Asthma Heredity, Cord Blood IgE and Asthma-Related Symptoms and Medication in Adulthood: A Long-Term Follow-Up in a Swedish Birth Cohort
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{"title"=>"Asthma Heredity, Cord Blood IgE and Asthma-Related Symptoms and Medication in Adulthood: A Long-Term Follow-Up in a Swedish Birth Cohort", "type"=>"journal", "authors"=>[{"first_name"=>"Hartmut", "last_name"=>"Vogt", "scopus_author_id"=>"38962130100"}, {"first_name"=>"Lennart", "last_name"=>"Bråbäck", "scopus_author_id"=>"55910234800"}, {"first_name"=>"Olof", "last_name"=>"Zetterström", "scopus_author_id"=>"55405702300"}, {"first_name"=>"Katalin", "last_name"=>"Zara", "scopus_author_id"=>"24382189600"}, {"first_name"=>"Karin", "last_name"=>"Fälth-Magnusson", "scopus_author_id"=>"7004492004"}, {"first_name"=>"Lennart", "last_name"=>"Nilsson", "scopus_author_id"=>"35553177300"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"369158115", "scopus"=>"2-s2.0-84879257443", "pmid"=>"23805276", "sgr"=>"84879257443", "issn"=>"19326203", "doi"=>"10.1371/journal.pone.0066777"}, "id"=>"44de4c32-5ab6-34ae-8137-d84adbe067a1", "abstract"=>"Cord blood IgE has previously been studied as a possible predictor of asthma and allergic diseases. Results from different studies have been contradictory, and most have focused on high-risk infants and early infancy. Few studies have followed their study population into adulthood. This study assessed whether cord blood IgE levels and a family history of asthma were associated with, and could predict, asthma medication and allergy-related respiratory symptoms in adults. A follow-up was carried out in a Swedish birth cohort comprising 1,701 consecutively born children. In all, 1,661 individuals could be linked to the Swedish Prescribed Drug Register and the Medical Birth Register, and 1,227 responded to a postal questionnaire. Cord blood IgE and family history of asthma were correlated with reported respiratory symptoms and dispensed asthma medication at 32-34 years. Elevated cord blood IgE was associated with a two- to threefold increased risk of pollen-induced respiratory symptoms and dispensed anti-inflammatory asthma medication. Similarly, a family history of asthma was associated with an increased risk of pollen-induced respiratory symptoms and anti-inflammatory medication. However, only 8% of the individuals with elevated cord blood IgE or a family history of asthma in infancy could be linked to current dispensation of anti-inflammatory asthma medication at follow-up. In all, 49 out of 60 individuals with dispensed anti-inflammatory asthma medication at 32-34 years of age had not been reported having asthma at previous check-ups of the cohort during childhood. Among those, only 5% with elevated cord blood IgE and 6% with a family history of asthma in infancy could be linked to current dispensation of anti-inflammatory asthma medication as adults. Elevated cord blood IgE and a positive family history of asthma were associated with reported respiratory symptoms and dispensed asthma medication in adulthood, but their predictive power was poor in this long-time follow-up.", "link"=>"http://www.mendeley.com/research/asthma-heredity-cord-blood-ige-asthmarelated-symptoms-medication-adulthood-longterm-followup-swedish", "reader_count"=>11, "reader_count_by_academic_status"=>{"Researcher"=>2, "Student > Ph. D. Student"=>2, "Student > Master"=>2, "Student > Bachelor"=>4, "Lecturer"=>1}, "reader_count_by_user_role"=>{"Researcher"=>2, "Student > Ph. D. Student"=>2, "Student > Master"=>2, "Student > Bachelor"=>4, "Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Environmental Science"=>1, "Biochemistry, Genetics and Molecular Biology"=>1, "Nursing and Health Professions"=>1, "Medicine and Dentistry"=>7}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>7}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>1}, "Environmental Science"=>{"Environmental Science"=>1}}, "reader_count_by_country"=>{"France"=>1}, "group_count"=>0}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1097956"], "description"=>"<p>CB-IgE = Cord blood Immunoglobulin E; PIN = Personal identification number; QN = Questionnaire.