Polyunsaturated fatty acid intake and prevalence of eczema and rhinoconjunctivitis in Japanese children The Ryukyus Child Health Study 英文参考文献.docVIP
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Polyunsaturated fatty acid intake and prevalence of eczema and rhinoconjunctivitis in Japanese children The Ryukyus Child Health Study 英文参考文献
Miyakeetal.BMCPublicHealth2011,11:358
/1471-2458/11/358
RESEARCH ARTICLE
OpenAccess
Polyunsaturatedfattyacidintakeandprevalence
ofeczemaandrhinoconjunctivitisinJapanese
children:TheRyukyusChildHealthStudy
YoshihiroMiyake1*,KeikoTanaka1,SatoshiSasaki2andMasashiArakawa3
Abstract
Background:Therecentincreaseintheprevalenceofallergicdisordersmightbeaconsequenceofincreased
intakeofn-6polyunsaturatedfattyacids(PUFAs)andreducedintakeofn-3PUFAs.Thecurrentcross-sectional
studyexaminedtheassociationbetweenintakelevelsandtheprevalenceofeczemaandrhinoconjunctivitisin
Japanesechildren.
Methods:Subjectswere23,388schoolchildrenaged6-15yearsresidinginOkinawa.Thepresenceofeczemaand/
orrhinoconjunctivitiswasdeterminedaccordingtothecriteriaoftheInternationalStudyofAsthmaandAllergies
inChildhood.Abriefdiethistoryquestionnaireforchildrenandadolescentswasadministeredtoacquire
informationondietaryfactors.Adjustmentwasmadeforage,sex,residentialmunicipality,numberofsiblings,
smokinginthehousehold,bodymassindex,paternalandmaternalhistoryofallergicdiseases,andpaternaland
maternaleducationallevel.
Results:Theprevalencesofeczemaandrhinoconjunctivitisintheprevious12monthswere7.0%and8.0%,
respectively.ConsumptionofPUFAs,n-3PUFAs,a-linolenicacid,n-6PUFAs,andlinoleicacidwaspositively
associatedwiththeprevalenceofeczema:theadjustedoddsratios(ORs)betweenextremequintiles(95%
confidenceintervals[CIs],Pfortrend)were1.26(1.07-1.48,0.04),1.31(1.11-1.54,0.009),1.31(1.12-1.55,0.003),1.26
(1.07-1.48,0.01),and1.27(1.08-1.49,0.01),respectively.Arachidonicacidintakewasindependentlyinverselyrelated
toeczema:theadjustedORbetweenextremequintileswas0.81(0.69-0.95,0.0008).Eczemawasnotassociated
witheicosapentaenoicordocosahexaenoicacidintake,orwiththeratioofn-3ton-6PUFAintake.Only
arachidonicacidintakewasstatisticallysignificantlyrelatedtotheprevalenceofrhinoconjunctivitis,showingaclear
inverselineartrend:theadjustedORbetweenextremequintileswas0.86(0.74-0.997,0.03).
Conclusions:Consumptionofn-3andn-6PUFAs,especia
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