Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Die Folgen des Klimwandels haben einen direkten Einfluss auf die Primärversorgung in Deutschland: Hitzeschutz insbesondere bei älteren Patienten, die Zunahme von Infektionen und die Verlängerung der Allergiesesaison spielen medizinisch eine bedeutsame Rolle. Aber auch in der Prävention und der Aufklärung der Patienten kommt den Hausärztinnen und -ärzten eine besondere Rolle zu. Direkt aus der Praxis berichtet im Live-Webinar am 13. Mai von 18 bis 19 Uhr unser Experte Dr. med. Robin Maitra.
Erweiterte Suche
Anmelden
nach oben
Current Allergy and Asthma Reports
Erschienen in: Current Allergy and Asthma Reports 3/2012

01.06.2012 | ASTHMA (WJ CALHOUN AND J BOUSQUET, SECTION EDITORS)

Nutrition and Asthma

verfasst von: Raphaëlle Varraso

Erschienen in: Current Allergy and Asthma Reports | Ausgabe 3/2012

Einloggen, um Zugang zu erhalten

Abstract

Over the past four decades, the prevalence of asthma has markedly increased in Westernized countries and countries transitioning to this lifestyle. It has been hypothesized that these increases are a consequence of changing environmental and/or behavioral factors. The modification of dietary habits (ie, decreased intake of fruits/vegetables and increased intake of “Westernized” processed foods) and a decrease in sun exposure have led to decreased intake of antioxidant vitamins and fatty acids and to decreased circulating levels of vitamin D, and have been proposed to explain the rise in asthma prevalence. This article summarizes the main findings on foods and nutrients connected to asthma based on several exhaustive recent reviews on the topic, and examines the evidence for an effect of dietary patterns on asthma. Overall, findings underscore the importance of conducting prospective studies and clinical trials to better understand the role of diet in the etiology of asthma.
Literatur
1.
Devereux G. The increase in the prevalence of asthma and allergy: food for thought. Nat Rev Immunol. 2006;6:869–74.PubMedCrossRef
2.
•• Allan K, Devereux G. Diet and asthma: nutrition implications from prevention to treatment. J Am Diet Assoc. 2011;111:258–68. This is a recent exhaustive review based on the association between asthma and diet. The authors concluded that until the results of ongoing and planned trials are available, the practical consequences of research linking diet with asthma are minimal, and based on the available evidence, people with asthma, pregnant women, parents, and children should not be advised to change or supplement their diet to treat or reduce the risk of developing asthma. PubMedCrossRef
3.
•• Nurmatov U, Devereux G, Sheikh A. Nutrients and foods for the primary prevention of asthma and allergy: systematic review and meta-analysis. J Allergy Clin Immunol. 2011;127:724–33. This is a recent review and meta-analysis including 62 studies on the effect of foods and nutrients on the risk of children developing wheeze/asthma. The authors concluded that the available epidemiologic evidence is weak but nonetheless supportive with respect to vitamins A, D, and E, zinc, fruits and vegetables, and a Mediterranean diet for the prevention of asthma, and that experimental studies of these exposures are warranted. PubMedCrossRef
4.
• Robison R, Kumar R. The effect of prenatal and postnatal dietary exposures on childhood development of atopic disease. Curr Opin Allergy Clin Immunol. 2010;10:139–44. This is a recent review regarding the effects of prenatal and early-life dietary exposures on atopic disease. The authors concluded that there are conflicting data on the effects of most prenatal and early-childhood dietary exposures, and that longitudinal studies with prospective measurements and clinical supplementation trials are warranted to make reliable recommendations in this vulnerable population of pregnant women and their infants. PubMedCrossRef
5.
Chatzi L, Kogevinas M. Prenatal and childhood Mediterranean diet and the development of asthma and allergies in children. Public Health Nutr. 2009;12:1629–34.PubMedCrossRef
6.
•• Allan K, Kelly FJ, Devereux G. Antioxidants and allergic disease: a case of too little or too much? Clin Exp Allergy. 2010;40:370–80. This is a recent review on the association between antioxidant intake and asthma, atopic dermatitis, and allergic rhinitis. The authors concluded that based on the available epidemiologic, animal, molecular, and immunologic data, and despite the notable inconsistencies and gaps in the evidence base, there are associations between antioxidants and asthma and to a much lesser extent atopic dermatitis and allergic rhinitis. PubMedCrossRef
7.
Anandan C, Nurmatov U, Sheikh A. Omega 3 and 6 oils for primary prevention of allergic disease: systematic review and meta-analysis. Allergy. 2009;64:840–8.PubMedCrossRef
8.
Klemens CM, Berman DR, Mozurkewich EL. The effect of perinatal omega-3 fatty acid supplementation on inflammatory markers and allergic diseases: a systematic review. BJOG. 2011;118:916–25.PubMedCrossRef
9.
Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13:3–9.PubMedCrossRef
10.
