De rol van allergie/atopie bij astma

Bijblijven - Tập 23 Số 10 - Trang 27-34 - 2007
Boehmer, A. L. M.

Tóm tắt

Atopie is een bekende risicofactor voor astma. Astma lijkt het resultaat te zijn van een proces dat vroeg in het leven, mogelijk zelfs al voor de geboorte, geïnitieerd wordt. Niet alleen neemt de laatste decennia de prevalentie van astma toe, ook van andere IgE-gemedieerde aandoeningen, zoals allergische rinitis, voedselallergie en atopische dermatitis, neemt de prevalentie toe. Er is een duidelijke relatie tussen astma en allergie, maar de risicofactoren voor astma zijn niet altijd dezelfde als die voor allergische sensibilisatie. Dit artikel gaat in op de risicofactoren voor het ontstaan van astma en allergie, zoals luchtweginfecties, obesitas, voeding, probiotica, opgroeien op een boerderij, sigarettenrook, luchtvervuiling en blootstelling aan allergenen. Daarnaast bespreekt het de primaire preventie met behulp van multipele interventies, de invloed van allergeensanering op de ernst van de klachten en de plaats van immunotherapie bij astma.

Tài liệu tham khảo

citation_journal_title=J Allergy Clin Immunol; citation_title=Asthma cases attributable to atopy: Results from the Third National Health and Nutrition Examination Survey; citation_author=SJ Arbes, PJ Gergen, B Vaughn, DC Zeldin; citation_volume=120; citation_publication_date=2007; citation_pages=1139-45; citation_id=CR1 citation_journal_title=Ned Tijdschr Geneeskd; citation_title=Recente veranderingen in de prevalentie van astma bij kinderen; citation_author=HA Smit, CP Schayck; citation_volume=150; citation_publication_date=2006; citation_pages=233; citation_id=CR2 Steerenberg PA, Loveren H van, Vandebriel RJ, Vos JG, Opperhuizen A, Amsterdam JGC van. The prevalence of asthma and allergy increases: A world-wide problem. Bilthoven: RIVM; 2000. Rapport 640250 004. citation_journal_title=Br J Gen Pract; citation_title=Accuracy of specific IgE in the prediction of asthma: Development of a scoring formula for general practice; citation_author=PE Eysink, G Riet, RC Aalberse, WM Aalderen, CM Roos, JS Zee; citation_volume=55; citation_publication_date=2005; citation_pages=125-31; citation_id=CR4 citation_journal_title=J Allergy Clin Immunol; citation_title=Risk of developing asthma in young children with atopic eczema: A systematic review; citation_author=AE Hulst, H Klip, PL Brand; citation_volume=120; citation_publication_date=2007; citation_pages=565; citation_id=CR5 citation_journal_title=Thorax; citation_title=Health effects of passive smoking: Parental smoking and allergic sensitisation in children; citation_author=DP Strachan, DG Cook; citation_volume=53; citation_publication_date=1998; citation_pages=117-23; citation_id=CR6 citation_journal_title=J Epidemiol Community Health; citation_title=Does a higher number of siblings protect against the development of allergy and asthma? A review; citation_author=W Karmaus, C Botezan; citation_volume=56; citation_publication_date=2002; citation_pages=209-17; citation_id=CR7 citation_journal_title=Int J Epidemiol; citation_title=Day care attendance, recurrent respiratory tract infections and asthma; citation_author=W Nystad, A Skrondal, P Magnus; citation_volume=28; citation_publication_date=1999; citation_pages=882; citation_id=CR8 citation_journal_title=N Engl J Med; citation_title=Childhood asthma after bacterial colonization of the airway in neonates; citation_author=H Bisgaard, MN Hermansen, F Buchvald, L Loland, LB Halkjaer, K Bønnelykke; citation_volume=357; citation_publication_date=2007; citation_pages=1487-95; citation_id=CR9 citation_journal_title=N Engl J Med; citation_title=Of attraction and rejection: Asthma and the microbial world; citation_author=E Von Mutius; citation_volume=357; citation_publication_date=2007; citation_pages=1545-7; citation_id=CR10 citation_journal_title=J Allergy Clin Immunol; citation_title=Mite allergen exposure is a risk for the incidence of specific sensitization; citation_author=J Kuehr, T Frischer, R Meinert, R Barth, J Forster, S Schraub; citation_volume=94; citation_publication_date=1994; citation_pages=44-52; citation_id=CR11 citation_journal_title=Ned Tijdschr Geneeskd; citation_title=House dust mite allergens and COPD in children; a case-control