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      Dietary pattern and asthma: a systematic review and meta-analysis.

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          Abstract

          The literature on the relationship between diet and asthma has largely focused on individual nutrients, with conflicting results. People consume a combination of foods from various groups that form a dietary pattern. Studying the role of dietary patterns in asthma is an emerging area of research. The purpose of this study was to systematically review dietary patterns and asthma outcomes in adults and children, to review maternal diet and child asthma, and to conduct a meta-analysis on the association between asthma prevalence and dietary patterns in adults.

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          Scopus database: a review

          Judy F Burnham (2006)
          The Scopus database provides access to STM journal articles and the references included in those articles, allowing the searcher to search both forward and backward in time. The database can be used for collection development as well as for research. This review provides information on the key points of the database and compares it to Web of Science. Neither database is inclusive, but complements each other. If a library can only afford one, choice must be based in institutional needs.
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            Nutrients and foods for the primary prevention of asthma and allergy: systematic review and meta-analysis.

            Aziz Sheikh, Ulugbek Nurmatov, Graham Devereux (2011)
            Epidemiologic studies suggest that deficiencies of the nutrients selenium; zinc; vitamins A, C, D, and E; and low fruit and vegetable intake may be associated with the development of asthma and allergic disorders. To investigate the evidence that nutrient and food intake modifies the risk of children developing allergy. We systematically searched 11 databases. Studies were critically appraised, and meta-analyses were undertaken. We identified 62 eligible reports. There were no randomized controlled trials. Studies used cohort (n = 21), case-control (n = 15), or cross-sectional (n = 26) designs. All studies were judged to be at moderate to substantial risk of bias. Meta-analysis revealed that serum vitamin A was lower in children with asthma compared with controls (odds ratio [OR], 0.25; 95% CI, 0.10-0.40). Meta-analyses also showed that high maternal dietary vitamin D and E intakes during pregnancy were protective for the development of wheezing outcomes (OR, 0.56, 95% CI, 0.42-0.73; and OR, 0.68, 95% CI, 0.52-0.88, respectively). Adherence to a Mediterranean diet was protective for persistent wheeze (OR, 0.22; 95% CI, 0.08-0.58) and atopy (OR, 0.55; 95% CI, 0.31-0.97). Seventeen of 22 fruit and vegetable studies reported beneficial associations with asthma and allergic outcomes. Results were not supportive for other allergic outcomes for these vitamins or nutrients, or for any outcomes in relation to vitamin C and selenium. 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. Experimental studies of these exposures are now warranted. Copyright © 2010 American Academy of Allergy, Asthma & Immunology. Published by Mosby, Inc. All rights reserved.
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              Mediterranean diet in pregnancy is protective for wheeze and atopy in childhood.

              L Chatzi, C Lightner Ferrer, M. C. Torrent … (2008)
              Dietary intake of specific nutrients or food groups during pregnancy could play a role in the risk of asthma and atopy in offspring, but specific dietary patterns have not been implicated. The authors evaluated the impact of maternal (during pregnancy) and child adherence to a Mediterranean diet on asthma and atopy in childhood. Women presenting for antenatal care at all general practices in Menorca, a Mediterranean island in Spain, over a 12 month period starting in mid-1997 were recruited. 460 children were included in the analysis after 6.5 years of follow-up. Maternal dietary intake during pregnancy and children's dietary intake at age 6.5 years were assessed by food frequency questionnaires, and adherence to a Mediterranean diet was evaluated by a priori defined scores. During follow-up, parents completed questionnaires on the child's respiratory and allergic symptoms. Children underwent skin prick tests with six common aeroallergens. The prevalence rates of persistent wheeze, atopic wheeze and atopy at age 6.5 years were 13.2%, 5.8% and 17.0%, respectively. One-third (36.1%) of mothers had a low quality Mediterranean diet during pregnancy according to the Mediterranean Diet Score, while the rest had a high score. A high Mediterranean Diet Score during pregnancy (at two levels, using "low" score as the reference) was found to be protective for persistent wheeze (OR 0.22; 95% CI 0.08 to 0.58), atopic wheeze (OR 0.30; 95% CI 0.10 to 0.90) and atopy (OR 0.55; 95% CI 0.31 to 0.97) at age 6.5 years after adjusting for potential confounders. Childhood adherence to a Mediterranean diet was negatively associated with persistent wheeze and atopy although the associations did not reach statistical significance. These results support a protective effect of a high level of adherence to a Mediterranean diet during pregnancy against asthma-like symptoms and atopy in childhood.
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                Author and article information

                Journal
                Journal ID (iso-abbrev): J Asthma Allergy
                Title: Journal of asthma and allergy
                Publisher: Informa UK Limited
                ISSN: 1178-6965
                ISSN (Print): 1178-6965
                Publication date (Electronic): 2014
                Volume: 7
                Affiliations
                [1 ] Palo Alto Medical Foundation Research Institute, Stanford, CA, USA.
                [2 ] Palo Alto Medical Foundation Research Institute, Stanford, CA, USA ; Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
                Article
                Publisher Item ID: jaa-7-105
                DOI: 10.2147/JAA.S49960
                PMC ID: 4137988
                PubMed ID: 25143747
                SO-VID: 3724ec72-739a-42e7-b95a-d58414e2a1cb
                History

                Keywords: adults,asthma,children,dietary pattern,meta-analysis,systematic review
                Data availability:
                Keywords: adults, asthma, children, dietary pattern, meta-analysis, systematic review

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