</p>", "links"=>[], "tags"=>["immunology", "Allergy and hypersensitivity", "immunoglobulins", "Population biology", "epidemiology", "Life course epidemiology", "Clinical immunology", "Clinical research design", "Biomarker epidemiology", "Lifecourse epidemiology", "Pediatric epidemiology", "pediatrics", "Pediatric pulmonology", "Pulmonology", "asthma"], "article_id"=>728996, "categories"=>["Medicine", "Biological Sciences"], "users"=>["Hartmut Vogt", "Lennart Bråbäck", "Olof Zetterström", "Katalin Zara", "Karin Fälth-Magnusson", "Lennart Nilsson"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0066777.g001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flow_chart_of_the_study_population_with_respect_to_questionnaire_data_and_register_data_/728996", "title"=>"Flow chart of the study population with respect to questionnaire data and register data.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-06-21 04:24:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1097957"], "description"=>"<p>Flow chart of the assessment of asthma status at different ages (asthma diagnosis at 6–7 and 10–11 years and anti-inflammtory treatment at 32–34 years of age). The changes in asthma status of different individuals between the different time points is shown in numbers. Corresponding individuals are marked with <b>blue</b> or <b>red</b> numbers describing individual changes in asthma status over time. <sup>1</sup>figures based on the total number of individuals linked to the Swedish Medical Birth Register (n = 1,661).</p>", "links"=>[], "tags"=>["immunology", "Allergy and hypersensitivity", "immunoglobulins", "Population biology", "epidemiology", "Life course epidemiology", "Clinical immunology", "Clinical research design", "Biomarker epidemiology", "Lifecourse epidemiology", "Pediatric epidemiology", "pediatrics", "Pediatric pulmonology", "Pulmonology", "asthma"], "article_id"=>728997, "categories"=>["Medicine", "Biological Sciences"], "users"=>["Hartmut Vogt", "Lennart Bråbäck", "Olof Zetterström", "Katalin Zara", "Karin Fälth-Magnusson", "Lennart Nilsson"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0066777.g002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Asthma_diagnosis_and_asthma_medication_over_time_/728997", "title"=>"Asthma diagnosis and asthma medication over time.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-06-21 04:24:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1097959"], "description"=>"<p>CB-IgE = Cord blood immunoglobulin E;</p>1<p>data available for 1195 individuals;</p>2<p>data available for 1185 individuals.</p>", "links"=>[], "tags"=>["immunology", "Allergy and hypersensitivity", "immunoglobulins", "Population biology", "epidemiology", "Life course epidemiology", "Clinical immunology", "Clinical research design", "Biomarker epidemiology", "Lifecourse epidemiology", "Pediatric epidemiology", "pediatrics", "Pediatric pulmonology", "Pulmonology", "asthma", "respiratory", "symptoms", "dispensed", "years", "cb-ige"], "article_id"=>728999, "categories"=>["Medicine", "Biological Sciences"], "users"=>["Hartmut Vogt", "Lennart Bråbäck", "Olof Zetterström", "Katalin Zara", "Karin Fälth-Magnusson", "Lennart Nilsson"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0066777.t003"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Prevalence_of_respiratory_symptoms_2007_and_dispensed_asthma_medication_2006_8211_2008_at_32_8211_34_years_of_age_in_relation_to_levels_of_CB_IgE_and_family_history_of_asthma_/728999", "title"=>"Prevalence of respiratory symptoms (2007) and dispensed asthma medication (2006–2008) at 32–34 years of age in relation to levels of CB-IgE and family history of asthma.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-21 04:24:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1097960"], "description"=>"1<p>data available for 1195 individuals;</p>2<p>data available for 1185 individuals,</p>3<p>cases with no asthma neither at 6–7 nor at 10–11 years.</p>", "links"=>[], "tags"=>["immunology", "Allergy and hypersensitivity", "immunoglobulins", "Population biology", "epidemiology", "Life course epidemiology", "Clinical immunology", "Clinical research design", "Biomarker epidemiology", "Lifecourse epidemiology", "Pediatric epidemiology", "pediatrics", "Pediatric pulmonology", "Pulmonology", "asthma", "prevalence", "respiratory", "symptoms"], "article_id"=>729000, "categories"=>["Medicine", "Biological Sciences"], "users"=>["Hartmut Vogt", "Lennart Bråbäck", "Olof Zetterström", "Katalin Zara", "Karin Fälth-Magnusson", "Lennart Nilsson"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0066777.t002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Asthma_prevalence_6_8211_7_10_8211_11_years_and_respiratory_symptoms_and_asthma_medication_32_8211_34_years_with_respect_to_gender_/729000", "title"=>"Asthma prevalence (6–7, 10–11 years) and respiratory symptoms and asthma medication (32–34 years) with respect to gender.