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Journal Information
Vol. 44. Issue 5.
Pages 400-409 (September - October 2016)
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Vol. 44. Issue 5.
Pages 400-409 (September - October 2016)
Original Article
DOI: 10.1016/j.aller.2015.12.002
Effect of foods and Mediterranean diet during pregnancy and first years of life on wheezing, rhinitis and dermatitis in preschoolers
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J.A. Castro-Rodrigueza,b,
Corresponding author
jacastro17@hotmail.com

Corresponding author.
, M. Ramirez-Hernandezc, O. Padillab, R.M. Pacheco-Gonzalezd, V. Pérez-Fernándezd, L. Garcia-Marcosd
a Division of Pediatrics, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile
b Division of Public Health, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile
c Allery Unit, Santa Lucia University Hospital, Cartagena, Spain
d Pediatric Allergy and Pulmonology Units, “Virgen de la Arrixaca” University Children's Hospital, University of Murcia and IMIB-Arrixaca Research Institute, Murcia, Spain
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Tables (6)
Table 1. Mediterranean diet score.a
Table 2. Sociodemographic and anthropometric characteristics (% or mean±SD) of population (n=1000).
Table 3a. Prevalence (%) of the intake of different foods by the mother during pregnancy and by children at S4, among children with or without current wheezing.
Table 3b. Prevalence (%) of the intake of different foods by the mother during pregnancy and by children at S4, among children with and without current rhinitis.
Table 3c. Prevalence (%) of the intake of different foods by the mother during pregnancy and by children at S4, among children with and without current dermatitis.
Table 4. Multivariate analysis for factors associated to current wheezing, rhinitis and dermatitis at survey 4.*
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Abstract
Background

There is a conflictive position if some foods and Mediterranean diet (MedDiet) consumed by the mother during pregnancy and by the child during the first years of life can be protective for current wheezing, rhinitis and dermatitis at preschool age.

Methods

Questionnaires of epidemiological factors and food intake by the mother during pregnancy and later by the child were filled in by parents in two surveys at two different time points (1.5 yrs and 4 yrs of life) in 1000 preschoolers.

Results

The prevalences of current wheezing, rhinitis and dermatitis were 18.8%, 10.4%, and 17.2%, respectively. After multiple logistic analysis children who were low fruit consumers (never/occasionally) and high fast-food consumers (≥3 times/week) had a higher risk for current wheezing; while intermediate consumption of meat (1 or 2 times/week) and low of pasta by mothers in pregnancy were protected. For current rhinitis, low fruit consumer children were at higher risk; while those consuming meat <3 times/week were protected. For current dermatitis, high fast food consumption by mothers in pregnancy; and low or high consumption of fruit, and high of potatoes in children were associated to higher prevalence. Children consuming fast food >1 times/week were protected for dermatitis. MedDiet adherence by mother and child did not remain a protective factor for any outcome.

Conclusion

Low consumption of fruits and high of meat by the child, and high consumption of potatoes and pasta by the mother had a negative effect on wheezing, rhinitis or dermatitis; while fast food consumption was inconsistent.

Keywords:
Asthma
Childhood
Dermatitis
Food during pregnancy
Mediterranean diet
Primary prevention
Rhinitis
Risk factors
Wheeze

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