Machlin LJ, Bendich A. Free radical tissue damage: protective role of antioxidant nutrients. FASEB J. 1987;1:441–5.PubMed
11.
Bray TM, Bettger WJ. The physiological role of zinc as an antioxidant. Free Radic Biol Med. 1990;8:281–91.PubMedCrossRef
12.
Sala-Vila A, Miles EA, Calder PC. Fatty acid composition abnormalities in atopic disease: evidence explored and role in the disease process examined. Clin Exp Allergy. 2008;38:1432–50.PubMedCrossRef
13.
• Taylor CE, Camargo Jr CA. Impact of micronutrients on respiratory infections. Nutr Rev. 2011;69:259–69. This is a recent review regarding the association between nutrients and respiratory infections. The authors concluded that besides the importance of micronutrients in the prevention and treatment of infectious diseases, vitamin D is of global importance and that its effects are particularly relevant in specific populations. They also concluded that there is a clear need for RCTs of vitamin D, particularly in children, older adults, and individuals with asthma. PubMedCrossRef
14.
•• Camargo Jr CA, Ingham T, Wickens K, et al. Cord-blood 25-hydroxyvitamin D levels and risk of respiratory infection, wheezing, and asthma. Pediatrics. 2011;127:e180–7. This recent study aimed to investigate the association between cord-blood level of 25-hydroxyvitamin D with respiratory infection by 3 months of age, childhood wheezing at 15 months and 3 and 5 years, and asthma incidence at 5 years among 922 mother–newborn pairs in New Zealand. The authors concluded that cord-blood levels of 25-hydroxyvitamin D had inverse associations with risk of respiratory infection and childhood wheezing, but no association with incident asthma. PubMedCrossRef
15.
•• Morales E, Romieu I, Guerra S, et al. Maternal vitamin D status in pregnancy and risk of lower respiratory tract infections, wheezing, and asthma in offspring. Epidemiology. 2012;23:64–71. This recent study aimed to investigate the association between maternal circulating level of 25-hydroxyvitamin D in pregnancy with lower respiratory tract infections, childhood wheezing, and current asthma among 1,724 mother–newborn pairs in Spain. The authors concluded that higher maternal circulating 25-hydroxyvitamin D concentrations in pregnancy were independently associated with lower risk of lower respiratory tract infections in offspring in the first year of life, but not with wheezing or asthma in childhood. PubMedCrossRef
16.
Brehm JM, Schuemann B, Fuhlbrigge AL, et al. Serum vitamin D levels and severe asthma exacerbations in the Childhood Asthma Management Program study. J Allergy Clin Immunol. 2010;126:52–8.PubMedCrossRef
17.
Hollams EM, Hart PH, Holt BJ, et al. Vitamin D and atopy and asthma phenotypes in children: a longitudinal cohort study. Eur Respir J. 2011;38:1320–7.PubMedCrossRef
18.
Hyppönen E, Sovio U, Wjst M, et al. Infant vitamin d supplementation and allergic conditions in adulthood: northern Finland birth cohort 1966. Ann N Y Acad Sci. 2004;1037:84–95.PubMedCrossRef
19.
•• Keet CA, McCormack MC, Peng RD, Matsui EC. Age- and atopy-dependent effects of vitamin D on wheeze and asthma. J Allergy Clin Immunol. 2011;128:414–6. In this recent study, the authors investigated the association between vitamin D levels and wheeze, history of asthma, and asthma exacerbations among 6,857 adults from the NHANES study. The authors reported that lower vitamin D levels were associated with increased risk of current wheeze, and that this relationship varied by age. PubMedCrossRef
20.
Trichopoulou A, Kouris-Blazos A, Wahlqvist ML, et al. Diet and overall survival in elderly people. BMJ. 1995;311:1457–60.PubMedCrossRef
21.
Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med. 2003;348:2599–608.PubMedCrossRef
22.
Fung TT, McCullough ML, Newby PK, et al. Diet-quality scores and plasma concentrations of markers of inflammation and endothelial dysfunction. Am J Clin Nutr. 2005;82:163–73.PubMed
23.
•• Lange NE, Rifas-Shiman SL, Camargo Jr CA, et al. Maternal dietary pattern during pregnancy is not associated with recurrent wheeze in children. J Allergy Clin Immunol. 2010;126:250–5. In this recent study, the authors investigated the association between overall maternal dietary patterns during pregnancy and recurrent wheeze in children among 1,376 mother–infant pairs from the Viva study. Using a priori and a posteriori dietary patterns, the authors concluded that overall dietary pattern during pregnancy is not associated with recurrent wheeze in children. PubMedCrossRef
24.
Serra-Majem L, Ribas L, Ngo J, et al. Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr. 2004;7:931–5.PubMed
25.
McCullough ML, Feskanich D, Stampfer MJ, et al. Adherence to the dietary guidelines for Americans and risk of major chronic disease in women. Am J Clin Nutr. 2000;72:1214–22.PubMed
26.
Rifas-Shiman SL, Rich-Edwards JW, Kleinman KP, Oken E, Gillman MW. Dietary quality during pregnancy varies by maternal characteristics in Project Viva: a US cohort. J Am Diet Assoc. 2009;109:1004–11.PubMedCrossRef
27.
Chatzi L, Torrent M, Romieu I, et al. Mediterranean diet in pregnancy is protective for wheeze and atopy in childhood. Thorax. 2008;63:507–13.PubMedCrossRef