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-21 04:24:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1097961"], "description"=>"<p>CB-IgE = Cord blood immunoglobulin E; QN = questionnaire; SGA = Small for Gestational Age; LGA = Large for Gestational Age;</p>1<p>entered as continuous variable in the regression model, dichotomized here for descriptive reasons;</p>2<p>n = 1,225/1,656;</p>3<p>n = 1,209/1,635;</p>4<p>n = 1,226/1,660.</p><p>Significance levels are displayed for the association between the different ratios of low versus high CB-IgE between the groups.</p>", "links"=>[], "tags"=>["immunology", "Allergy and hypersensitivity", "immunoglobulins", "Population biology", "epidemiology", "Life course epidemiology", "Clinical immunology", "Clinical research design", "Biomarker epidemiology", "Lifecourse epidemiology", "Pediatric epidemiology", "pediatrics", "Pediatric pulmonology", "Pulmonology", "asthma", "cb-ige", "follow-up"], "article_id"=>729001, "categories"=>["Medicine", "Biological Sciences"], "users"=>["Hartmut Vogt", "Lennart Bråbäck", "Olof Zetterström", "Katalin Zara", "Karin Fälth-Magnusson", "Lennart Nilsson"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0066777.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Basic_characteristics_of_the_study_population_with_respect_to_low_lt_0_9_kU_l_and_high_8805_0_9_kU_l_CB_IgE_and_available_data_at_follow_up_questionnaire_register_data_versus_register_data_alone_/729001", "title"=>"Basic characteristics of the study population with respect to low (<0.9 kU/l) and high (≥0.9 kU/l) CB-IgE and available data at follow-up (questionnaire+register data versus register data alone).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-21 04:24:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1097962"], "description"=>"<p>CB-IgE = Cord blood immunoglobulin E.</p><p>CB-IgE+ = Cb-IgE ≥0.9 kU/l; SE = sensitivity; SP = specificity; PPV = positive predictive value; LR+ = positive likelihood ratio.</p>1<p>No asthma reported at previous follow-ups in childhood.</p>", "links"=>[], "tags"=>["immunology", "Allergy and hypersensitivity", "immunoglobulins", "Population biology", "epidemiology", "Life course epidemiology", "Clinical immunology", "Clinical research design", "Biomarker epidemiology", "Lifecourse epidemiology", "Pediatric epidemiology", "pediatrics", "Pediatric pulmonology", "Pulmonology", "asthma", "specificity", "predictive", "elevated", "cb-ige", "respiratory", "symptoms", "pollen", "furred", "pets", "dispensed", "ages"], "article_id"=>729002, "categories"=>["Medicine", "Biological Sciences"], "users"=>["Hartmut Vogt", "Lennart Bråbäck", "Olof Zetterström", "Katalin Zara", "Karin Fälth-Magnusson", "Lennart Nilsson"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0066777.t005"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Sensitivity_specificity_and_predictive_values_of_elevated_CB_IgE_8805_0_9_kU_l_or_positive_family_history_of_asthma_FHA_for_respiratory_symptoms_due_to_pollen_or_furred_pets_and_dispensed_asthma_medication_8805_2_dispensed_prescriptions_3_years_at_the_ag/729002", "title"=>"Sensitivity, specificity and predictive values of elevated CB-IgE (≥0.9 kU/l) or positive family history of asthma (FHA+) for respiratory symptoms due to pollen or furred pets and dispensed asthma medication (≥2 dispensed prescriptions/3 years) at the ages of 32–34 years.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-21 04:24:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1097963"], "description"=>"<p>CB-IgE = Cord blood immunoglobulin E.</p>1<p>Final model adjusted for gender, having lived on a farm during the first 5 years of life, season of birth, maternal age, Small for Gestational Age, Large for Gestational Age, gestational age, mother’s country of birth, Caesarean section, parity, elevated CB-IgE (≥0.9 kU/l ) or positive family history of asthma.</p>2<p>Final model adjusted for gender, season of birth, maternal age, Small for Gestational Age, Large for Gestational Age, gestational age, mother’s country of birth, Caesarean section, parity, elevated CB-IgE (≥0.9 kU/l ) or positive family history of asthma.