Hygiene Hypothesis Indicators and Prevalence of Antinuclear Antibodies in US Adolescents
| Autor: | Helen C. S. Meier, Dale P. Sandler, Jesse Wilkerson, Frederick W. Miller, Gregg E. Dinse, Christine G. Parks |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Adolescent Immunology Autoimmunity Herpesvirus 1 Human Helicobacter Infections Young Adult Prevalence Immunology and Allergy Humans adolescents antinuclear antibodies (ANA) Child Helicobacter pylori Herpes Simplex Hygiene RC581-607 allergy Asthma United States Cross-Sectional Studies Hygiene Hypothesis Antibodies Antinuclear Female Self Report Immunologic diseases. Allergy Toxoplasma Toxoplasmosis |
| Zdroj: | Frontiers in Immunology, Vol 13 (2022) |
| ISSN: | 1664-3224 1988-1991 |
| Popis: | Autoimmunity prevalence, as measured by antinuclear antibodies (ANA), is increasing in U.S. adolescents. Improved hygiene and cleaner environments in childhood may reduce exposure to infections and other immune challenges, resulting in improper immune responses to later-life exposures. We examined associations of hygiene hypothesis indicators, including asthma, allergies, and antibodies to infectious agents, with ANA prevalence, measured by HEp-2 immunofluorescence, in adolescents (aged 12-19 years) over a 25-year time span in the National Health and Nutrition Examination Survey (NHANES) (N=2,709), adjusting for age, sex, race/ethnicity, body mass index, education and survey cycle, overall and within individual time periods, using logistic regression. Prevalence of ANA in adolescents increased from 5.0% in 1988-1991 to 12.8% in 2011-2012. ANA were positively associated with diagnosis of asthma in early childhood (OR: 2.07, CI: 1.09–3.99) and the effect estimate for current hay fever was elevated but not statistically significant (OR: 1.55, CI: 0.85–2.84). Fewer than 2% of those with ANA in 1988-1991 had been diagnosed with asthma, compared with 18% in 1999-2000, and 27% in 2003-2004 and 2011-2012. ANA trended negatively with Helicobacter pylori antibodies (OR: 0.49, CI: 0.24–0.99). ANA may be useful as an additional indicator of inadequate immune education in adolescence, a critical period of growth and development. |
| Databáze: | OpenAIRE |
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