PMID- 25344653 OWN - NLM STAT- MEDLINE DCOM- 20150729 LR - 20240509 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 14 DP - 2014 Oct 26 TI - Effect modification by gender and smoking status on the association between obesity and atopic sensitization in Chinese adults: a hospital-based case-control study. PG - 1105 LID - 10.1186/1471-2458-14-1105 [doi] LID - 1105 AB - BACKGROUND: There is an ongoing debate on the potential association between obesity and atopy. However, no previous studies have investigated whether this relationship depends on sex and smoking status in Chinese adults. METHODS: In this hospital-based, case-control study, we recruited 1150 atopic cases aged 18 years or older and 1245 healthy control participants during April 2009 and December 2012 in Harbin, China. We conducted structured questionnaire interviews, anthropometry measurements and serum allergen-specific immunoglobulin E (IgE) testing. Univariate and multivariate logistic regression models were used to explore the relationship between obesity and atopy risk stratified by sex and smoking status. RESULTS: There was an association between obesity and an increased risk of atopic sensitization after adjusting for age, educational, family history, smoking and alcohol consumption (OR: 2.61, 3.25; 95% CI: 1.57-4.33,1.91-5.56 in males and females, respectively). The association between BMI and allergic sensitization depended on smoking status. In both genders, the association of obesity with atopic sensitization risk was stronger in non-smokers than in current smokers. In males, ORs of atopic sensitization for obesity were 3.15 (95% CI, 1.46-6.68) for non-smokers and 2.22 (95% CI, 1.10-4.48) for current smokers. The corresponding ORs in females were 3.51 (95% CI, 1.98-6.24) and 2.22 (95% CI, 0.46-10.68) for non-smokers and current smokers, respectively. After excluding those subjects who with pre-existing allergic conditions, the same relationship still remained. CONCLUSIONS: Obesity is positively and significantly associated with the risk of atopy in both men and women as well in both smokers and non-smokers in China. In addition, the relationship between obesity and atopic sensitization is stronger in non-smokers than in current smokers. FAU - Luo, Xiao AU - Luo X FAU - Wang, Yupeng AU - Wang Y FAU - Wang, Zhiqiang AU - Wang Z FAU - Zhou, Xiao-Hua AU - Zhou XH FAU - Zhao, Jing AU - Zhao J FAU - Suo, Jianing AU - Suo J FAU - Dong, Xiaohui AU - Dong X FAU - Liu, Meina AU - Liu M AD - Public Health College, Harbin Medical University, 157 Baojian Road, Harbin City, Heilongjiang Province Postcode 150081, P,R, China. liumeina369@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141026 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Alcohol Drinking MH - Asian People MH - Body Mass Index MH - Case-Control Studies MH - China/epidemiology MH - Dermatitis, Atopic/complications/*epidemiology MH - Female MH - Hospitals MH - Humans MH - Logistic Models MH - Male MH - Middle Aged MH - Obesity/complications/*epidemiology MH - Risk Factors MH - Sex Factors MH - *Smoking MH - Surveys and Questionnaires PMC - PMC4228147 EDAT- 2014/10/27 06:00 MHDA- 2015/07/30 06:00 PMCR- 2014/10/26 CRDT- 2014/10/27 06:00 PHST- 2013/11/13 00:00 [received] PHST- 2014/10/21 00:00 [accepted] PHST- 2014/10/27 06:00 [entrez] PHST- 2014/10/27 06:00 [pubmed] PHST- 2015/07/30 06:00 [medline] PHST- 2014/10/26 00:00 [pmc-release] AID - 1471-2458-14-1105 [pii] AID - 7211 [pii] AID - 10.1186/1471-2458-14-1105 [doi] PST - epublish SO - BMC Public Health. 2014 Oct 26;14:1105. doi: 10.1186/1471-2458-14-1105.