Evidence map›Paper›PMID 36356926›Full record

ArticleThe journal of allergy and clinical immunology. In practice2023

Continuous Rather Than Solely Early Farm Exposure Protects From Hay Fever Development.

Sonali Pechlivanis, Martin Depner, Pirkka V Kirjavainen, Caroline Roduit, Martin Täubel, Remo Frei, Chrysanthi Skevaki, Alexander Hose, Cindy Barnig, Elisabeth Schmausser-Hechfellner and 10 more

Open access · hybridAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

10 citing papers in PubMed, 9 citations in OpenAlex.

  1. Environmental risk factors for allergic rhinitis differ by income level: A Global Asthma Network survey.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
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  8. Radiation-Detoxified Form of Endotoxin Effectively Activates ThInternational journal of molecular sciences · 2024
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  10. 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

20 authors at 11 institutions in 4 countries.

Sonali PechlivanisInstitute of Asthma and Allergy Prevention, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany. Electronic address: sonali.pechlivanis@helmholtz-muenchen.de.
Martin DepnerInstitute of Asthma and Allergy Prevention, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.
Pirkka V KirjavainenDepartment of Health Security, Finnish Institute for Health and Welfare, Kuopio, Finland; Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.
Caroline RoduitChristine Kühne Center for Allergy Research and Education (CK-CARE), Davos, Switzerland; Children's Hospital, University of Zurich, Zurich, Switzerland; Children's Hospital of Eastern Switzerland, St. Gallen, Switzerland.
Martin TäubelDepartment of Health Security, Finnish Institute for Health and Welfare, Kuopio, Finland.
Remo FreiChristine Kühne Center for Allergy Research and Education (CK-CARE), Davos, Switzerland; Division of Respiratory Medicine, Department of Paediatrics, Inselspital, University of Bern, Bern, Switzerland.
Chrysanthi SkevakiInstitute of Laboratory Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Philipps University Marburg, Marburg, Germany; Member of the German Center for Lung Research, Gießen, Germany.
Alexander HoseDr. von Hauner Children's Hospital, Ludwig Maximilians University Munich, Munich, Germany.
Cindy BarnigInstitut national de la santé et de la recherche médicale, Établissement français du sang Bourgogne-Franche-Comté, LabEx LipSTIC, Unité Mixte de recherche 1098, Interactions Hôte-Greffon-Tumeur/Ingénierie Cellulaire et Génique, Univ. Bourgogne Franche-Comté, Besançon, France; Department of Chest Disease, University Hospital of Besançon, Besançon, France.
Elisabeth Schmausser-HechfellnerInstitute of Asthma and Allergy Prevention, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.
Markus J EgeInstitute of Asthma and Allergy Prevention, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany; Member of the German Center for Lung Research, Gießen, Germany; Dr. von Hauner Children's Hospital, Ludwig Maximilians University Munich, Munich, Germany.
Bianca SchaubMember of the German Center for Lung Research, Gießen, Germany; Dr. von Hauner Children's Hospital, Ludwig Maximilians University Munich, Munich, Germany.
Amandine Divaret-ChauveauPediatric Allergy Department, Children's Hospital, University Hospital of Nancy, Vandoeuvre les Nancy, Nancy, France; UMR 6249 Chrono-environment, Centre National de la Recherche Scientifique and University of Franche-Comté, Besançon, France; EA3450 Development, Adaptation and Handicap, University of Lorraine, Nancy, France.
Roger LauenerChristine Kühne Center for Allergy Research and Education (CK-CARE), Davos, Switzerland; Children's Hospital of Eastern Switzerland, St. Gallen, Switzerland.
Anne M KarvonenDepartment of Health Security, Finnish Institute for Health and Welfare, Kuopio, Finland.
Juha PekkanenDepartment of Health Security, Finnish Institute for Health and Welfare, Kuopio, Finland; Department of Public Health, University of Helsinki, Helsinki, Finland.
Josef RiedlerChildren's Hospital Schwarzach, Schwarzach, Austria.
Sabina IlliInstitute of Asthma and Allergy Prevention, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.
Erika von MutiusInstitute of Asthma and Allergy Prevention, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany; Member of the German Center for Lung Research, Gießen, Germany; Dr. von Hauner Children's Hospital, Ludwig Maximilians University Munich, Munich, Germany.
PASTURE Study Group
Helmholtz Zentrum München · DEFinnish Institute for Health and Welfare · FIGerman Center for Lung Research · DECentre Hospitalier Régional et Universitaire de Nancy · FRCK-CARE · CHInserm · FRLudwig-Maximilians-Universität München · DEUniversity of Bern · CHUniversity of Eastern Finland · FIUniversity of Helsinki · FIUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn important window of opportunity for early-life exposures has been proposed for the development of atopic eczema and asthma.

objectiveHowever, it is unknown whether hay fever with a peak incidence around late school age to adolescence is similarly determined very early in life.

methodsIn the Protection against Allergy-Study in Rural Environments (PASTURE) birth cohort potentially relevant exposures such as farm milk consumption and exposure to animal sheds were assessed at multiple time points from infancy to age 10.5 years and classified by repeated measure latent class analyses (n = 769). Fecal samples at ages 2 and 12 months were sequenced by 16S rRNA. Hay fever was defined by parent-reported symptoms and/or physician's diagnosis of hay fever in the last 12 months using questionnaires at 10.5 years.

resultsFarm children had half the risk of hay fever at 10.5 years (adjusted odds ratio [aOR] 0.50; 95% CI 0.31-0.79) than that of nonfarm children. Whereas early life events such as gut microbiome richness at 12 months (aOR 0.66; 95% CI 0.46-0.96) and exposure to animal sheds in the first 3 years of life (aOR 0.26; 95% CI 0.06-1.15) were determinants of hay fever, the continuous consumption of farm milk from infancy up to school age was necessary to exert the protective effect (aOR 0.35; 95% CI 0.17-0.72).

conclusionsWhile early life events determine the risk of subsequent hay fever, continuous exposure is necessary to achieve protection. These findings argue against the notion that only early life exposures set long-lasting trajectories.

Indexed as

Rhinitis, Allergic, SeasonalAgricultureAllergensAnimalsFarmsHumansRNA, Ribosomal, 16SSurveys and QuestionnairesAllergensRNA, Ribosomal, 16SAnimal shedsChildhoodFarmingFarm milkGut microbiomeHay fever

Identifiers

PMID36356926
PMCPMC9907754
OpenAlexW4308459044

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.