Evidence map›Paper›PMID 26395817›Full record

ArticleThe Journal of allergy and clinical immunology2016

Effects of maternal geohelminth infections on allergy in early childhood.

Philip J Cooper, Martha E Chico, Leila D Amorim, Carlos Sandoval, Maritza Vaca, Agostino Strina, Ana Clara Campos, Laura C Rodrigues, Mauricio L Barreto, David P Strachan

Open access · hybridAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Review
  8. Review
  9. Effect of Early-Life Geohelminth Infections on the Development of Wheezing at 5 Years of Age.American journal of respiratory and critical care medicine · 2018
    Article
  10. Article
  11. Allergens of Blomia tropicalis: An Overview of Recombinant Molecules.International archives of allergy and immunology · 2017
    Review
  12. Article
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

10 authors at 5 institutions in 3 countries.

Philip J CooperLaboratorio de Investigaciones FEPIS, Avenida Via Guayllabamba, Quininde, Ecuador; Centro de Investigacion en Enfermedades Infecciosas, Pontificia Universidad Catolica del Ecuador, Quito, Ecuador; Institute of Infection and Immunity, St George's University of London, London, United Kingdom. Electronic address: pcooper@sgul.ac.uk.
Martha E ChicoLaboratorio de Investigaciones FEPIS, Avenida Via Guayllabamba, Quininde, Ecuador.
Leila D AmorimInstituto de Saude Coletiva, Universidade Federal da Bahia, Rua Basilio de Gama, Salvador, Brazil.
Carlos SandovalLaboratorio de Investigaciones FEPIS, Avenida Via Guayllabamba, Quininde, Ecuador.
Maritza VacaLaboratorio de Investigaciones FEPIS, Avenida Via Guayllabamba, Quininde, Ecuador.
Agostino StrinaInstituto de Saude Coletiva, Universidade Federal da Bahia, Rua Basilio de Gama, Salvador, Brazil.
Ana Clara CamposInstituto de Saude Coletiva, Universidade Federal da Bahia, Rua Basilio de Gama, Salvador, Brazil.
Laura C RodriguesFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Mauricio L BarretoInstituto de Saude Coletiva, Universidade Federal da Bahia, Rua Basilio de Gama, Salvador, Brazil.
David P StrachanInstitute of Public Health Sciences, St George's University of London, London, United Kingdom.
Universidade Federal da Bahia · BRInstituto de Saúde · BRLondon School of Hygiene & Tropical Medicine · GBPontificia Universidad Católica del Ecuador · ECSt George's, University of London · GB

Funding

Wellcome Trust 088862Wellcome Trust 088862/Z/09/ZWellcome Trust 100714
6 · The paper itself

Abstract

backgroundMaternal geohelminth infections during pregnancy may protect against allergy development in childhood.

objectiveWe sought to investigate the effect of maternal geohelminths on the development of eczema, wheeze, and atopy during the first 3 years of life.

methodsA cohort of 2404 neonates was followed to 3 years of age in a rural district in coastal Ecuador. Data on wheeze and eczema were collected by means of questionnaire and physical examination at 13, 24, and 36 months of age. Atopy was measured based on skin prick test (SPT) reactivity to 9 allergens at 36 months. Maternal stool samples were examined for geohelminths by microscopy. Data on potential confounders was collected after birth by questionnaire.

resultsGeohelminths were observed in 45.9% of mothers. Eczema and wheeze were reported for 17.7% and 25.9%, respectively, of 2069 (86.1%) children with complete follow-up to 3 years, and allergen SPT reactivity to any allergen was present in 17.2% and to house dust mite in 8.7%. Maternal geohelminth infections were not significantly associated with eczema (adjusted odds ratio [OR], 1.26; 95% CI, 0.98-1.61), wheeze (adjusted OR, 1.02; 95% CI, 0.82-1.27), and SPT reactivity to any allergen (adjusted OR, 0.79; 95% CI, 0.61-1.01). In subgroup analyses maternal geohelminths were associated with a significantly reduced risk of SPT reactivity to mite and other perennial allergens, and maternal ascariasis was associated with an increased risk of eczema and reduced risk of SPT reactivity to all allergens.

conclusionOur data do not support a protective effect of maternal infections with geohelminth parasites during pregnancy against the development of eczema and wheeze in early childhood, although there was evidence in subgroup analyses for a reduction in SPT reactivity to house dust mites and perennial allergens.

Indexed as

AllergensAnimalsChild, PreschoolEczemaFemaleFollow-Up StudiesHelminthiasisHumansHypersensitivityInfantInfant, NewbornMaleMaternal ExposureOdds RatioPatient Outcome AssessmentPregnancyAllergensatopyearly childhoodeczemaGeohelminthsmaternal infectionswheeze

Identifiers

PMID26395817
PMCPMC4774946
OpenAlexW2108230171

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.