1. The role of short-term grass pollen exposure in food skin-prick test reactivity, food allergy, and eczema flares in children
- Author
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Idrose, NS, Lodge, CJ, Peters, RL, Douglass, JA, Koplin, JJ, Lowe, AJ, Perrett, KP, Tang, MLK, Newbigin, EJ, Abramson, MJ, Erbas, B, Vicendese, D, Dharmage, SC, Idrose, NS, Lodge, CJ, Peters, RL, Douglass, JA, Koplin, JJ, Lowe, AJ, Perrett, KP, Tang, MLK, Newbigin, EJ, Abramson, MJ, Erbas, B, Vicendese, D, and Dharmage, SC
- Abstract
BACKGROUND: While the relationship between pollen and respiratory allergies is well-documented, the role of short-term pollen exposure in food allergy and eczema flares has not previously been explored. We aimed to investigate these associations in a population-based sample of children. METHODS: We investigated 1- (n = 1108) and 6-year-old (n = 675) children in the grass pollen season from the HealthNuts cohort. Grass pollen concentrations were considered on the day of testing (lag 0), up to three days before (lag 1-lag 3) and cumulatively (lag 0-3). Associations between grass pollen and food skin-prick test reactivity (SPT ≥ 2 mm at age 1 year and ≥ 3 mm at age 6 years), eczema flares, challenge-confirmed food allergy, reaction threshold to oral food challenges (OFC), and serum food-specific IgE levels were analyzed using either logistic or quantile regression models. Atopy and family history of allergic disease were considered as potent effect modifiers. RESULTS: Grass pollen at lag 0-3 (every 20 grains/m3 increase) was associated with an up to 1.2-fold increased odds of food SPT reactivity and eczema flares in 6-year-olds. In 1-year-olds, the associations were only observed for peanut in those with a family history of food allergy. Increasing grass pollen concentrations were associated with a lower reaction threshold to OFC and higher serum IgE levels in peanut-allergic 1-year-olds only. CONCLUSION: Increasing grass pollen concentration was associated with increased risk of food SPT reactivity and eczema flares in children. The associations in peanut-allergic infants may be related to immune activation and/or peanut and grass pollen cross-reactivity leading to a lower reaction threshold.
- Published
- 2022