PMID- 25257099 OWN - NLM STAT- MEDLINE DCOM- 20150903 LR - 20221207 IS - 1523-5378 (Electronic) IS - 1083-4389 (Linking) VI - 20 IP - 1 DP - 2015 Feb TI - Correlation between Helicobacter pylori infection, IgE hypersensitivity, and allergic disease in Korean adults. PG - 49-55 LID - 10.1111/hel.12173 [doi] AB - BACKGROUND: The correlation between allergic disease and Helicobacter pylori infection is still controversial in endemic areas. The aim of this study was to determine whether H. pylori infection is related to allergic disease and/or immunoglobulin E (IgE) hypersensitivity in Korean adults. MATERIALS AND METHODS: Consecutive Korean adults who visited our center for a routine checkup were enrolled. All subjects completed a questionnaire that was designed to ascertain their medical history pertaining to physician-diagnosed allergic disease, allergy treatments, and H. pylori eradication therapy. Blood was sampled for serum anti-H. pylori IgG antibody. IgE hypersensitivity was measured using a commercially available ImmunoCAP((R)) Phadiatop (Phadia AB, Uppsala, Sweden). RESULTS: Of the 3376 Korean adults who were enrolled, 62 did not answer to the questionnaires adequately and were thus excluded. The proportion of noninfected subjects (p < .001) and the prevalence of IgE-related allergic disease (p < .001) were both highest among those aged <40 years, while the prevalence of non-IgE-related allergic disease was highest among those aged >/=70 years (p < .001). Logistic regression analysis revealed that being younger than 40 years was significantly related to the absence of H. pylori infection (OR = 2.507, 95% CI = 1.621-3.878, p < .001). CONCLUSIONS: The statuses of H. pylori infection, IgE hypersensitivity, and allergic diseases differ with age group, there being a higher prevalence of IgE-related allergic disease and a lower H. pylori infection rate among young adults. The hygiene hypothesis might explain these findings in young Koreans, due to the rapid development and improvements in sanitation in Korea. CI - (c) 2014 John Wiley & Sons Ltd. FAU - Lee, Sang Pyo AU - Lee SP AD - Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea. FAU - Lee, Sun-Young AU - Lee SY FAU - Kim, Jeong Hwan AU - Kim JH FAU - Sung, In-Kyung AU - Sung IK FAU - Park, Hyung Seok AU - Park HS FAU - Shim, Chan Sup AU - Shim CS FAU - Moon, Hee-Won AU - Moon HW LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140925 PL - England TA - Helicobacter JT - Helicobacter JID - 9605411 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adult MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Asian People MH - Cross-Sectional Studies MH - Female MH - Helicobacter Infections/*complications MH - Humans MH - Hypersensitivity/*epidemiology MH - Immunoglobulin E/*blood MH - Korea/epidemiology MH - Male MH - Middle Aged MH - Surveys and Questionnaires MH - Young Adult OTO - NOTNLM OT - Helicobacter pylori OT - IgE hypersensitivity OT - Phadiatop OT - allergy OT - eradication EDAT- 2014/09/27 06:00 MHDA- 2015/09/04 06:00 CRDT- 2014/09/27 06:00 PHST- 2014/09/27 06:00 [entrez] PHST- 2014/09/27 06:00 [pubmed] PHST- 2015/09/04 06:00 [medline] AID - 10.1111/hel.12173 [doi] PST - ppublish SO - Helicobacter. 2015 Feb;20(1):49-55. doi: 10.1111/hel.12173. Epub 2014 Sep 25.