Asthma and allergies: is the farming environment (still) protective in Poland? The GABRIEL Advanced Studies

MacNeill, S. J.; Sozanska, B.; Danielewicz, H.; Debinska, A.; Kosmeda, A.; Boznanski, A.; Illi, S.; Depner, M.; Strunz-Lehner, C.; Waser, M.; Büchele, G.; Horak, E.; Genuneit, J.; Heederik, D.; Braun-Fahrländer, C.; von Mutius, E.; Cullinan, P.; Apprich, S.; Cookson, W.; Ege, Markus; ... (2013). Asthma and allergies: is the farming environment (still) protective in Poland? The GABRIEL Advanced Studies. Allergy, 68(6), pp. 771-779. Wiley-Blackwell 10.1111/all.12141

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BACKGROUND Evidence exists that a farming environment in childhood may provide protection against atopic respiratory disease. In the GABRIEL project based in Poland and Alpine regions of Germany, Austria and Switzerland, we aimed to assess whether a farming environment in childhood is protective against allergic diseases in Poland and whether specific exposures explain any protective effect. METHODS In rural Poland, 23 331 families of schoolchildren completed a questionnaire enquiring into farming practices and allergic diseases (Phase I). A subsample (n = 2586) participated in Phase II involving a more detailed questionnaire on specific farm exposures with objective measures of atopy. RESULTS Farming differed between Poland and the Alpine centres; in the latter, cattle farming was prevalent, whereas in Poland 18% of village farms kept ≥1 cow and 34% kept ≥1 pig. Polish children in villages had lower prevalences of asthma and hay fever than children from towns, and in the Phase II population, farm children had a reduced risk of atopy measured by IgE (aOR = 0.72, 95% CI 0.57, 0.91) and skin prick test (aOR = 0.65, 95% CI 0.50, 0.86). Early-life contact with grain was inversely related to the risk of atopy measured by IgE (aOR = 0.66, 95% CI 0.47, 0.92) and appeared to explain part of the farming effect. CONCLUSION While farming in Poland differed from that in the Alpine areas as did the exposure-response associations, we found in communities engaged in small-scale, mixed farming, there was a protective farming effect against objective measures of atopy potentially related to contact with grain or associated farm activities.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Unit Childrens Hospital > Forschungsgruppe Pneumologie (Pädiatrie)
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine

UniBE Contributor:

Fuchs, Oliver and Latzin, Philipp

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0105-4538

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

André Schaller

Date Deposited:

10 Apr 2014 11:54

Last Modified:

03 Jul 2014 08:47

Publisher DOI:

10.1111/all.12141

PubMed ID:

23621318

URI:

https://boris.unibe.ch/id/eprint/44139

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