New-onset asthma and the effect of environment and occupation among farming and nonfarming rural subjects
Open accessAbstract
Background Many factors, including environmental exposures, have been related to the increase in the prevalence of asthma, but only few have been tested for in longitudinal studies. Objective We studied farming students to determine whether their environment during childhood and as adults was a factor determining subsequent onset of asthma. Methods From 1994 to 1998, new cases of asthma were identified by means of an annual posted questionnaire followed by a telephone interview in a prospective cohort consisting of 1964 farming-school students and 407 nonfarming subjects aged 16 to 26 years. For each case, we selected a control subject from the cohort with no asthma in a case-based design, and all underwent an interview and a clinical examination. Results We found 122 new cases of asthma. In a multiple regression model the odds ratio for new asthma was 3.3 (95% CI, 1.7-6.3) for smoking; 3.4 (95% CI, 1.6-7.0), 2.5 (95% CI, 1.1-5.3), and 7.0 (95% CI, 1.2-41.6) for exposure to swine, dairy production, and welding, respectively; and 11.7 (95% CI, 2.4-56.4) for bronchial hyperresponsiveness at baseline. Being born and raised on a farm significantly reduced the risk odds ratio (0.5 [95% CI, 0.3-0.98]), whereas atopy had no influence. Conclusion Exposure to swine and dairy confinements, welding, smoking, and bronchial hyperresponsiveness are risk factors for nonallergic asthma, and being born and raised on a farm reduces the subsequent risk. These findings support the theory that immune and inflammatory responses can be influenced by environmental exposure to early childhood, reducing the risk of asthma later in life.
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The increased use of antibiotics and changes in dietary patterns in developed countries may lead to alterations in the composition of the intestinal microbiota and a higher risk of bronchial asthma.
“Also, the increased use of antibiotics and changes in dietary patterns in developed countries, may lead to alterations in the composition of the intestinal microbiota and a higher risk of bronchial asthma [80][81][82] .”
From Intestinal microbiota in health and disease: Role of bifidobacteria in gut homeostasis (2014) · cites this paper as [82]
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- Authors
- Omland, Ø., Hjort, C., Pedersen, O. F., Miller, M. R., & Sigsgaard, T.
- Affiliations
- Aarhus University (DK)
- Selly Oak Hospital (GB)
- Corresponding author
- Omland, Øyvind
- Venue
- Journal of Allergy and Clinical Immunology
- Publisher
- Elsevier BV
- Published
- 2011-10
- Volume
- 128
- Issue
- 4
- Pages
- 761-765
- ISSN
- 0091-6749 (ISSN-L)
- OpenAlex
- W2055548598
- Cited by
- 61
- References
- 38
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 5 · 2015: 4 · 2014: 7 · 2013: 9 · 2012: 7
- FWCI
- 5.65
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Allergy and Clinical Immunology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Sundhed og Sygdom, Det Frie Forskningsråd
- Helsefonden
- Medical Research Council
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
- Keywords
- new-onset asthma, non-allergic asthma, rural children, environmental exposure, occupational exposure, dairy production, welding, smoking, airway hyperresponsiveness, atopy, farm upbringing, asthma risk factors, immune and inflammatory responses
- MeSH terms
- Adolescent, Adult, Agriculture, Asthma, Environmental Exposure, Female, Follow-Up Studies, United Kingdom, Humans, Male, Surveys and Questionnaires, Risk Factors, Rural Population, Occupational Exposure
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