28.
Shaheen SO, Northstone K, Newson RB, et al. Dietary patterns in pregnancy and respiratory and atopic outcomes in childhood. Thorax. 2009;64:411–7.PubMedCrossRef
29.
Miyake Y, Okubo H, Sasaki S, Tanaka K, Hirota Y. Maternal dietary patterns during pregnancy and risk of wheeze and eczema in Japanese infants aged 16–24 months: the Osaka Maternal and Child Health Study. Pediatr Allergy Immunol. 2011;22:734–41.PubMedCrossRef
30.
Hong SJ, Lee MS, Lee SY, et al. High body mass index and dietary pattern are associated with childhood asthma. Pediatr Pulmonol. 2006;41:1118–24.PubMedCrossRef
31.
Garcia-Marcos L, Canflanca IM, Garrido JB, et al. Relationship of asthma and rhinoconjunctivitis with obesity, exercise and Mediterranean diet in Spanish schoolchildren. Thorax. 2007;62:503–8.PubMedCrossRef
32.
Castro-Rodriguez JA, Garcia-Marcos L, Alfonseda Rojas JD, Valverde-Molina J, Sanchez-Solis M. Mediterranean diet as a protective factor for wheezing in preschool children. J Pediatr. 2008;152:823–8.PubMedCrossRef
33.
De Batlle J, Garcia-Aymerich J, Barraza-Villarreal A, Antó JM, Romieu I. Mediterranean diet is associated with reduced asthma and rhinitis in Mexican children. Allergy. 2008;63:1310–6.PubMedCrossRef
34.
Arvaniti F, Priftis KN, Papadimitriou A, et al. Adherence to the Mediterranean type of diet is associated with lower prevalence of asthma symptoms, among 10–12 years old children: the PANACEA study. Pediatr Allergy Immunol. 2011;22:283–9.PubMedCrossRef
35.
Nagel G, Weinmayr G, Kleiner A, Garcia-Marcos L, Strachan DP. ISAAC Phase Two Study Group. Effect of diet on asthma and allergic sensitisation in the International Study on Allergies and Asthma in Childhood (ISAAC) Phase Two. Thorax. 2010;65:516–22.PubMedCrossRef
36.
Gonzalez Barcala FJ, Pertega S, Bamonde L, et al. Mediterranean diet and asthma in Spanish schoolchildren. Pediatr Allergy Immunol. 2010;21:1021–7.PubMedCrossRef
37.
Varraso R, Fung TT, Barr RG, et al. Prospective study of dietary patterns and chronic obstructive pulmonary disease among US women. Am J Clin Nutr. 2007;86:488–95.PubMed
38.
Varraso R, Fung TT, Hu FB, Willett W, Camargo CA. Prospective study of dietary patterns and chronic obstructive pulmonary disease among US men. Thorax. 2007;62:786–91.PubMedCrossRef
39.
Butler LM, Koh WP, Lee HP, et al. Prospective study of dietary patterns and persistent cough with phlegm among Chinese Singaporeans. Am J Respir Crit Care Med. 2006;173:264–70.PubMedCrossRef
40.
Barros R, Moreira A, Fonseca J, et al. Adherence to the Mediterranean diet and fresh fruit intake are associated with improved asthma control. Allergy. 2008;63:917–23.PubMedCrossRef
41.
Takaoka M, Norback D. Diet among Japanese female university students and asthmatic symptoms, infections, pollen and furry pet allergy. Respir Med. 2008;102:1045–54.PubMedCrossRef
42.
Bakolis I, Hooper R, Thompson RL, Shaheen SO. Dietary patterns and adult asthma: population-based case–control study. Allergy. 2010;65:606–15.PubMedCrossRef
43.
Hooper R, Heinrich J, Omenaas E, et al. Dietary patterns and risk of asthma: results from three countries in European Community Respiratory Health Survey-II. Br J Nutr. 2010;103:1354–65.PubMedCrossRef
44.
• McKeever TM, Lewis SA, Cassano PA, et al. Patterns of dietary intake and relation to respiratory disease, forced expiratory volume in 1 s, and decline in 5-y forced expiratory volume. Am J Clin Nutr. 2010;92:408–15. In this study, the authors investigated the association between a posteriori dietary patterns (cosmopolitan diet, traditional diet, and refined-foods diet) with forced expiratory volume in 1 second, forced expiratory volume in 1 second decline, wheeze, and asthma among 12,648 adults from The Netherlands. The authors reported a positive and significant association between the cosmopolitan diet pattern and prevalence of wheeze and asthma. PubMedCrossRef
45.
• Varraso R, Kauffmann F, Leynaert B, et al. Dietary patterns and asthma in the E3N study. Eur Respir J. 2009;33:33–41. In this study, the authors investigated the association between a posteriori dietary patterns (prudent, Western, nuts and wine) and adult-onset asthma, ever having had and current asthma, and with frequent asthma attacks among 54,672 women from the E3N study. The authors reported no association between dietary patterns and asthma incidence, ever having had asthma, or current asthma. However, they reported a positive and significant association between the Western pattern and frequent asthma attacks, and a negative and significant association between the nuts and wine pattern and frequent asthma attacks. PubMedCrossRef
46.
Birch LL, Fisher JO. Development of eating behaviours among children and adolescents. Paediatrics. 1998;101:539–49.
47.
Varraso, et al. Dietary patterns and asthma in the E3N study. Eur Respir J. 2009;33:1–9.CrossRef
Metadaten
Titel
Nutrition and Asthma
verfasst von
Raphaëlle Varraso
Publikationsdatum
01.06.2012
Verlag
Current Science Inc.
Erschienen in
Current Allergy and Asthma Reports / Ausgabe 3/2012
Print ISSN: 1529-7322
Elektronische ISSN: 1534-6315
DOI
https://doi.org/10.1007/s11882-012-0253-8

