PMID- 25220375 OWN - NLM STAT- MEDLINE DCOM- 20150626 LR - 20220409 IS - 1365-2222 (Electronic) IS - 0954-7894 (Linking) VI - 44 IP - 11 DP - 2014 Nov TI - Atopy and cause-specific mortality. PG - 1361-70 LID - 10.1111/cea.12408 [doi] AB - BACKGROUND: Atopy is the familial or personal propensity to develop immunoglobulin E (IgE) antibodies against common environmental allergens and is associated with high risk of allergic disease. It has been proposed that atopy may have effects on risk of cardiovascular disease and cancer. OBJECTIVES: We investigated the association of atopy with all-cause and cause-specific mortality. METHODS: We included a total of 14 849 individuals from five Danish population-based cohorts with measurements of atopy defined as serum-specific IgE positivity against inhalant allergens. Participants were followed by linkage to the Danish Registry of Causes of Death to obtain information on mortality status and cause of death (median follow-up time 11.3 years). The relative mortality risk was estimated by Cox regression and expressed as hazard ratios, HRs (95% confidence intervals, CIs). RESULTS: A total of 1776 person died during follow-up. The mortality risk for atopics vs. non-atopics was: for all-cause mortality (HR = 1.03, 95% CI: 0.90, 1.17); neoplasms (HR = 0.86, 95% CI: 0.69, 1.06); endocrine, nutritional and metabolic disorders (HR = 1.48, 95% CI: 0.71, 3.08); mental and behavioural disorders (HR = 2.26, 95% CI: 1.18, 4.30); diseases of the nervous system (HR = 1.36, 95% CI: 0.65, 2.87); diseases of the circulatory system (HR = 1.00, 95% CI: 0.78, 1.29); diseases of the respiratory system (HR = 0.94, 95% CI: 0.55, 1.60); and diseases of the digestive system (HR = 1.75, 95% CI: 1.03, 2.98). CONCLUSIONS & CLINICAL RELEVANCE: We found no statistically significant association between atopy and all-cause mortality. However, atopy was associated with a significantly higher risk of dying from mental and behavioural disorders and gastrointestinal diseases, particularly liver diseases, and a lower risk of dying from breast cancer, but these associations were not statistically significant when applying the Bonferroni adjusted significance level. Further studies are needed to confirm our findings. CI - (c) 2014 John Wiley & Sons Ltd. FAU - Skaaby, T AU - Skaaby T AD - Research Centre for Prevention and Health, Glostrup University Hospital, Glostrup, Denmark. FAU - Husemoen, L L N AU - Husemoen LL FAU - Thuesen, B H AU - Thuesen BH FAU - Hammer-Helmich, L AU - Hammer-Helmich L FAU - Linneberg, A AU - Linneberg A LA - eng PT - Journal Article PL - England TA - Clin Exp Allergy JT - Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology JID - 8906443 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Case-Control Studies MH - Cause of Death MH - Cohort Studies MH - Comorbidity MH - Denmark/epidemiology MH - Female MH - Follow-Up Studies MH - Humans MH - Hypersensitivity, Immediate/*epidemiology/immunology/mortality MH - Immunoglobulin E/blood/immunology MH - Male MH - Middle Aged MH - Population Surveillance MH - Registries MH - Risk Factors MH - Young Adult OTO - NOTNLM OT - atopy OT - breast cancer OT - cause-specific mortality OT - gastrointestinal disease OT - liver disease OT - mental and behavioural disorders OT - serum-specific IgE EDAT- 2014/09/16 06:00 MHDA- 2015/06/27 06:00 CRDT- 2014/09/16 06:00 PHST- 2014/09/16 06:00 [entrez] PHST- 2014/09/16 06:00 [pubmed] PHST- 2015/06/27 06:00 [medline] AID - 10.1111/cea.12408 [doi] PST - ppublish SO - Clin Exp Allergy. 2014 Nov;44(11):1361-70. doi: 10.1111/cea.12408.