Overweight in childhood, puberty or early adulthood: changing the asthma risk in the next generation?
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Published version
Author(s)
Johannessen, Ane
Lønnebotn, Marianne
Calciano, Lucia
Benediktsdóttir, Bryndis
Bertelsen, Randi Jacobsen
Type
Journal Article
Abstract
BACKGROUND: Overweight and asthma have increased during the last decades. Overweight is a known risk factor for asthma, but it is not known whether overweight may also increase asthma risk in the next generation. OBJECTIVE: We aimed to examine if parents overweight in childhood, adolescence or adulthood is associated with offspring asthma. METHODS: We included 6 347 adult offspring (age 18-52 yrs, investigated in the RHINESSA multigenerational study) of 2 044 fathers and 2 549 mothers (age 37-66 yrs, investigated in the ECRHS study). Associations of parental overweight at age eight, puberty and age 30, with offspring childhood overweight (potential mediator) and offspring asthma with or without nasal allergies (outcomes), was analyzed using two-level logistic regression and two-level multinomial logistic regression, respectively. Counterfactual-based mediation analysis was performed to establish whether observed associations were direct effects or indirect effects mediated through offspring's own overweight. RESULTS: We found statistical significant associations between both fathers' and mothers' childhood overweight and offspring's childhood overweight (odds ratio, OR 2.23; 95%CI 1.45, 3.42, and OR 2.45; 95%CI 1.86, 3.22, respectively). We also found a statistical significant effect of fathers' overweight onset in puberty on offspring asthma without nasal allergies (relative risk ratio RRR=2.31; 95% CI: 1.23, 4.33). This effect was direct and not mediated through offspring's own overweight. No effect on offspring asthma with nasal allergies was found. CONCLUSION: Our findings suggest that metabolic factors long before conception may increase asthma risk, and that male puberty is a time window of particular importance for offspring health.
Date Issued
2019-09-07
Date Acceptance
2019-08-22
Citation
Journal of Allergy and Clinical Immunology, 2019, 145 (3), pp.791-799.e4
ISSN
0091-6749
Publisher
Elsevier
Start Page
791
End Page
799.e4
Journal / Book Title
Journal of Allergy and Clinical Immunology
Volume
145
Issue
3
Copyright Statement
© 2019 The Authors. Published by Elsevier Inc. on behalf of the American Academy of Allergy, Asthma & Immunology. Published online before print under a CC-BY-NC-ND Licence (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Sponsor
Commission of the European Communities
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/31505189
PII: S0091-6749(19)31172-8
Grant Number
633212
Subjects
Ageing Lungs in European Cohorts (ALEC) Study
epidemiology
multilevel mediation model
offspring
parental risk factors
Publication Status
Published online
Coverage Spatial
United States
Date Publish Online
2019-09-07