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Vol. 149, No. 2, 2009
Issue release date: May 2009
Section title: Original Paper
Int Arch Allergy Immunol 2009;149:133–140
(DOI:10.1159/000189196)

Association between Obesity and Atopy in Chinese Schoolchildren

Leung T.F. · Kong A.P.S. · Chan I.H.S. · Choi K.C. · Ho C.S. · Chan M.H.M. · So W.Y. · Lam C.W.K. · Wong G.W.K. · Chan J.C.N.
Departments of aPaediatrics, bMedicine and Therapeutics and cChemical Pathology, dCenter for Epidemiology and Biostatistics, eLi Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 4/28/2008
Accepted: 8/27/2008
Published online: 1/6/2009

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 6

ISSN: 1018-2438 (Print)
eISSN: 1423-0097 (Online)

For additional information: http://www.karger.com/IAA

Abstract

Background: Despite parallel increases in asthma and obesity prevalence, there is little data on obesity as a risk factor for atopy. The latter is an important phenotype in asthmatic patients. This study investigates the association between asthma traits, atopy and obesity-related markers in Chinese adolescents. Methods: 486 schoolchildren were recruited among participants of our population-based study on the epidemiology of obesity, and their allergy status was ascertained using a standardized questionnaire. Subjects’ anthropometry was recorded on-site, and fasting blood was collected for allergen-specific immunoglobulin E (IgE), lipids and systemic inflammatory biomarkers. Results: 98 (20.2%) subjects were classified as overweight or obese. Obesity status was not associated with asthma, allergic rhinitis or eczema (p > 0.25). Atopy was not associated with age-adjusted body mass index (BMI) or waist circumference. Atopy and presence of allergen-specific IgE did not differ between overweight or obese children and those with normal BMI (p > 0.25), although subgroup analysis suggested that cockroach sensitization was more common among males who were obese or overweight (p = 0.045). White cell count (WCC) was higher among atopic than nonatopic children (mean values 6.5 × 109/l vs. 6.2 × 109/l, p = 0.006). Logistic regression revealed WCC to be the only risk factor for atopy (OR 18.97, p = 0.004). Conclusions: Obesity is not associated with asthma or atopy in Chinese children. High WCC is an important risk factor for atopy in both males and females. Gender does not exert any consistent effect on the association between obesity and allergen sensitization in children.


  

Author Contacts

Correspondence to: Dr. Ting Fan Leung
Department of Paediatrics, Room 84043, 6/F
Clinical Sciences Building
Prince of Wales Hospital, Shatin, N.T., Hong Kong SAR (China)
Tel. +852 2632 2981, Fax +852 2636 0020, E-Mail tfleung@cuhk.edu.hk

  

Article Information

Received: April 28, 2008
Accepted after revision: August 27, 2008
Published online: January 6, 2009
Number of Print Pages : 8
Number of Figures : 0, Number of Tables : 6, Number of References : 34

  

Publication Details

International Archives of Allergy and Immunology

Vol. 149, No. 2, Year 2009 (Cover Date: May 2009)

Journal Editor: Valenta R. (Vienna)
ISSN: 1018-2438 (Print), eISSN: 1423-0097 (Online)

For additional information: http://www.karger.com/IAA


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 4/28/2008
Accepted: 8/27/2008
Published online: 1/6/2009

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 6

ISSN: 1018-2438 (Print)
eISSN: 1423-0097 (Online)

For additional information: http://www.karger.com/IAA


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