Abstract
Feather bedding has been inversely associated with child wheeze and also with house dust mite (HDM) allergen levels. We conducted a cross-sectional analysis of the childhood component of a birth cohort study. Our aim was to examine the relation between feather bedding and HDM sensitization and airway disease. A total of 498 children (84% of eligible) residing in Northern Tasmania in 1997 who were eligible for the Tasmanian Infant Health Survey at birth in 1988 or 1989 participated. Outcome measures included atopic sensitization to Dermatophagoides farinae or Dermatophagoides pteronyssinus allergens, spirometric lung function, and child respiratory symptoms using questions from the ISAAC study. HDM sensitization was strongly associated with frequent wheeze (more than 12 episodes of wheeze compared with no wheeze in the past year) (rate ratio [RR], 19.61; confidence interval [CI], 6.94-55.56) but only weakly associated with asthma ever (RR, 1.65; CI, 1.30-2.09). Feather quilt use was associated with reduced HDM sensitization (adjusted RR [ARR], 0.60; CI, 0.45-0.80) and also reduced frequent wheeze episodes over the past year (ARR, 0.24; CI, 0.07-0.86). The reduction in wheeze was more evident among HDM-sensitized children. These findings are consistent with the possible mechanisms for feather bedding of a reduction in initial HDM sensitization and an improvement in respiratory symptoms among HDM-sensitized children. However, prospective studies are required to fully exclude selection bias.
| Original language | English |
|---|---|
| Pages (from-to) | 556-562 |
| Number of pages | 7 |
| Journal | Journal of Clinical Epidemiology |
| Volume | 55 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2002 |
Access to Document
Other files and links
Fingerprint
Dive into the research topics of 'Feather bedding and house dust mite sensitization and airway disease in childhood'. Together they form a unique fingerprint.
View full fingerprint
Cite this
- APA
- Author
- BIBTEX
- Harvard
- Standard
- RIS
- Vancouver
Ponsonby, A. L., Kemp, A., Dwyer, T., Carmichael, A., Couper, D., & Cochrane, J. (2002). Feather bedding and house dust mite sensitization and airway disease in childhood. Journal of Clinical Epidemiology, 55(6), 556-562. https://doi.org/10.1016/S0895-4356(01)00519-4
Ponsonby, Anne Louise ; Kemp, Andrew ; Dwyer, Terence et al. / Feather bedding and house dust mite sensitization and airway disease in childhood. In: Journal of Clinical Epidemiology. 2002 ; Vol. 55, No. 6. pp. 556-562.
@article{a24b00a4b5304c4e8ae54bdc820546c1,
title = "Feather bedding and house dust mite sensitization and airway disease in childhood",
abstract = "Feather bedding has been inversely associated with child wheeze and also with house dust mite (HDM) allergen levels. We conducted a cross-sectional analysis of the childhood component of a birth cohort study. Our aim was to examine the relation between feather bedding and HDM sensitization and airway disease. A total of 498 children (84% of eligible) residing in Northern Tasmania in 1997 who were eligible for the Tasmanian Infant Health Survey at birth in 1988 or 1989 participated. Outcome measures included atopic sensitization to Dermatophagoides farinae or Dermatophagoides pteronyssinus allergens, spirometric lung function, and child respiratory symptoms using questions from the ISAAC study. HDM sensitization was strongly associated with frequent wheeze (more than 12 episodes of wheeze compared with no wheeze in the past year) (rate ratio [RR], 19.61; confidence interval [CI], 6.94-55.56) but only weakly associated with asthma ever (RR, 1.65; CI, 1.30-2.09). Feather quilt use was associated with reduced HDM sensitization (adjusted RR [ARR], 0.60; CI, 0.45-0.80) and also reduced frequent wheeze episodes over the past year (ARR, 0.24; CI, 0.07-0.86). The reduction in wheeze was more evident among HDM-sensitized children. These findings are consistent with the possible mechanisms for feather bedding of a reduction in initial HDM sensitization and an improvement in respiratory symptoms among HDM-sensitized children. However, prospective studies are required to fully exclude selection bias.",
keywords = "Asthma, Bedding, Disease misclassification, Feathers, House dust mite sensitization",
author = "Ponsonby, {Anne Louise} and Andrew Kemp and Terence Dwyer and Allan Carmichael and David Couper and Jennifer Cochrane",
year = "2002",
doi = "10.1016/S0895-4356(01)00519-4",
language = "English",
volume = "55",
pages = "556--562",
journal = "Journal of Clinical Epidemiology",
issn = "0895-4356",
publisher = "Elsevier Inc.",
number = "6",
}
Ponsonby, AL, Kemp, A, Dwyer, T, Carmichael, A, Couper, D & Cochrane, J 2002, 'Feather bedding and house dust mite sensitization and airway disease in childhood', Journal of Clinical Epidemiology, vol. 55, no. 6, pp. 556-562. https://doi.org/10.1016/S0895-4356(01)00519-4
Feather bedding and house dust mite sensitization and airway disease in childhood. / Ponsonby, Anne Louise; Kemp, Andrew; Dwyer, Terence et al.
