PMID- 19236318 OWN - NLM STAT- MEDLINE DCOM- 20100106 LR - 20090921 IS - 1398-9995 (Electronic) IS - 0105-4538 (Linking) VI - 64 IP - 9 DP - 2009 Sep TI - Neuropsychologic status at the age 4 years and atopy in a population-based birth cohort. PG - 1279-85 LID - 10.1111/j.1398-9995.2009.01987.x [doi] AB - BACKGROUND: Mental health has been reported to be associated with allergy, but only a few cohort studies have assessed if neurodevelopment predicts atopy. OBJECTIVE: To investigate if neurobehavioral status of healthy 4-year-old children was associated with specific immunoglobulin E (IgE) at the same age and skin prick test results 2 years later. METHODS: A population-based birth cohort enrolled 482 children, 422 of them (87%) provided neurobehavioral data, 341 (71%) had specific IgE measured at the age of 4 years; and 395 (82%) had skin prick tests completed at the age of 6 years. Atopy was defined as IgE levels higher than 0.35 kU/l to any of the three tested allergens at the age of 4 or as a positive skin prick test to any of the six tested allergens at the age of 6. McCarthy Scales of Child Abilities and California Preschool Social Competence Scale were the psychometric instruments used. RESULTS: Twelve percent of children at the age of 4 and 17% at the age of 6 were atopic. Neurobehavioral scores were negatively associated with 6-year-old atopy after adjustment for socio-demographic and allergic factors, A relative risk of 3.06 (95% CI: 1.30-7.24) was associated with the lowest tertile (scorings < or =90 points) of the general cognitive scale. Similar results were found for verbal abilities, executive functions, and social competence. Asthma, wheezing, rhinitis, and eczema at the age of 6, but not at the age of 4, were associated with neurodevelopment at the age of 4. CONCLUSIONS: Neuropsychologic functioning and later atopy are negatively associated in preschool age children. FAU - Julvez, J AU - Julvez J AD - Centre for Research in Environmental Epidemiology, Barcelona, Spain. FAU - Torrent, M AU - Torrent M FAU - Guxens, M AU - Guxens M FAU - Anto, J M AU - Anto JM FAU - Guerra, S AU - Guerra S FAU - Sunyer, J AU - Sunyer J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090216 PL - Denmark TA - Allergy JT - Allergy JID - 7804028 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - *Behavior MH - Child MH - *Child Development MH - Child, Preschool MH - *Cognition MH - Cohort Studies MH - Humans MH - Hypersensitivity/*epidemiology/immunology/*psychology MH - Immunoglobulin E/blood/*immunology MH - Neuropsychological Tests MH - Skin Tests EDAT- 2009/02/25 09:00 MHDA- 2010/01/07 06:00 CRDT- 2009/02/25 09:00 PHST- 2009/02/25 09:00 [entrez] PHST- 2009/02/25 09:00 [pubmed] PHST- 2010/01/07 06:00 [medline] AID - ALL1987 [pii] AID - 10.1111/j.1398-9995.2009.01987.x [doi] PST - ppublish SO - Allergy. 2009 Sep;64(9):1279-85. doi: 10.1111/j.1398-9995.2009.01987.x. Epub 2009 Feb 16.