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  • 1.
    Boman Lindström, Cecilia
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    von Kobyletzki, Laura
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Hallerbäck, M.U.
    Central Hospital Karlstad.
    Lindh, C.H.
    Lund University.
    Jönsson, B.A.
    Lund University.
    Knutz, Malin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Shu, Huan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Perfluorinated compounds in serum from 2, 373 pregnant women in Sweden2014In: Indoor Air, ISSN 0905-6947, E-ISSN 1600-0668, p. 927-929Article in journal (Refereed)
  • 2.
    Bornehag, Carl-Gustaf
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Moniruzzaman, Syed
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Larsson, Malin
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Boman Lindström, Cecilia
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hasselgren, Mikael
    Centre for Clinical Research, County Council of Värmland, Karlstad.
    Bodin, Anna
    Centre for Clinical Research, County Council of Värmland, Karlstad.
    von Kobyletzki, Laura B.
    Centre for Clinical Research, County Council of Värmland, Karlstad.
    Carlstedt, Fredrik
    Centre for Clinical Research, County Council of Värmland, Karlstad.
    Lundin, Fredrik
    Centre for Clinical Research, County Council of Värmland, Karlstad.
    Nånberg, Eewa
    Karlstad University, Faculty of Technology and Science, Department of Chemistry and Biomedical Sciences.
    Jönsson, Bo A. G.
    Division of Occupational and Environmental Medicine, Lund University.
    Sigsgaard, Torben
    Department of Public Health, Unit of Environmental and Occupational Medicine, University of Aarhus, Denmark.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    The SELMA study: a birth cohort study in Sweden following more than 2000 mother-child pairs2012In: Paediatric and Perinatal Epidemiology, ISSN 0269-5022, E-ISSN 1365-3016, Vol. 26, no 5, p. 456-467Article in journal (Refereed)
    Abstract [en]

    Background:  This paper describes the background, aim and study design for the Swedish SELMA study that aimed to investigate the importance of early life exposure during pregnancy and infancy to environmental factors with a major focus on endocrine disrupting chemicals for multiple chronic diseases/disorders in offspring.

    Methods:  The cohort was established by recruiting women in the 10th week of pregnancy. Blood and urine from the pregnant women and the child and air and dust from home environment from pregnancy and infancy period have been collected. Questionnaires were used to collect information on life styles, socio-economic status, living conditions, diet and medical history.

    Results:  Of the 8394 reported pregnant women, 6658 were invited to participate in the study. Among the invited women, 2582 (39%) agreed to participate. Of the 4076 (61%) non-participants, 2091 women were invited to a non-respondent questionnaire in order to examine possible selection bias. We found a self-selection bias in the established cohort when compared with the non-participant group, e.g. participating families did smoke less (14% vs. 19%), had more frequent asthma and allergy symptoms in the family (58% vs. 38%), as well as higher education among the mothers (51% vs. 36%) and more often lived in single-family houses (67% vs. 60%).

    Conclusions:  These findings indicate that the participating families do not fully represent the study population and thus, the exposure in this population. However, there is no obvious reason that this selection bias will have an impact on identification of environmental risk factors.

