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논문 기본 정보

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저자정보
Cho Hyunbin (Department of Digital Health, Samsung Advanced Institute for Health Sciences and Technology (SAIHST), Sungkyunkwan University, Seoul, Korea.) Kim Jiwon (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.) Kim Sukyung (Department of Pediatrics, Hallym University Dongtan Sacred Heart Hospital, Hallym University School of Medicine, Hwaseong, Korea.) Jeong Hye-In (Department of Pediatrics, Eulji University Hospital, Eulji University School of Medicine, Seoul, Korea.) Kwon Mijeong (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.) Kim Hyunmi (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.) Shim Ji Sun (Statistics and Data Center, Research Institute for Future Medicine, Samsung Medical Center, Seoul, Korea.) Kim Kyunga (Statistics and Data Center, Research Institute for Future Medicine, Samsung Medical Center, Seoul, Korea.) Baek Jihyun (Department of Psychology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.) Kyung Yechan (Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.) Choi Suk-Joo (Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.) Oh Soo-young (Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.) 배재웅 (R&D Institute, BioEleven Co., Ltd.) Won Hong-Hee (Department of Digital Health, Samsung Advanced Institute for Health Sciences and Technology (SAIHST), Sungkyunkwan University, Seoul, Korea.Samsung Genome Institute, Samsung Medical Center,) Kim Jihyun (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Health Sciences and Technology, Samsung Advanced Institute for Health) Ahn Kangmo (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Health Sciences and Technology, Samsung Advanced Institute for Health)
저널정보
대한천식알레르기학회(구 대한알레르기학회) Allergy, Asthma & Immunology Research AAIR Vol.16 No.2
발행연도
2024.3
수록면
154 - 167 (14page)
DOI
10.4168/aair.2024.16.2.154

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초록· 키워드

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Purpose: We aimed to investigate the mediating factors between maternal anxiety and the development of food allergy (FA) in children until 2 years from birth. Methods: In this longitudinal cohort of 122 mother-child dyads from pregnancy to 24 months of age, we regularly surveyed maternal psychological states, infant feeding data, and allergic symptoms and collected stool samples at 6 months of age for microbiome analysis. Considering the temporal order of data collection, we investigated serial mediating effects and indirect effects among maternal anxiety, dietary diversity (DD), gut microbial diversity, and FA using structural equation modeling. Results: Among the 122 infants, 15 (12.3%) were diagnosed with FA. Increased maternal anxiety between 3 and 6 months after delivery was associated with a lower DD score. Infants with low DD at 4 months showed low gut microbial richness, which was associated with FA development. When the infants were grouped into 4 subtypes, using consensus clustering of 13 gut bacteria significantly associated with maternal anxiety and DD, Prevotella, Eubacterium, Clostridiales and Lachnospiraceae were more abundant in the group with lower FA occurrence. Conclusions: Postpartum maternal anxiety, mediated by reduced DD and gut microbial diversity, may be a risk factor for the development of FA in infants during the first 2 years of life.
#Diet #diversity #food allergy #anxiety #microbiome #cohort

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