</p>", "links"=>[], "tags"=>["immunology", "Allergy and hypersensitivity", "immunoglobulins", "Population biology", "epidemiology", "Life course epidemiology", "Clinical immunology", "Clinical research design", "Biomarker epidemiology", "Lifecourse epidemiology", "Pediatric epidemiology", "pediatrics", "Pediatric pulmonology", "Pulmonology", "asthma", "ratios", "intervals", "respiratory", "symptoms", "years", "cb-ige"], "article_id"=>729003, "categories"=>["Medicine", "Biological Sciences"], "users"=>["Hartmut Vogt", "Lennart Bråbäck", "Olof Zetterström", "Katalin Zara", "Karin Fälth-Magnusson", "Lennart Nilsson"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0066777.t004"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Odds_ratios_ORs_with_95_confidence_intervals_95_CI_for_the_risk_of_respiratory_symptoms_and_the_risk_of_asthma_medication_8805_2_prescriptions_2006_8211_2008_at_the_age_of_32_8211_34_years_in_relation_to_high_CB_IgE_and_a_positive_family_history_of_asthm/729003", "title"=>"Odds ratios (ORs) with 95% confidence intervals (95% CI) for the risk of respiratory symptoms and the risk of asthma medication (≥2 prescriptions/2006–2008) at the age of 32–34 years in relation to high CB-IgE and a positive family history of asthma.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-21 04:24:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1097964", "https://ndownloader.figshare.com/files/1097965"], "description"=>"<div><p>Cord blood IgE has previously been studied as a possible predictor of asthma and allergic diseases. Results from different studies have been contradictory, and most have focused on high-risk infants and early infancy. Few studies have followed their study population into adulthood. This study assessed whether cord blood IgE levels and a family history of asthma were associated with, and could predict, asthma medication and allergy-related respiratory symptoms in adults. A follow-up was carried out in a Swedish birth cohort comprising 1,701 consecutively born children. In all, 1,661 individuals could be linked to the Swedish Prescribed Drug Register and the Medical Birth Register, and 1,227 responded to a postal questionnaire. Cord blood IgE and family history of asthma were correlated with reported respiratory symptoms and dispensed asthma medication at 32–34 years. Elevated cord blood IgE was associated with a two- to threefold increased risk of pollen-induced respiratory symptoms and dispensed anti-inflammatory asthma medication. Similarly, a family history of asthma was associated with an increased risk of pollen-induced respiratory symptoms and anti-inflammatory medication. However, only 8% of the individuals with elevated cord blood IgE or a family history of asthma in infancy could be linked to current dispensation of anti-inflammatory asthma medication at follow-up. In all, 49 out of 60 individuals with dispensed anti-inflammatory asthma medication at 32–34 years of age had not been reported having asthma at previous check-ups of the cohort during childhood. Among those, only 5% with elevated cord blood IgE and 6% with a family history of asthma in infancy could be linked to current dispensation of anti-inflammatory asthma medication as adults. Elevated cord blood IgE and a positive family history of asthma were associated with reported respiratory symptoms and dispensed asthma medication in adulthood, but their predictive power was poor in this long-time follow-up.</p></div>", "links"=>[], "tags"=>["immunology", "Allergy and hypersensitivity", "immunoglobulins", "Population biology", "epidemiology", "Life course epidemiology", "Clinical immunology", "Clinical research design", "Biomarker epidemiology", "Lifecourse epidemiology", "Pediatric epidemiology", "pediatrics", "Pediatric pulmonology", "Pulmonology", "asthma", "ige", "asthma-related", "symptoms", "follow-up", "swedish"], "article_id"=>729004, "categories"=>["Medicine", "Biological Sciences"], "users"=>["Hartmut Vogt", "Lennart Bråbäck", "Olof Zetterström", "Katalin Zara", "Karin Fälth-Magnusson", "Lennart Nilsson"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0066777.s001", "https://dx.doi.org/10.1371/journal.pone.0066777.s002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Asthma_Heredity_Cord_Blood_IgE_and_Asthma_Related_Symptoms_and_Medication_in_Adulthood_A_Long_Term_Follow_Up_in_a_Swedish_Birth_Cohort_/729004", "title"=>"Asthma Heredity, Cord Blood IgE and Asthma-Related Symptoms and Medication in Adulthood: A Long-Term Follow-Up in a Swedish Birth Cohort", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-06-21 04:24:19"}

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Relative Metric

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