study]; citation_author=RT Strien, AP Verhoeff, JH Wijnen, B Brunekreef; citation_volume=138; citation_publication_date=1994; citation_pages=398-402; citation_id=CR12 citation_journal_title=J Allergy Clin Immunol; citation_title=Indoor allergen exposure is a risk factor for sensitization during the first three years of life; citation_author=U Wahn, S Lau, R Bergmann, M Kulig, J Forster, K Bergmann; citation_volume=99; citation_publication_date=1997; citation_pages=763; citation_id=CR13 citation_journal_title=Lancet; citation_title=Effect of environmental manipulation in pregnancy and early life on respiratory symptoms and atopy during first year of life: a randomised trial; citation_author=; citation_volume=358; citation_publication_date=2001; citation_pages=188-93; citation_id=CR14 citation_journal_title=Mediators Inflamm; citation_title=Decreased prevalence of asthma among children with high exposure to cat allergen: Relevance of the modified Th2 response; citation_author=TA Platts-Mills, JW Vaughan, K Blumenthal, JA Woodfolk, RB Sporik; citation_volume=10; citation_publication_date=2001; citation_pages=288-91; citation_id=CR15 citation_journal_title=Curr Allergy Asthma Rep; citation_title=Pets and the development of allergic sensitization; citation_author=A Simpson, A Custovic; citation_volume=5; citation_publication_date=2005; citation_pages=212-20; citation_id=CR16 citation_journal_title=Clin Exp Allergy; citation_title=Early life markers of atopy and asthma; citation_author=U Wahn, RL Bergmann, R Nickel; citation_volume=28; citation_issue=Suppl 1; citation_publication_date=1998; citation_pages=20-1; citation_id=CR17 citation_journal_title=Pediatr Allergy Immunol; citation_title=Dietary prevention of allergic disease in children: Are current recommendations really based on good evidence?; citation_author=PL Brand, BJ Vlieg-Boerstra, AE Dubois; citation_volume=18; citation_publication_date=2007; citation_pages=475; citation_id=CR18 citation_journal_title=Clin Exp Allergy; citation_title=Dynamic changes in sensitization to specific aeroallergens in children raised in a desert environment; citation_author=DA Stern, IC Lohman, AL Wright, LM Taussig, FD Martinez, M Halonen; citation_volume=34; citation_publication_date=2004; citation_pages=1563-669; citation_id=CR19 citation_journal_title=Int J Epidemiol; citation_title=Prevalence of bronchial hyperresponsiveness in children: The relationship between asthma and skin reactivity to allergens in two communities; citation_author=WJ Britton, AJ Woolcock, JK Peat, CJ Sedgwick, DM Lloyd, SR Leeder; citation_volume=15; citation_publication_date=1986; citation_pages=202; citation_id=CR20 citation_journal_title=J Am Acad Dermatol; citation_title=Breast-feeding and the onset of atopic dermatitis in childhood: a systematic review and meta-analysis of prospective studies; citation_author=M Gdalevich, D Mimouni, M David, M Mimouni; citation_volume=45; citation_publication_date=2001; citation_pages=520; citation_id=CR21 citation_journal_title=Lancet; citation_title=Breastfeeding as prophylaxis against atopic disease: Prospective follow-up study until 17 years old; citation_author=UM Saarinen, M Kajosaari; citation_volume=346; citation_publication_date=1995; citation_pages=1065; citation_id=CR22 citation_journal_title=Lancet; citation_title=Long-term relation between breastfeeding and development of atopy and asthma in children and young adults: A longitudinal study; citation_author=MR Sears, JM Greene, AR Willan, DR Taylor, EM Flannery, JO Cowan; citation_volume=360; citation_publication_date=2002; citation_pages=901; citation_id=CR23 citation_journal_title=Pediatr Pulmonol; citation_title=Early life events in asthma: Diet; citation_author=G Devereux; citation_volume=42; citation_publication_date=2007; citation_pages=663-73; citation_id=CR24 citation_journal_title=Lancet; citation_title=Probiotics in primary prevention of atopic disease: a randomised placebo-controlled trial; citation_author=M. Kalliomaki; citation_volume=357; citation_issue=9262; citation_publication_date=2001; citation_pages=1076; citation_id=CR25 citation_journal_title=J Allergy Clin Immunol; citation_title=Probiotics during the first 7 years of life: A cumulative risk reduction of eczema in a