Evidence map›Paper›PMID 23078601›Full record

ArticleNutrition journal2012

A retrospective chart review to identify perinatal factors associated with food allergies.

Kelly Dowhower Karpa, Ian M Paul, J Alexander Leckie, Sharon Shung, Nurgul Carkaci-Salli, Kent E Vrana, David Mauger, Tracy Fausnight, Jennifer Poger

Open access · goldAbstract read
In one paragraph

Article in Nutrition journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Neonatal intestinal dysbiosis.Journal of perinatology : official journal of the California Perinatal Association · 2020
    Review
  9. Analysis of maternal and perinatal determinants of allergic sensitization in childhood.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2020
    Article
  10. Review
  11. Early-life antibiotic use and subsequent diagnosis of food allergy and allergic diseases.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2017
    Article
  12. Antibiotic prescription and food allergy in young children.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2016
    Article
  13. The potential link between gut microbiota and IgE-mediated food allergy in early life.International journal of environmental research and public health · 2013
    Review
  14. Effect of barrier microbes on organ-based inflammation.The Journal of allergy and clinical immunology · 2013
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Kelly Dowhower KarpaPennsylvania State University College of Medicine, 500 University Drive, Hershey, PA 17033, USA. kjd136@psu.edu
Ian M Paul
J Alexander Leckie
Sharon Shung
Nurgul Carkaci-Salli
Kent E Vrana
David Mauger
Tracy Fausnight
Jennifer Poger
Pennsylvania State University · USPenn State Milton S. Hershey Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGut flora are important immunomodulators that may be disrupted in individuals with atopic conditions. Probiotic bacteria have been suggested as therapeutic modalities to mitigate or prevent food allergic manifestations. We wished to investigate whether perinatal factors known to disrupt gut flora increase the risk of IgE-mediated food allergies.

methodsBirth records obtained from 192 healthy children and 99 children diagnosed with food allergies were reviewed retrospectively. Data pertaining to delivery method, perinatal antibiotic exposure, neonatal nursery environment, and maternal variables were recorded. Logistic regression analysis was used to assess the association between variables of interest and subsequent food allergy diagnosis.

resultsRetrospective investigation did not find perinatal antibiotics, NICU admission, or cesarean section to be associated with increased risk of food allergy diagnosis. However, associations between food allergy diagnosis and male gender (66 vs. 33; p=0.02) were apparent in this cohort. Additionally, increasing maternal age at delivery was significantly associated with food allergy diagnosis during childhood (OR, 1.05; 95% CI, 1.017 to 1.105; p=0.005).

conclusionsGut flora are potent immunomodulators, but their overall contribution to immune maturation remains to be elucidated. Additional understanding of the interplay between immunologic, genetic, and environmental factors underlying food allergy development need to be clarified before probiotic therapeutic interventions can routinely be recommended for prevention or mitigation of food allergies. Such interventions may be well-suited in male infants and in infants born to older mothers.

Indexed as

Child DevelopmentImmunomodulationAnti-Bacterial AgentsCase-Control StudiesCesarean SectionChildChild, PreschoolCohort StudiesFemaleFood HypersensitivityHumansIncidenceInfant, NewbornIntestinal MucosaMaleMaternal AgeAnti-Bacterial Agents

Identifiers

PMID23078601
PMCPMC3493351
OpenAlexW2157456168

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.