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Prenatal maternal stress and atopic diseases in the child: a systematic review of observational human studies.
Andersson, N W; Hansen, M V; Larsen, A D; Hougaard, K S; Kolstad, H A; Schlünssen, V.
Afiliación
  • Andersson NW; Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
  • Hansen MV; Sydney Medical School, Faculty of Medicine, University of Sydney, Concord Hospital, Sydney, NSW, Australia.
  • Larsen AD; Department of Organic Psychiatric Disorders and Emergency Ward, Aarhus University Hospital, Risskov, Aarhus, Denmark.
  • Hougaard KS; Department of Organic Psychiatric Disorders and Emergency Ward, Aarhus University Hospital, Risskov, Aarhus, Denmark.
  • Kolstad HA; The National Research Centre for the Working Environment, Copenhagen, Denmark.
  • Schlünssen V; The National Research Centre for the Working Environment, Copenhagen, Denmark.
Allergy ; 71(1): 15-26, 2016 Jan.
Article en En | MEDLINE | ID: mdl-26395995
BACKGROUND: A growing number of studies suggest that maternal stress during pregnancy promotes atopic disorders in the offspring. This is the first systematic review to address prenatal maternal stress (PNMS) and the subsequent risk of atopy-related outcomes in the child. METHODS: The review was performed in accordance to the PRISMA criteria. We searched and selected studies in PubMed, Scopus, Embase and PsychINFO until November 2014. RESULTS: Sixteen (with 25 analyses) of 426 identified articles met the review criteria. Five main PNMS exposures (negative life events, anxiety/depression, bereavement, distress and job strain) and five main atopic outcomes (asthma, wheeze, atopic dermatitis, allergic rhinitis and IgE) were assessed across the studies. Overall, 21 of the 25 analyses suggested a positive association between PNMS and atopic outcomes. Of the 11 exposure-response analyses reported, six found statistically significant trends. CONCLUSION: This systematic review suggests a relationship between maternal stress during pregnancy and atopic disorders in the child. However, the existing studies are of diverse quality. The wide definitions of often self-reported stress exposures imply a substantial risk for information bias and false-positive results. Research comparing objective and subjective measures of PNMS exposure as well as objective measures for atopic outcome is needed.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Tardíos de la Exposición Prenatal / Estrés Fisiológico / Estrés Psicológico / Exposición Materna / Hipersensibilidad Inmediata Tipo de estudio: Etiology_studies / Prognostic_studies / Systematic_reviews Límite: Child / Child, preschool / Female / Humans / Infant / Pregnancy Idioma: En Revista: Allergy Año: 2016 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Dinamarca
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Tardíos de la Exposición Prenatal / Estrés Fisiológico / Estrés Psicológico / Exposición Materna / Hipersensibilidad Inmediata Tipo de estudio: Etiology_studies / Prognostic_studies / Systematic_reviews Límite: Child / Child, preschool / Female / Humans / Infant / Pregnancy Idioma: En Revista: Allergy Año: 2016 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Dinamarca