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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004201naa a2200541 4500
001oai:DiVA.org:uu-311302
003SwePub
008161222s2017 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3113022 URI
024a https://doi.org/10.1136/thoraxjnl-2015-2081542 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Campbell, B4 aut
2451 0a The effects of growing up on a farm on adult lung function and allergic phenotypes :b an international population-based study
264 c 2016-09-26
264 1b BMJ,c 2017
338 a print2 rdacarrier
520 a RATIONALE: Evidence has suggested that exposure to environmental or microbial biodiversity in early life may impact subsequent lung function and allergic disease risk.OBJECTIVES: To investigate the influence of childhood living environment and biodiversity indicators on atopy, asthma and lung function in adulthood.METHODS AND MEASUREMENTS: The European Community Respiratory Health Survey II investigated ∼10 201 participants aged 26-54 years from 14 countries, including participants' place of upbringing (farm, rural environment or inner city) before age 5 years. A 'biodiversity score' was created based on childhood exposure to cats, dogs, day care, bedroom sharing and older siblings. Associations with lung function, bronchial hyper-responsiveness (BHR), allergic sensitisation, asthma and rhinitis were analysed.MAIN RESULTS: As compared with a city upbringing, those with early-life farm exposure had less atopic sensitisation (adjusted OR 0.46, 95% CI 0.37 to 0.58), atopic BHR (0.54 (0.35 to 0.83)), atopic asthma (0.47 (0.28 to 0.81)) and atopic rhinitis (0.43 (0.32 to 0.57)), but not non-atopic outcomes. Less pronounced protective effects were observed for rural environment exposures. Women with a farm upbringing had higher FEV1 (adjusted difference 110 mL (64 to 157)), independent of sensitisation and asthma. In an inner city environment, a higher biodiversity score was related to less allergic sensitisation.CONCLUSIONS: This is the first study to report beneficial effects of growing up on a farm on adult FEV1. Our study confirmed the beneficial effects of early farm life on sensitisation, asthma and rhinitis, and found a similar association for BHR. In persons with an urban upbringing, a higher biodiversity score predicted less allergic sensitisation, but to a lesser magnitude than a childhood farm environment.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Lungmedicin och allergi0 (SwePub)302192 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Respiratory Medicine and Allergy0 (SwePub)302192 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
700a Raherison, C4 aut
700a Lodge, C J4 aut
700a Lowe, A J4 aut
700a Gislason, T4 aut
700a Heinrich, J4 aut
700a Sunyer, J4 aut
700a Gómez Real, F4 aut
700a Norbäck, Danu Uppsala universitet,Arbets- och miljömedicin4 aut0 (Swepub:uu)dagnorba
700a Matheson, M C4 aut
700a Wjst, M4 aut
700a Dratva, J4 aut
700a de Marco, R4 aut
700a Jarvis, D4 aut
700a Schlünssen, V4 aut
700a Janson, Christeru Uppsala universitet,Lungmedicin och allergologi4 aut0 (Swepub:uu)chrisjn
700a Leynaert, B4 aut
700a Svanes, C4 aut
700a Dharmage, S C4 aut
710a Uppsala universitetb Arbets- och miljömedicin4 org
773t Thoraxd : BMJg 72:3, s. 236-244q 72:3<236-244x 0040-6376x 1468-3296
856u https://thorax.bmj.com/content/thoraxjnl/72/3/236.full.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-311302
8564 8u https://doi.org/10.1136/thoraxjnl-2015-208154

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