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Excessive unbalanced meat consumption in the first year of life increases asthma risk in the PASTURE and LUKAS2 birth cohorts

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peer-reviewed

Erstveröffentlichung
2021-04-27
Autoren
Hose, Alexander J.
Pagani, Giulia
Karvonen, Anne M.
Kirjavainen, Pirkka V.
Roduit, Caroline
et al.
Wissenschaftlicher Artikel


Erschienen in
Frontiers in Immunology ; 12 (2021). - Art.-Nr. 651709. - eISSN 1664-3224
Link zur Originalveröffentlichung
https://dx.doi.org/10.3389/fimmu.2021.651709
Fakultäten
Medizinische Fakultät
Institutionen
Institut für Epidemiologie und Medizinische Biometrie
Dokumentversion
Veröffentlichte Version (Verlags-PDF)
Zusammenfassung
A higher diversity of food items introduced in the first year of life has been inversely related to subsequent development of asthma. In the current analysis, we applied latent class analysis (LCA) to systematically assess feeding patterns and to relate them to asthma risk at school age. PASTURE (N=1133) and LUKAS2 (N=228) are prospective birth cohort studies designed to evaluate protective and risk factors for atopic diseases, including dietary patterns. Feeding practices were reported by parents in monthly diaries between the 4th and 12th month of life. For 17 common food items parents indicated frequency of feeding during the last 4 weeks in 4 categories. The resulting 153 ordinal variables were entered in a LCA. The intestinal microbiome was assessed at the age of 12 months by 16S rRNA sequencing. Data on feeding practice with at least one reported time point was available in 1042 of the 1133 recruited children. Best LCA model fit was achieved by the 4-class solution. One class showed an elevated risk of asthma at age 6 as compared to the other classes (adjusted odds ratio (aOR): 8.47, 95% CI 2.52–28.56, p = 0.001) and was characterized by daily meat consumption and rare consumption of milk and yoghurt. A refined LCA restricted to meat, milk, and yoghurt confirmed the asthma risk effect of a particular class in PASTURE and independently in LUKAS2, which we thus termed unbalanced meat consumption (UMC). The effect of UMC was particularly strong for non-atopic asthma and asthma irrespectively of early bronchitis (aOR: 17.0, 95% CI 5.2–56.1, p < 0.001). UMC fostered growth of iron scavenging bacteria such as Acinetobacter (aOR: 1.28, 95% CI 1.00-1.63, p = 0.048), which was also related to asthma (aOR: 1.55, 95% CI 1.18-2.03, p = 0.001). When reconstructing bacterial metabolic pathways from 16S rRNA sequencing data, biosynthesis of siderophore group nonribosomal peptides emerged as top hit (aOR: 1.58, 95% CI 1.13-2.19, p = 0.007). By a data-driven approach we found a pattern of overly meat consumption at the expense of other protein sources to confer risk of asthma. Microbiome analysis of fecal samples pointed towards overgrowth of iron-dependent bacteria and bacterial iron metabolism as a potential explanation.
EU-Projekt uulm
PASTURE / Protection against allergy: study in rural environments / EC / FP5 / QLK4-CT-2001-00250
EFRAIM / Mechanisms of early protective exposures on allergy development / EC / FP7 / 211911
FORALLVENT / Forum for allergy prevention / EC / FP6 / 31708
Schlagwörter
[GND]: Bronchialasthma | Säugling | Ernährung | Immunität <Medizin> | Mikroflora | Milch
[MeSH]: Asthma | Infant | Gastrointestinal microbiome | Immunity, Mucosal | Microbiota | Milk
[Freie Schlagwörter]: Infancy | cow's milk | meat | introduction of solid foods | nutritional immunity | gut microbiome | latent class analysis
[DDC Sachgruppe]: DDC 610 / Medicine & health
Lizenz
CC BY 4.0 International
https://creativecommons.org/licenses/by/4.0/

Metadata
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DOI & Zitiervorlage

Nutzen Sie bitte diesen Identifier für Zitate & Links: http://dx.doi.org/10.18725/OPARU-45841

Hose, Alexander J. et al. (2022): Excessive unbalanced meat consumption in the first year of life increases asthma risk in the PASTURE and LUKAS2 birth cohorts. Open Access Repositorium der Universität Ulm und Technischen Hochschule Ulm. http://dx.doi.org/10.18725/OPARU-45841
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