In: Journal of Clinical Epidemiology, Vol. 55, No. 6, 2002, p. 556-562.
Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - Feather bedding and house dust mite sensitization and airway disease in childhood
AU - Ponsonby, Anne Louise
AU - Kemp, Andrew
AU - Dwyer, Terence
AU - Carmichael, Allan
AU - Couper, David
AU - Cochrane, Jennifer
PY - 2002
Y1 - 2002
N2 - Feather bedding has been inversely associated with child wheeze and also with house dust mite (HDM) allergen levels. We conducted a cross-sectional analysis of the childhood component of a birth cohort study. Our aim was to examine the relation between feather bedding and HDM sensitization and airway disease. A total of 498 children (84% of eligible) residing in Northern Tasmania in 1997 who were eligible for the Tasmanian Infant Health Survey at birth in 1988 or 1989 participated. Outcome measures included atopic sensitization to Dermatophagoides farinae or Dermatophagoides pteronyssinus allergens, spirometric lung function, and child respiratory symptoms using questions from the ISAAC study. HDM sensitization was strongly associated with frequent wheeze (more than 12 episodes of wheeze compared with no wheeze in the past year) (rate ratio [RR], 19.61; confidence interval [CI], 6.94-55.56) but only weakly associated with asthma ever (RR, 1.65; CI, 1.30-2.09). Feather quilt use was associated with reduced HDM sensitization (adjusted RR [ARR], 0.60; CI, 0.45-0.80) and also reduced frequent wheeze episodes over the past year (ARR, 0.24; CI, 0.07-0.86). The reduction in wheeze was more evident among HDM-sensitized children. These findings are consistent with the possible mechanisms for feather bedding of a reduction in initial HDM sensitization and an improvement in respiratory symptoms among HDM-sensitized children. However, prospective studies are required to fully exclude selection bias.
AB - Feather bedding has been inversely associated with child wheeze and also with house dust mite (HDM) allergen levels. We conducted a cross-sectional analysis of the childhood component of a birth cohort study. Our aim was to examine the relation between feather bedding and HDM sensitization and airway disease. A total of 498 children (84% of eligible) residing in Northern Tasmania in 1997 who were eligible for the Tasmanian Infant Health Survey at birth in 1988 or 1989 participated. Outcome measures included atopic sensitization to Dermatophagoides farinae or Dermatophagoides pteronyssinus allergens, spirometric lung function, and child respiratory symptoms using questions from the ISAAC study. HDM sensitization was strongly associated with frequent wheeze (more than 12 episodes of wheeze compared with no wheeze in the past year) (rate ratio [RR], 19.61; confidence interval [CI], 6.94-55.56) but only weakly associated with asthma ever (RR, 1.65; CI, 1.30-2.09). Feather quilt use was associated with reduced HDM sensitization (adjusted RR [ARR], 0.60; CI, 0.45-0.80) and also reduced frequent wheeze episodes over the past year (ARR, 0.24; CI, 0.07-0.86). The reduction in wheeze was more evident among HDM-sensitized children. These findings are consistent with the possible mechanisms for feather bedding of a reduction in initial HDM sensitization and an improvement in respiratory symptoms among HDM-sensitized children. However, prospective studies are required to fully exclude selection bias.
KW - Asthma
KW - Bedding
KW - Disease misclassification
KW - Feathers
KW - House dust mite sensitization
UR - http://www.scopus.com/inward/record.url?scp=0036281278&partnerID=8YFLogxK
U2 - 10.1016/S0895-4356(01)00519-4
DO - 10.1016/S0895-4356(01)00519-4
M3 - Article
SN - 0895-4356
VL - 55
SP - 556
EP - 562
JO - Journal of Clinical Epidemiology
JF - Journal of Clinical Epidemiology
IS - 6
ER -
Ponsonby AL, Kemp A, Dwyer T, Carmichael A, Couper D, Cochrane J. Feather bedding and house dust mite sensitization and airway disease in childhood. Journal of Clinical Epidemiology. 2002;55(6):556-562. doi: 10.1016/S0895-4356(01)00519-4
