Scientists have found significant
differences in a blood marker for allergies between parents
and their children, indicating that kids today may be more
subsceptible to allergies than previous generations were.
This appears to be the first
quantitative, objective evidence that allergies and asthma
are on the rise in the world today.
The findings were presented
Monday at the annual meeting of the American Academy of
Allergy, Asthma and Immunology (AAAAI) in San Antonio.
Although there have been
numerous reports that allergies and allergic disease such
as asthma are on the rise, most of the evidence so far has
been anecdotal, said Brock Williams, the author of the study
and a clinical professor of allergy immunology at Children's
Mercy Hospital in Olathe, Kan.
To see if there might be
any objective evidence for these claims, Williams and his
colleagues tested IgE levels in 1,481 people -- 667 parents
and 804 children. At least one parent in each family had
to have asthma.
"IgE is the factor in the
blood that is responsible for producing symptoms of allergies,"
Williams explained. "An increase in allergy and asthma should
be reflected in IgE levels."
As it turned out, children
had IgE levels at a minimum of four or five times higher
than their parents. The children also had higher IgE levels
for specific allergens: 45.3 percent of parents and 60.1
percent of their children had IgE readings for dust mites.
Levels were also elevated, although not as sharply, for
cat and mold.
"It looks like the increase
in asthma and in allergic disease could actually be due
to increased sensitization to mites," Williams said. Dust
mites are fairly ubiquitous, except in high, dry locations
such as Denver, where last year's AAAAI meeting was held.
"There are more dust mites
in San Antonio than Denver," said Dr. Kathleen Sheerin,
public education chair of the AAAAI and moderator of the
news conference. "We're suffering this year."
There are several hypotheses
explaining the increase but no sure answer.
It's "fairly plausible that
we've made it happier for mites to live in our indoor environments,"
Williams said. "We spend more time indoors. Kids spend more
time indoors. We have regulated temperature. We feed them
pretty well because they eat skin scales from humans."
Children are also treated
today for infectious illnesses, which might mean they don't
build up their immune systems enough, although Williams
was quick to emphasize he did not advocate not treating
kids for infections.
In other presentations Monday,
two studies looked at the link between obesity and allergies
in children. Both conditions are on the rise in children,
as well as adults.
Dr. Kentaro Matsuda, assistant
professor of pediatrics at Kurume University School of Medicine
in Fukuoka, Japan, found that obese children had significantly
higher IgE levels than normal-weight children. His study
involved 49 obese children and 49 children who served as
controls. The elevated IgE levels did not seem to be related
to allergic disorders, but there was as correlation between
IgE levels and leptin levels. Leptin is a hormone that regulates
appetite, which may start to explain a link between obesity,
allergies and future development of asthma.
Obesity has been associated
with respiratory problems in older people. A second study
wanted to see if there were differences in asthma severity
and air flow between obese asthmatic children and their
normal weight asthmatic counterparts.
The researchers looked at
the charts of 278 children aged 5 to 20 years. Forty percent
of the children were normal weight, 41 percent were obese,
17 percent were overweight and 2 percent were underweight.
Obese children did not have
more severe asthma, said Dr. Sitesh Roy, assistant professor
of pediatrics at the University of Mississippi in Jackson.
Nor did they have a reduced level of asthma control. There
was, however, a slight reduction in the FEV1/FVC ratio,
a measure of airflow obstruction.
"The difference was small
and still in the mild-to-minimal obstructive range, but
this still could be a very valid finding," Roy said. "This
may indicate some degree of increased airway inflammation,
but it also could be a more mechanical factor."