of asthmalike symptoms in the past year was assessed at the child’s age of 36 and 48 months. RESULTS: Relative to no introduction in the first year of life, introduction between age 6 and 12 months was significantly associated with a lower risk of wheezing at 48 months (odds ratio [OR]: 0.64; 95% CI: 0.43–0.94). When compared with introduction between 6 and 12 months, no introduction in the first year and introduction between 0 and 6 months were associated with an increased risk of wheezing at 48 months (OR: 1.57; 95% CI: 1.07–2.31 and OR: 1.53; 95% CI: 1.07–2.19, respectively). The amount of fish at age 14 months was not associated with asthmalike symptoms (P > .15). CONCLUSIONS: Introduction of fish between 6 and 12 months but not fish consumption afterward is associated with a lower prevalence of wheezing. A window of exposure between the age of 6 and 12 months might exist in which fish might be associated with a reduced risk of asthma.

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Section: Discussioncontrasting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Fish Consumption in Infancy and Asthma-like Symptoms at Preschool Age

Jong

Vries²,

Franco³

et al. 2012

Pediatrics

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“…In that study, the authors reported that the dietary pattern that included fast food, soda, and artificial juice was associated with respiratory infections and wheezing in Japanese adolescents. A positive association of the Western dietary pattern and symptoms of asthma was reported in the Netherlands, 42 Saudi Arabian, 43 New Zealand, 13 Sweden, 14 and Chinese 44,45 children. Although the role for food-based saturated fat in the risk of wheezing and asthma remains inconclusive, the effects of other specific nutrients (eg, antioxidant vitamins A, C, and E and selenium) have been reported associated with a higher prevalence of wheezing and asthma.…”

Section: Dietary Patterns and Risk Of Asthma Symptomsmentioning

confidence: 92%

Dietary Patterns and Wheezing in the Midst of Nutritional Transition: A Study in Brazil

Silva

Assis

Cruz

et al. 2013

Pediatric Allergy, Immunology, and Pulmonology

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To assess the influence of dietary patterns on the prevalence of wheezing in the child and adolescent population in Northeastern Brazil. This is a cross-sectional study of male and female students, 6-12 years old, from the public elementary schools of Sã o Francisco do Conde, Bahia, Northeastern Brazil. The report of wheezing in the past 12 months was collected using a questionnaire from the International Study of Asthma and Allergies in Childhood Program phase III, adapted to Portuguese. Consumption patterns were derived from principal component analysis based on the frequency of consumption of 97 food items by the food frequency questionnaire. We also obtained the anthropometric status, level of physical activity, pubertal development, and socioeconomic information, for each participant. Multivariate logistic regression analyses were used to assess the associations of interest. Of the children surveyed, 10.6% reported having wheezing. We identified 2 dietary patterns named Western and Prudent. We found a positive statistically significant association of the Western pattern with wheeze (odds ratio = 1.77, 95% confidence interval: 1.10-2.84) after adjustment for total energy intake and controlling for potential confounders. The results showed that the Western dietary pattern was associated with wheezing. Our result is according with previous findings reported in several other studies.

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“…The association between diet and childhood asthma is moderate, at best, with observational studies reporting 'protective' associations for fruits and vegetables, and fish intake [11,22]. To our knowledge, only one longitudinal study on dietary patterns and asthma has been published and reported a small positive association between adherence to a Western diet and incident wheezing in children [23]. Regarding diet during adulthood, the few longitudinal studies show, overall, no association [11].…”

Section: Diet and Asthma: Primary Preventionmentioning

confidence: 95%