Weitere Artikel der Ausgabe 3/2012

Current Allergy and Asthma Reports 3/2012 Zur Ausgabe

Retraction Note

Erratum to: Treating Allergic Rhinitis in Pregnancy

ASTHMA (WJ CALHOUN AND J BOUSQUET, SECTION EDITORS)

Recent Advances in the Epidemiologic Investigation of Risk Factors for Asthma: A Review of the 2011 Literature

ALLERGIC AND IMMUNOLOGIC DISORDERS OF THE EYE AND NERVOUS SYSTEM (CH KATELARIS, SECTION EDITOR)

Treatment Update in Multiple Sclerosis

ASTHMA (WJ CALHOUN AND J BOUSQUET, SECTION EDITORS)

Diagnosis of Occupational Asthma: An Update

ASTHMA (WJ CALHOUN AND J BOUSQUET, SECTION EDITORS)

The Role of Smoking in Allergy and Asthma: Lessons from the ECRHS

ASTHMA (WJ CALHOUN AND J BOUSQUET, SECTION EDITORS)

Relevance of Birth Cohorts to Assessment of Asthma Persistence

Neu im Fachgebiet HNO

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Nur selten Nachblutungen nach Abszesstonsillektomie

03.05.2024 Tonsillektomie Nachrichten

In einer Metaanalyse von 18 Studien war die Rate von Nachblutungen nach einer Abszesstonsillektomie mit weniger als 7% recht niedrig. Nur rund 2% der Behandelten mussten nachoperiert werden. Die Therapie scheint damit recht sicher zu sein.

Rezidivierender Peritonsillarabszess nach Oralsex

02.05.2024 Peritonsillarabszess Kasuistik

Die erotischen Dimensionen von Peritonsillarabszessen scheinen eng begrenzt zu sein. Das heißt aber nicht, solche Abszesse und Erotik hätten nichts miteinander gemein, wie ein Fallbericht verdeutlicht.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen
Bildnachweise