  • 3.
    Hägerhed-Engman, Linda
    et al.
    SP Tech Res Inst Sweden, Borås, Sweden.
    Knutz, Malin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Shu, Huan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bornehag, Carl Gustaf
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). SP Tech Res Inst Sweden, Borås, Sweden.
    Early life exposure of self-reported mold odor is associated with asthma in children 10 years later2014In: 13th International Conference on Indoor Air Quality and Climate 2014, International Society of Indoor Air Quality and Climate , 2014, p. 612-614Conference paper (Refereed)
  • 4.
    Kolarik, Barbara
    et al.
    Technical University of Denmark.
    Naydenov, Kiril
    Technical University of Denmark.
    Larsson, Malin
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Sundell, Jan
    Technical University of Denmark.
    The association between phthalates in dust and allergic diseases among Bulgarian children2008In: Journal of Environmental Health Perspectives, ISSN 0091-6765, E-ISSN 1552-9924, Vol. 116, no 1, p. 98-103Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Recent studies have identified associations between the concentration of phthalates in indoor dust and allergic symptoms in the airways, nose, and skin. OBJECTIVES: Our goal was to investigate the associations between allergic symptoms in children and the concentration of phthalate esters in settled dust collected from children's homes in Sofia and Burgas, Bulgaria. METHODS: Dust samples from the child's bedroom were collected. A total of 102 children (2-7 years of age) had symptoms of wheezing, rhinitis, and/or eczema in preceding 12 months (cases), and 82 were nonsymptomatic (controls). The dust samples were analyzed for their content of dimethyl phthalate (DMP), diethyl phthalate (DEP), di-n-butyl phthalate (DnBP), butyl benzyl phthalate (BBzP), di(2-ethylhexyl) phthalate (DEHP), and di-n-octyl phthalate (DnOP). RESULTS: A higher concentration of DEHP was found in homes of case children than in those of controls (1.24 vs. 0.86 mg/g dust). The concentration of DEHP was significantly associated with wheezing in the preceding 12 months (p = 0.035) as reported by parents. We found a dose-response relationship between DEHP concentration and case status and between DEHP concentration and wheezing in the preceding 12 months. CONCLUSIONS: This study shows an association between concentration of DEHP in indoor dust and wheezing among preschool children in Bulgaria

  • 5.
    Larsson, Malin
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Incidence rates of asthma, rhinitis and eczema symptoms and influential2008Conference paper (Refereed)
  • 6.
    Larsson, Malin
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Indoor Environmental Factors and Chronic Diseases in Swedish Pre-School Children: Risk factors and methodological issues investigated in a longitudinal study on airway diseases and autism spectrum disorder2010Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Asthma and allergies have increased considerably during the past 40-50 years. Along with this increase, a heightened awareness regarding different neuro-developmental disorders such as autism spectrum disorder has occurred and it has been proposed that such disorders are also on the increase. It has been suggested that environmental factors, especially in the indoor environments, may be associated with the increase in these disorder, especially among children, who spend more than 90% of their time indoors.

    The aim of this thesis has been to investigate certain environmental factors in homes and their impact on children’s health, in terms of asthma, rhinitis, eczema as well as autism spectrum disorders, and to identify certain methodological difficulties in epidemiological investigations.

    We found that the mean incidence rate per year for doctor diagnosed asthma was in the range of 0.6-2.4% and for incidence of rhinitis 1.1-3.7%. The incidence rate of eczema ever was 2.7%. These results showed that when using a cohort established after birth the estimated incidence rates are strongly dependent of how the baseline population’s health and how the studied health outcome at follow up is defined.

    Our results showed that the associations between parental reported moisture problems in the home and asthma in children that were revealed in cross-sectional analyses decreased or disappeared when longitudinal data were used on the same data set. Our results therefore indicate that associations between parental reported moisture problems and asthma from cross-sectional questionnaire studies should be interpreted with caution due to the risk for reporting bias.

    Our results show that children who were living in homes with PVC-flooring in the bedroom in early childhood were more likely to develop asthma during the following 5-year period when compared with children living in homes without such flooring material. A similar association could be seen for children with autism spectrum disorder, where PVC-flooring in early childhood was associated with more reports of autism spectrum disorder five years later. These results indicate that building materials including suspected endocrine disrupting chemicals such as phthalates might be of importance for the development of these chronic diseases. Further studies are needed to explore the early life exposure and the mechanisms and contribution of phthalates for the development of chronic diseases.

