Eosinophilic esophagitis has association with the childbirth type

Marília Porto Oliveira Nunes, Caroline Rolim Bezerra, J. L. Soares, Júlio César Chaves Nunes Filho, Hildênia B Ribeiro, A. Lustosa
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Abstract

The objective of this study was to identify the relationship between the type of childbirth and the prognosis of eosinophilic esophagitis in cow’s milk protein allergy. A cross-sectional, quantitative, descriptive and analytical study with 141 children aged 0-5 years, diagnosed with cow’s milk protein allergy at a tertiary-level Infant Institutional Hospital. We collected in the Hospital information’s about Sociodemographic, anthropometric data, food consumption, specific allergic alterations of eosinophilic esophagitis and type of delivery. The sample consisted of 113 children with a mean age of 12 months, most of them female (59.6%). The type of delivery was associated with eosinophilic esophagitis; about 83.5% of the diagnosed children were born of cesarean delivery. It was verified the presence of vomiting, diarrhea and predominant abdominal pain in males. Weight loss was a prevalent symptom in females. The confidence interval was 95%, which reflected the value of p=0.05. Individuals born with cesarean delivery can manifest exacerbated immune reactions, unlike those born by normal delivery. We suggest additional studies with nutritional interventions relating nutritional status, breastfeeding, the onset of infant formula and complementary food with eosinophilic esophagitis.
嗜酸性粒细胞性食管炎与分娩类型有关
本研究的目的是确定分娩类型与牛奶蛋白过敏患者嗜酸性食管炎预后之间的关系。对某三级婴幼儿医院诊断为牛奶蛋白过敏的141名0-5岁儿童进行横断面、定量、描述性和分析性研究。我们在医院收集了有关社会人口学、人体测量数据、食物消费、嗜酸性粒细胞性食管炎的特异性过敏改变和分娩类型的信息。样本包括113名平均年龄为12个月的儿童,其中大多数为女性(59.6%)。分娩方式与嗜酸性粒细胞性食管炎相关;确诊患儿中约83.5%为剖宫产。经证实,男性有呕吐、腹泻和主要腹痛。体重减轻是女性的普遍症状。置信区间为95%,p=0.05。与正常分娩出生的人不同,剖宫产出生的人可以表现出加剧的免疫反应。我们建议进一步研究营养干预与营养状况、母乳喂养、婴儿配方奶粉和辅食与嗜酸性食管炎的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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