randomized, placebo-controlled trial; citation_author=M Kalliomaki, S Salminen, H Arvilommi, P Kero, P Koskinen, E Isolauri; citation_volume=119; citation_publication_date=2007; citation_pages=1019-21; citation_id=CR26 citation_journal_title=J Allergy Clin Immunol; citation_title=Probiotic supplementation for the first 6 months of life fails to reduce the risk of atopic dermatitis and increases the risk of allergen sensitization in high-risk children: A randomized controlled trial; citation_author=AL Taylor, JA Dunstan, SL Prescott; citation_volume=119; citation_publication_date=2007; citation_pages=184-91; citation_id=CR27 citation_journal_title=J Allergy Clin Immunol; citation_title=Probiotics in prevention of IgE-associated eczema: a double-blind, randomized, placebo-controlled trial; citation_author=TR Abrahamsson, T Jakobsson, MF Böttcher, M Fredrikson, MC Jenmalm, B Björkstén; citation_volume=119; citation_publication_date=2007; citation_pages=1174-80; citation_id=CR28 citation_journal_title=J Allergy Clin Immunol; citation_title=Not all farming environments protect against the development of asthma and wheeze in children; citation_author=MJ Ege, R Frei, C Bieli, D Schram-Bijkerk, M Waser, MR Benz; citation_volume=119; citation_publication_date=2007; citation_pages=1140; citation_id=CR29 Von Mutius E. Asthma and allergies in rural areas of Europe. Proc Am Thorac Soc 2007;4:212-6. citation_journal_title=Eur Respir J; citation_title=Air pollution and development of asthma, allergy and infections in a birth cohort; citation_author=M Brauer, G Hoek, HA Smit, JC Jongste, J Gerritsen, DS Postma; citation_volume=29; citation_publication_date=2007; citation_pages=879-88; citation_id=CR31 citation_journal_title=J Allergy Clin Immunol; citation_title=The role of air pollution in asthma and other pediatric morbidities; citation_author=L Trasande, GD Thurston; citation_volume=115; citation_publication_date=2005; citation_pages=689-99; citation_id=CR32 citation_journal_title=Arch Dis Child; citation_title=A meta-analysis of the effect of high weight on asthma; citation_author=V Flaherman, GW Rutherford; citation_volume=91; citation_publication_date=2006; citation_pages=334; citation_id=CR33 citation_journal_title=Am J Respir Crit Care Med; citation_title=Overweight, obesity, and incident asthma: A meta-analysis of prospective epidemiologic studies; citation_author=DA Beuther, ER Sutherland; citation_volume=175; citation_publication_date=2007; citation_pages=661; citation_id=CR34 citation_journal_title=J Allergy Clin Immunol; citation_title=The epidemiology of obesity and asthma; citation_author=ES Ford; citation_volume=115; citation_publication_date=2005; citation_pages=897-909; citation_id=CR35 citation_journal_title=Allergy; citation_title=The link between the epidemics of obesity and allergic diseases: Does obesity induce decreased immune tolerance?; citation_author=LG Hersoug, A Linneberg; citation_volume=62; citation_publication_date=2007; citation_pages=1205-13; citation_id=CR36 citation_journal_title=J Allergy Clin Immunol; citation_title=Prevention of allergic disease during childhood by allergen avoidance: The Isle of Wight prevention study; citation_author=SH Arshad, B Bateman, A Sadeghnejad, C Gant, SM Matthews; citation_volume=119; citation_publication_date=2007; citation_pages=307-13; citation_id=CR37 citation_journal_title=J Allergy Clin Immunol; citation_title=Is there any role for allergen avoidance in the primary prevention of childhood asthma?; citation_author=OC Schayck, T Maas, J Kaper, AJ Knottnerus, A Sheikh; citation_volume=119; citation_publication_date=2007; citation_pages=1323; citation_id=CR38 citation_journal_title=J Allergy Clin Immunol; citation_title=Allergen exposure in infancy and the development of sensitization, wheeze, and asthma at 4 years; citation_author=JE Brussee, HA Smit, RT Strien, K Corver, M Kerkhof, AH Wijga; citation_volume=115; citation_publication_date=2005; citation_pages=946-52; citation_id=CR39 citation_journal_title=J Allergy Clin Immunol; citation_title=The Melbourne House Dust Mite Study: Long-term efficacy of house dust mite reduction strategies; citation_author=R Sporik, DJ Hill, PJ Thompson, GA Stewart, JB Carlin, TM Nolan; citation_volume=101; citation_publication_date=1998; citation_pages=451; citation_id=CR40 