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  • 7.
    Larsson, Malin
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Indoor Environmental Factors and Chronic Diseases in Swedish Pre-School Children: Risk factors and methodological issues investigated in a longitudinal study on airway diseases and autism spectrum disorders2010In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 87, no 4, p. 318-318Article, book review (Refereed)
  • 8.
    Larsson, Malin
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Samband mellan PVC-mattor, mögel, astma och autism hos barn2011In: SWESIAQ newsletter, no 10Article in journal (Other (popular science, discussion, etc.))
  • 9.
    Larsson, Malin
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    The use of PVC flooring material and the development of airway symptoms2008Conference paper (Refereed)
  • 10.
    Larsson, Malin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Can we trust cross sectional studies when studying associations between dampness and asthma and allergy?2009Conference paper (Refereed)
  • 11.
    Larsson, Malin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Moniruzzaman, Syed
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hagerhed-Engman, L
    von Kobyletzki, L
    Sundell, J
    PVC-flooring at home and development of asthma among young children in Sweden, a 10-year follow-up2011Conference paper (Refereed)
  • 12.
    Larsson, Malin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hägerhed-Engman, Linda
    SP Technical Research Institute of Sweden, Borås, Sweden.
    Kolarik, Barbara
    Danish Building Research Institute (SBI), Department of Construction and Health, Horsholm, Denmark.
    James, P
    Harvard School of Public Health, Boston, MA, USA.
    Lundin, F
    County Council of Värmland, Karlstad, Sweden.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Sundell, Jan
    1) Technical University of Denmark, International Centre for Indoor Environment and Energy, Denmark 2) University of Texas at Tyler, Texas, USA.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    PVC - as flooring material - and its association with incident asthma in a Swedish child cohort study2010In: Indoor Air, ISSN 0905-6947, E-ISSN 1600-0668, Vol. 20, no 6, p. 494-501Article in journal (Refereed)
  • 13.
    Larsson, Malin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hägerhed-Engman, Linda
    SP Technical Research Institute of Sweden, Borås, Sweden.
    Moniruzzaman, Syed
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Sundell, Jan
    1) Technical University of Denmark, International Centre for Indoor Environment and Energy, Denmark 2) University of Texas at Tyler, Texas, USA.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Can we trust cross-sectional studies when studying the risk of moisture related problems indoor for asthma in children?2011In: International Journal of Environmental Health Research, ISSN 0960-3123, E-ISSN 1369-1619, Vol. 21, no 4, p. 237-247Article in journal (Refereed)
  • 14.
    Larsson, Malin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hägerhed-Engman, Linda
    SP Technical Research Institute of Sweden, Borås, Sweden.
    Sigsgaard, Torben
    Institute of Public Health, Aarhus University, Department of Environmental and Occupational Medicine, Denmark.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Sundell, Jan
    1) Technical University of Denmark, International Centre for Indoor Environment and Energy, Denmark 2) University of Texas at Tyler, Texas, USA.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Incidence rates of asthma, rhinitis and eczema symptoms and influential factors in young children in Sweden2008In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 97, no 9, p. 1210-1215Article in journal (Refereed)
    Abstract [en]

    Aim: To estimate the incidence rates for asthma, rhinitis and eczema symptoms and to investigate the importance of different influential factors for the incidence of these symptoms. Methods: The Dampness in Building and Health study commenced in the year 2000 in Värmland, Sweden with a parental questionnaire based on an ISAAC protocol to all children in the age of 1–6 years. Five years later a follow-up questionnaire was sent to the children that were 1–3 years at baseline. In total, 4779 children (response rate = 73%) participated in both surveys and constitute the study population in this cohort study. Results: The 5-year incidence of doctor-diagnosed asthma was 4.9% (95% CI 4.3–5.3), rhinitis was 5.7% (5.0–6.4) and eczema was 13.4% (12.3–14.5). However, incidence rates strongly depend on the health status of the baseline population. Risk factors for incident asthma were male gender and short period of breast-feeding. Allergic symptoms in parents were also a strong risk factor for incident asthma, as well as for rhinitis and eczema. Conclusion: When comparing incident rates of asthma between different studies it is important to realize that different definitions of the healthy baseline population will give rise to different incident rates.

