國家衛生研究院 NHRI:Item 3990099045/13805

NHRI > Institute of Population Health Sciences > Hui-Ju Tsai > Periodical Articles > Item 3990099045/13805

Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/13805

Title:	Interaction of maternal asthma history and plasma folate levels on child asthma risk in the Boston Birth Cohort
Authors:	Wang, Y;Hong, XM;Yao, TC;Tsai, HJ;Wang, XB
Contributors:	Institute of Population Health Sciences
Abstract:	Background Previous studies on maternal folate status during pregnancy and child asthma risk yielded mixed results, and few considered maternal asthma history, a known risk factor of childhood asthma. This study examined whether the role of maternal folate in childhood asthma differs by maternal asthma history and whether there is an interaction between the two factors. Methods This study included 1948 mother-child dyads from the Boston Birth Cohort. Childhood asthma was defined based on physician diagnosis documented in electronic medical records, and maternal asthma was based on standard questionnaire interview. Maternal plasma folate level within a few days of delivery was measured by chemiluminescent immunoassay. Logistic regression models were applied to examine individual and joint associations of maternal asthma history and plasma folate level with childhood asthma, adjusting for other covariables. Results When stratified by maternal asthma history, an L-shaped relationship between maternal folate level and child asthma was observed in children born to mothers with asthma history (p(interaction) = 0.03). The highest risk was found in children having maternal asthma history and low maternal folate level (odds ratio = 5.93; 95% confidence interval: 2.86-12.3) compared with children without maternal asthma history and with sufficient maternal folate levels. Sensitivity analyses using different definitions of asthma and stratified by major covariables yielded similar findings. Conclusion In this US prospective high-risk birth cohort, maternal asthma history and low folate level interactively increased the risk of child asthma. If further confirmed, optimizing maternal folate levels during pregnancy may mitigate child asthma risk in the setting of maternal asthma history.
Date:	2021-12
Relation:	Pediatric Pulmonology. 2021 Dec;56(12):3728-3736.
Link to:	http://dx.doi.org/10.1002/ppul.25680
JIF/Ranking 2023:	http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=8755-6863&DestApp=IC2JCR
Cited Times(WOS):	https://www.webofscience.com/wos/woscc/full-record/WOS:000703210500001
Cited Times(Scopus):	https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85116242407
Appears in Collections:	[Hui-Ju Tsai] Periodical Articles

Files in This Item:

There are no files associated with this item.

Loading...