PMID- 33543544 OWN - NLM STAT- MEDLINE DCOM- 20210903 LR - 20210904 IS - 1442-200X (Electronic) IS - 1328-8067 (Linking) VI - 63 IP - 9 DP - 2021 Sep TI - Association between preterm birth and maternal allergy considering IgE level. PG - 1026-1032 LID - 10.1111/ped.14635 [doi] AB - BACKGROUND: The aim of this study was to explore the association between maternal allergies and preterm birth by different total immunoglobulin E (IgE) levels. METHODS: Data of 81 791 pregnant women from the Japan Environment and Children's Study, a prospective birth cohort, were used. Maternal allergic diseases, including a history of bronchial asthma (BA), atopic dermatitis (AD), and allergic rhinitis (AR), were obtained by self-administered questionnaires. Total serum IgE levels were measured at the first trimester and obstetrical outcomes from medical records transcripts were analyzed. The association between maternal allergic disease and obstetric outcome, including threatened abortion, preterm labor, early preterm birth (22-33 weeks), and late preterm birth (34-36 weeks), were examined by logistic regression. Subgroup analyses were performed by IgE level. RESULTS: Maternal BA and AR were associated with an increased risk of threatened abortion and preterm labor, but high total IgE level was associated with a decreased risk of preterm labor. There was little difference in associations between allergic disease and threatened abortion and preterm labor by total IgE levels. Although there was no significant association between allergic disease and preterm birth, if total IgE was high, AR was significantly associated with a decreased risk of early preterm birth (adjusted odds ratio, 0.60; 95% confidence interval 0.43-0.86). There was significant evidence for differences associated with total IgE levels (P-values for the interaction of the effects of AD and AR on early preterm birth were 0.039 and 0.015, respectively). CONCLUSIONS: The effect of allergy on preterm birth might differ depending on the total IgE level. CI - (c) 2021 Japan Pediatric Society. FAU - Kojima, Reiji AU - Kojima R AUID- ORCID: 0000-0002-9712-889X AD - Department of Health Sciences, School of Medicine, University of Yamanashi, Yamanashi, Japan. FAU - Yokomichi, Hiroshi AU - Yokomichi H AUID- ORCID: 0000-0001-7369-155X AD - Department of Health Sciences, School of Medicine, University of Yamanashi, Yamanashi, Japan. FAU - Akiyama, Yuka AU - Akiyama Y AD - Department of Health Sciences, School of Medicine, University of Yamanashi, Yamanashi, Japan. FAU - Ooka, Tadao AU - Ooka T AD - Department of Health Sciences, School of Medicine, University of Yamanashi, Yamanashi, Japan. FAU - Miyake, Kunio AU - Miyake K AD - Department of Health Sciences, School of Medicine, University of Yamanashi, Yamanashi, Japan. FAU - Horiuchi, Sayaka AU - Horiuchi S AD - Center for Birth Cohort Studies, University of Yamanashi, Yamanashi, Japan. FAU - Shinohara, Ryoji AU - Shinohara R AD - Center for Birth Cohort Studies, University of Yamanashi, Yamanashi, Japan. FAU - Yamagata, Zentaro AU - Yamagata Z AD - Department of Health Sciences, School of Medicine, University of Yamanashi, Yamanashi, Japan. AD - Center for Birth Cohort Studies, University of Yamanashi, Yamanashi, Japan. CN - Japan Environment and Children's Study Group LA - eng GR - Ministry of the Environment, Japan./ GR - Ministry of the Environment, Japan/ PT - Journal Article DEP - 20210714 PL - Australia TA - Pediatr Int JT - Pediatrics international : official journal of the Japan Pediatric Society JID - 100886002 RN - 37341-29-0 (Immunoglobulin E) SB - IM DRIN- Pediatr Int. 2021 Sep;63(9):1005. PMID: 34472647 MH - Child MH - *Dermatitis, Atopic/epidemiology MH - Female MH - Humans MH - Immunoglobulin E MH - Infant, Newborn MH - Pregnancy MH - *Premature Birth/epidemiology MH - Prospective Studies MH - *Rhinitis, Allergic OTO - NOTNLM OT - allergic diseases OT - immunoglobulin E OT - preterm birth OT - preterm labor OT - threatened abortion FIR - Kamijima, Michihiro IR - Kamijima M FIR - Yamazaki, Shin IR - Yamazaki S FIR - Ohya, Yukihiro IR - Ohya Y FIR - Kishi, Reiko IR - Kishi R FIR - Yaegashi, Nobuo IR - Yaegashi N FIR - Hashimoto, Koichi IR - Hashimoto K FIR - Mori, Chisato IR - Mori C FIR - Ito, Shuichi IR - Ito S FIR - Yamagata, Zentaro IR - Yamagata Z FIR - Inadera, Hidekuni IR - Inadera H FIR - Nakayama, Takeo IR - Nakayama T FIR - Iso, Hiroyasu IR - Iso H FIR - Shima, Masayuki IR - Shima M FIR - Kurozawa, Youichi IR - Kurozawa Y FIR - Suganuma, Narufumi IR - Suganuma N FIR - Kusuhara, Koichi IR - Kusuhara K FIR - Katoh, Takahiko IR - Katoh T EDAT- 2021/02/06 06:00 MHDA- 2021/09/04 06:00 CRDT- 2021/02/05 06:07 PHST- 2020/12/29 00:00 [revised] PHST- 2020/07/27 00:00 [received] PHST- 2021/02/01 00:00 [accepted] PHST- 2021/02/06 06:00 [pubmed] PHST- 2021/09/04 06:00 [medline] PHST- 2021/02/05 06:07 [entrez] AID - 10.1111/ped.14635 [doi] PST - ppublish SO - Pediatr Int. 2021 Sep;63(9):1026-1032. doi: 10.1111/ped.14635. Epub 2021 Jul 14.