Preconceptional exposure to oral contraceptive pills and the risk of wheeze, asthma and rhinitis in children

Background: The prevalence of maternal oral contraceptive pills (OCP) use and that of childhood asthma are high in western countries. The aim of this study is to examine the association of OCP use with childhood wheeze and allergic diseases in Japan. Methods: Relevant data were extracted from a hosp...

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Main Authors: Kiwako Yamamoto-Hanada, Masaki Futamura, Limin Yang, Tetsuo Shoda, Masami Narita, Fumio Kobayashi, Hirohisa Saito, Yukihiro Ohya
Format: Article
Language:English
Published: Elsevier 2016-07-01
Series:Allergology International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1323893016300065
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author Kiwako Yamamoto-Hanada
Masaki Futamura
Limin Yang
Tetsuo Shoda
Masami Narita
Fumio Kobayashi
Hirohisa Saito
Yukihiro Ohya
author_facet Kiwako Yamamoto-Hanada
Masaki Futamura
Limin Yang
Tetsuo Shoda
Masami Narita
Fumio Kobayashi
Hirohisa Saito
Yukihiro Ohya
author_sort Kiwako Yamamoto-Hanada
collection DOAJ
description Background: The prevalence of maternal oral contraceptive pills (OCP) use and that of childhood asthma are high in western countries. The aim of this study is to examine the association of OCP use with childhood wheeze and allergic diseases in Japan. Methods: Relevant data were extracted from a hospital based birth cohort study named as Tokyo-Children's Health, Illness and Development Study (T-CHILD) of which questionnaire conducted during pregnancy included maternal history and duration of OCP use. To identify wheeze and allergic diseases in the children, the questionnaire of the International Study of Asthma and Allergies in Childhood (ISAAC) was used. Logistic regression models were applied to estimate those association and adjustments were made for maternal history of allergy, maternal education level, maternal age at pregnancy, maternal BMI, maternal smoking during pregnancy, mode of delivery, gestational age at delivery, daycare attendance, number of previous live births, and gender of child. Results: OCP use was associated with ever wheeze (adjusted odds ratio [aOR], 1.62; 95% confidence interval [CI], 1.10–2.40), current wheeze (aOR, 1.59; 95% CI, 1.01–2.50), ever asthma (aOR, 1.65; 95% CI, 1.02–2.65), and ever rhinitis (aOR, 1.90; 95% CI, 1.30–2.80). Compared with no prior OCP use, using OCP for more than three months statistically increased the odds of ever wheeze (P = 0.012), current wheeze (P = 0.035), and ever rhinitis (P = 0.002). Conclusions: Our findings suggest that maternal OCP use has a role in the development of wheeze, asthma and rhinitis in children. Extended use of OCP is likely to increase the risk of wheeze and rhinitis.
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spelling doaj.art-dfed6dfe760a4c749380db7d3ff25d1d2022-12-21T21:58:21ZengElsevierAllergology International1323-89302016-07-0165332733110.1016/j.alit.2016.02.012Preconceptional exposure to oral contraceptive pills and the risk of wheeze, asthma and rhinitis in childrenKiwako Yamamoto-Hanada0Masaki Futamura1Limin Yang2Tetsuo Shoda3Masami Narita4Fumio Kobayashi5Hirohisa Saito6Yukihiro Ohya7Division of Allergy, Department of Medical Subspecialties, National Center for Child Health and Development, Tokyo, JapanDivision of Allergy, Department of Medical Subspecialties, National Center for Child Health and Development, Tokyo, JapanDivision of Allergy, Department of Medical Subspecialties, National Center for Child Health and Development, Tokyo, JapanDivision of Allergy, Department of Medical Subspecialties, National Center for Child Health and Development, Tokyo, JapanDivision of Allergy, Department of Medical Subspecialties, National Center for Child Health and Development, Tokyo, JapanDepartment of Health and Psychosocial Medicine, Aichi Medical University School of Medicine, Aichi, JapanDepartment of Allergy and Immunology, National Research Institute for Child Health and Development, Tokyo, JapanDivision of Allergy, Department of Medical Subspecialties, National Center for Child Health and Development, Tokyo, JapanBackground: The prevalence of maternal oral contraceptive pills (OCP) use and that of childhood asthma are high in western countries. The aim of this study is to examine the association of OCP use with childhood wheeze and allergic diseases in Japan. Methods: Relevant data were extracted from a hospital based birth cohort study named as Tokyo-Children's Health, Illness and Development Study (T-CHILD) of which questionnaire conducted during pregnancy included maternal history and duration of OCP use. To identify wheeze and allergic diseases in the children, the questionnaire of the International Study of Asthma and Allergies in Childhood (ISAAC) was used. Logistic regression models were applied to estimate those association and adjustments were made for maternal history of allergy, maternal education level, maternal age at pregnancy, maternal BMI, maternal smoking during pregnancy, mode of delivery, gestational age at delivery, daycare attendance, number of previous live births, and gender of child. Results: OCP use was associated with ever wheeze (adjusted odds ratio [aOR], 1.62; 95% confidence interval [CI], 1.10–2.40), current wheeze (aOR, 1.59; 95% CI, 1.01–2.50), ever asthma (aOR, 1.65; 95% CI, 1.02–2.65), and ever rhinitis (aOR, 1.90; 95% CI, 1.30–2.80). Compared with no prior OCP use, using OCP for more than three months statistically increased the odds of ever wheeze (P = 0.012), current wheeze (P = 0.035), and ever rhinitis (P = 0.002). Conclusions: Our findings suggest that maternal OCP use has a role in the development of wheeze, asthma and rhinitis in children. Extended use of OCP is likely to increase the risk of wheeze and rhinitis.http://www.sciencedirect.com/science/article/pii/S1323893016300065AsthmaBirth cohortOral contraceptivesRhinitisWheeze
spellingShingle Kiwako Yamamoto-Hanada
Masaki Futamura
Limin Yang
Tetsuo Shoda
Masami Narita
Fumio Kobayashi
Hirohisa Saito
Yukihiro Ohya
Preconceptional exposure to oral contraceptive pills and the risk of wheeze, asthma and rhinitis in children
Allergology International
Asthma
Birth cohort
Oral contraceptives
Rhinitis
Wheeze
title Preconceptional exposure to oral contraceptive pills and the risk of wheeze, asthma and rhinitis in children
title_full Preconceptional exposure to oral contraceptive pills and the risk of wheeze, asthma and rhinitis in children
title_fullStr Preconceptional exposure to oral contraceptive pills and the risk of wheeze, asthma and rhinitis in children
title_full_unstemmed Preconceptional exposure to oral contraceptive pills and the risk of wheeze, asthma and rhinitis in children
title_short Preconceptional exposure to oral contraceptive pills and the risk of wheeze, asthma and rhinitis in children
title_sort preconceptional exposure to oral contraceptive pills and the risk of wheeze asthma and rhinitis in children
topic Asthma
Birth cohort
Oral contraceptives
Rhinitis
Wheeze
url http://www.sciencedirect.com/science/article/pii/S1323893016300065
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