PMID- 19127070 OWN - NLM STAT- MEDLINE DCOM- 20090609 LR - 20090514 IS - 1423-0097 (Electronic) IS - 1018-2438 (Linking) VI - 149 IP - 2 DP - 2009 TI - Association between obesity and atopy in Chinese schoolchildren. PG - 133-40 LID - 10.1159/000189196 [doi] AB - BACKGROUND: Despite parallel increases in asthma and obesity prevalence, there is little data on obesity as a risk factor for atopy. The latter is an important phenotype in asthmatic patients. This study investigates the association between asthma traits, atopy and obesity-related markers in Chinese adolescents. METHODS: 486 schoolchildren were recruited among participants of our population-based study on the epidemiology of obesity, and their allergy status was ascertained using a standardized questionnaire. Subjects' anthropometry was recorded on-site, and fasting blood was collected for allergen-specific immunoglobulin E (IgE), lipids and systemic inflammatory biomarkers. RESULTS: 98 (20.2%) subjects were classified as overweight or obese. Obesity status was not associated with asthma, allergic rhinitis or eczema (p > 0.25). Atopy was not associated with age-adjusted body mass index (BMI) or waist circumference. Atopy and presence of allergen-specific IgE did not differ between overweight or obese children and those with normal BMI (p > 0.25), although subgroup analysis suggested that cockroach sensitization was more common among males who were obese or overweight (p = 0.045). White cell count (WCC) was higher among atopic than nonatopic children (mean values 6.5 x 10(9)/l vs. 6.2 x 10(9)/l, p = 0.006). Logistic regression revealed WCC to be the only risk factor for atopy (OR 18.97, p = 0.004). CONCLUSIONS: Obesity is not associated with asthma or atopy in Chinese children. High WCC is an important risk factor for atopy in both males and females. Gender does not exert any consistent effect on the association between obesity and allergen sensitization in children. CI - Copyright 2009 S. Karger AG, Basel. FAU - Leung, Ting Fan AU - Leung TF AD - Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital, Room 84043, 6/F, Clinical Sciences Building, Shatin, N.T., Hong Kong SAR, China. tfleung@cuhk.edu.hk FAU - Kong, Alice P S AU - Kong AP FAU - Chan, Iris H S AU - Chan IH FAU - Choi, Kai Chow AU - Choi KC FAU - Ho, Chung Shun AU - Ho CS FAU - Chan, Michael H M AU - Chan MH FAU - So, Wing Yee AU - So WY FAU - Lam, Christopher W K AU - Lam CW FAU - Wong, Gary W K AU - Wong GW FAU - Chan, Juliana C N AU - Chan JC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090106 PL - Switzerland TA - Int Arch Allergy Immunol JT - International archives of allergy and immunology JID - 9211652 RN - 0 (Allergens) RN - 0 (Lipids) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Allergens/immunology MH - Body Mass Index MH - China/epidemiology MH - Female MH - Humans MH - Hypersensitivity/*epidemiology/*etiology/immunology MH - Immunoglobulin E/blood MH - Leukocyte Count MH - Lipids/blood MH - Logistic Models MH - Male MH - Obesity/*complications MH - Risk Factors MH - Waist Circumference EDAT- 2009/01/08 09:00 MHDA- 2009/06/10 09:00 CRDT- 2009/01/08 09:00 PHST- 2008/04/28 00:00 [received] PHST- 2008/08/27 00:00 [accepted] PHST- 2009/01/08 09:00 [entrez] PHST- 2009/01/08 09:00 [pubmed] PHST- 2009/06/10 09:00 [medline] AID - 000189196 [pii] AID - 10.1159/000189196 [doi] PST - ppublish SO - Int Arch Allergy Immunol. 2009;149(2):133-40. doi: 10.1159/000189196. Epub 2009 Jan 6.