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Nutrients 2015, 7(7), 5098-5110; doi:10.3390/nu7075098

A Traditional Diet Is Associated with a Reduced Risk of Eczema and Wheeze in Colombian Children

1
Fundación Hospital Universitario Metropolitano de Barranquilla, Barranquilla KRA 42F No. 75B-18, Colombia
2
Department of Medical Sciences, University of Cagliari, Cagliari 09042, Italy
3
Respiratory Epidemiology and Public Health Group, National Heart & Lung Institute, Imperial College London, London SW3 6LR, UK
4
Royal Brompton Hospital and Harefield NHS Foundation Trust, London SW3 6NP, UK
*
Author to whom correspondence should be addressed.
Received: 7 May 2015 / Revised: 4 June 2015 / Accepted: 16 June 2015 / Published: 25 June 2015
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Abstract

Background: Diet might influence the risk of allergic diseases. Evidence from developing countries with high prevalence of childhood asthma is scant. Methods: Information on wheeze, rhinitis, and eczema was collected from 3209 children aged 6–7 years in 2005, who were taking part in the International Study on Asthma and Allergy in Children (ISAAC) in Colombia. Intake frequency of twelve food groups was assessed. Associations between each food group and current wheeze, rhino-conjunctivitis, and eczema were investigated with multiple logistic regressions, adjusting for potential confounders. Simes’ procedure was used to test for multiple comparisons. Results: 14.9% of children reported wheeze in the last 12 months, 16% rhino-conjunctivitis, and 22% eczema. Eczema was negatively associated with consumption of fresh fruits and pulses three or more times per week (adjusted Odds ratio (aOR): 0.64; 95% Confidence Interval (CI): 0.49 to 0.83; p value = 0.004; and aOR: 0.62, 95% CI: 0.47 to 0.80; p value < 0.001, respectively). Current wheeze was negatively associated with intake of potatoes (aOR: 0.44, 95% CI: 0.31 to 0.62, p value = 0.005), whilst this outcome was positively associated with consumption of fast food (aOR: 1.76, 95% CI: 1.32 to 2.35, p value = 0.001). These associations remained statistically significant after controlling for multiple comparisons. Conclusions: A traditional diet might have a protective effect against eczema and wheeze in Colombian children, whilst intake of fast foods increases this risk. View Full-Text
Keywords: asthma; eczema; fast food; fruits; pulses; Colombia; diet; ISAAC asthma; eczema; fast food; fruits; pulses; Colombia; diet; ISAAC
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Cepeda, A.M.; Del Giacco, S.R.; Villalba, S.; Tapias, E.; Jaller, R.; Segura, A.M.; Reyes, G.; Potts, J.; Garcia-Larsen, V. A Traditional Diet Is Associated with a Reduced Risk of Eczema and Wheeze in Colombian Children. Nutrients 2015, 7, 5098-5110.

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