citation_journal_title=Thorax; citation_title=Allergen avoidance in the treatment of asthma and atopic disorders; citation_author=A Custovic, A Simpson, MD Chapman, A Woodcock; citation_volume=53; citation_publication_date=1998; citation_pages=63-72; citation_id=CR41 citation_journal_title=J Allergy Clin Immunol; citation_title=The role of intervention in established allergy: avoidance of indoor allergens in the treatment of chronic allergic disease; citation_author=TA Platts-Mills, JW Vaughan, MC Carter, JA Woodfolk; citation_volume=106; citation_publication_date=2000; citation_pages=787-804; citation_id=CR42 citation_journal_title=Allergy; citation_title=Influence of early and current environmental exposure factors on sensitization and outcome of asthma in pre-school children; citation_author=E Melén, M Wickman, SL Nordvall, M Hage-Hamsten, A Lindfors; citation_volume=56; citation_publication_date=2001; citation_pages=646-52; citation_id=CR43 citation_journal_title=Eur Respir J; citation_title=Allergen reduction measures in houses of allergic asthmatic patients: effects of air-cleaners and allergen-impermeable mattress covers; citation_author=S Heide, HF Kauffman, AE Dubois, JG Monchy; citation_volume=10; citation_publication_date=1997; citation_pages=1217-23; citation_id=CR44 citation_journal_title=Am Rev Respir Dis; citation_title=Airborne cat allergen (Fel d I): Environmental control with the cat in situ; citation_author=F Blay, MD Chapman, TA Platts-Mills; citation_volume=143; citation_publication_date=1991; citation_pages=1334; citation_id=CR45 citation_journal_title=J Allergy Clin Immunol; citation_title=Childhood risk factors for atopy and the importance of early intervention; citation_author=U Wahn, E Mutius; citation_volume=107; citation_publication_date=2001; citation_pages=567-74; citation_id=CR46 citation_journal_title=Ann Allergy Asthma Immunol; citation_title=Home environmental intervention in inner-city asthma: a randomized controlled clinical trial; citation_author=PA Eggleston, A Butz, C Rand, J Curtin-Brosnan, S Kanchanaraksa, L Swartz; citation_volume=95; citation_publication_date=2005; citation_pages=518-24; citation_id=CR47 citation_journal_title=J Natl Med Assoc; citation_title=Does a multifaceted environmental intervention alter the impact of asthma on inner-city children?; citation_author=SG Williams, CM Brown, KH Falter, CJ Alverson, C Gotway-Crawford, D Homa; citation_volume=98; citation_publication_date=2006; citation_pages=249-60; citation_id=CR48 citation_journal_title=J Allergy Clin Immunol; citation_title=Cockroach allergen reduction by cockroach control alone in low-income urban homes: A randomized control trial; citation_author=ML Sever, SJ Arbes, JC Gore, RG Santangelo, B Vaughn, H Mitchell; citation_volume=120; citation_publication_date=2007; citation_pages=849-55; citation_id=CR49 Abramson MJ, Puy RM, Weiner JM. Allergen immunotherapy for asthma. Cochrane Database Syst Rev 2003(4):CD001186. citation_journal_title=J Allergy Clin Immunol; citation_title=Immunotherapy in children with allergic asthma: effect on bronchial hyperreactivity and pharmacotherapy; citation_author=G Hedlin, S Wille, L Browaldh, H Hildebrand, D Holmgren, A Lindfors; citation_volume=103; citation_publication_date=1999; citation_pages=609-14; citation_id=CR51 citation_journal_title=N Engl J Med; citation_title=Long-term clinical efficacy of grass-pollen immunotherapy; citation_author=SR Durham, SM Walker, EM Varga, MR Jacobson, F O’Brien, W Noble; citation_volume=341; citation_publication_date=1999; citation_pages=468-75; citation_id=CR52 citation_journal_title=J Allergy Clin Immunol; citation_title=Sublingual immunotherapy: A comprehensive review; citation_author=LS Cox, DL Linnemann, H Nolte, D Weldon, I Finegold, HS Nelson; citation_volume=117; citation_publication_date=2006; citation_pages=1021-35; citation_id=CR53 citation_journal_title=J Allergy Clin Immunol; citation_title=Pollen immunotherapy reduces the development of asthma in children with seasonal rhinoconjunctivitis (the PAT-study); citation_author=C Möller, S Dreborg, HA Ferdousi, S Halken, A Høst, L Jacobsen; citation_volume=109; citation_publication_date=2002; citation_pages=251; citation_id=CR54