  • 15.
    Larsson, Malin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Associations Between Different Background Factors and Parental-Reported Autism Spectrum Disorder (ASD) in Children 6-8 Years of Age2009Conference paper (Refereed)
  • 16.
    Larsson, Malin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Moniruzzaman, Syed
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Jernbro, Carolina
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    von Kobyletzki, Laura
    Carlstedt, Fredrik
    PVC-flooring in early childhood and diagnosis of autism 10 years later2011Conference paper (Refereed)
  • 17.
    Larsson, Malin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Weiss, Bernard
    Department of Environmental Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Sundell, Jan
    1) Technical University of Denmark, International Centre for Indoor Environment and Energy, Denmark 2) University of Texas at Tyler, Texas, USA.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Associations between indoor environmental factors and parental-reported autistic spectrum disorders in children 6-9 years of age2009In: Neurotoxicology, ISSN 0161-813X, E-ISSN 1872-9711, no 30, p. 822-831Article in journal (Refereed)
  • 18.
    Moniruzzaman, Syed
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Larsson, Malin
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Pet keeping and its association with incidence of asthma/allergy among Swedish pre-school children2011Conference paper (Refereed)
  • 19.
    Shu, Huan
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Jönsson, Bo A
    Department of Laboratory Medicine, Lund University.
    Larsson, Malin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Nånberg, Eewa
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    PVC flooring at home and development of asthma among young children in Sweden, a 10-year follow-up2014In: Indoor Air, ISSN 0905-6947, E-ISSN 1600-0668, Vol. 24, no 3, p. 227-235Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The incidence of asthma and allergy has increased throughout the developed world over the past decades. During the same period of time the use of industrial chemicals such as phthalates, commonly used as plasticizers in polyvinylchloride (PVC) flooring material, has increased.

    AIMS: To investigate if PVC-flooring in the home of children in the age of 1-5 years is associated with the development of asthma in 5-year and 10-year follow-up investigations (n=3,228).

    METHODS: Dampness in Buildings and Health Study (DBH Study) commenced in 2000 in Värmland, Sweden. The current analyses included subjects who answered all baseline and follow-up questionnaires. Logistic regression analyses were applied to questionnaire results.

    RESULTS: Children who had PVC floorings in the bedroom at baseline were more likely to develop doctor diagnosed asthma during the following 10 years period when compared with children living without. There were indications that PVC flooring in the parents' bedrooms were stronger associated with the new cases of doctor diagnosed asthma when compared with child's bedroom.

    CONCLUSIONS: Our results suggest PVC flooring exposure during pregnancy could be a critical period in the development of asthma in children at a later time, prenatal exposure and measurements of phthalate metabolites should be included in the future. This article is protected by copyright. All rights reserved.

  • 20.
    Shu, Huan
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Jönsson, Bo AG
    Lunds Universitet.
    Gennings, Chris
    Icahn School of Medicine at Mount Sinai, USA.
    Svensson, Åke
    Lunds Universitet.
    Nånberg, Eewa
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Lindh, Christian H
    Lunds universitet.
    Knutz, Malin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Takaro, Tim K.
    Simon Fraser University, Canada.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Temporal Trends of Phthalate Exposures during 2007-2010 in Swedish Pregnant Women2018In: Journal of Exposure Science and Environmental Epidemiology, ISSN 1559-0631, E-ISSN 1559-064X, Vol. 28, no 5, p. 437-447Article in journal (Refereed)
    Abstract [en]

    Background: The general population is exposed to phthalates, a group of chemicals with strong evidence for endocrine disrupting properties, commonly used in a large number of consumer products. Based on published research and evidence compiled by environmental agencies, certain phthalate applications and products have become restricted, leading to an increasing number of “new generation compounds” coming onto the market during recent years replacing older phthalates. Some examples of such newer compounds are di-iso-nonyl phthalate (DiNP), di-iso-decyl phthalate (DiDP), and most recently di-isononyl-cyclohexane-1,2-dicarboxylate (DiNCH). Objectives: In order to evaluate temporal trends in phthalate exposure, first trimester urinary biomarkers of phthalates were measured in the Swedish SELMA study over a period of 2.5 years (2007–2010). Methods: We collected first morning void urine samples around week 10 of pregnancy from 1651 pregnant women. Spot samples were analyzed for 13 phthalate metabolites and one phthalate replacement and least square geometric mean (LSGM) levels of the metabolites were compared between the sampling years when adjusted for potential confounders. Results: All 14 metabolites were detectable in more than 99% of the SELMA subjects. The levels were generally comparable to other studies, but the SELMA subjects showed slightly higher exposure to butyl-benzyl phthalate (BBzP) and di-butyl phthalate (DBP). Di-ethyl-hexyl phthalate (DEHP) metabolites levels decreased while DiNP, DiDP/di-2-propylheptyl phthalate (DPHP), and DiNCH metabolites levels increased during the sampling period. Conclusions: Urinary metabolite levels of the older phthalates and more recently introduced phthalate replacement compound changed during the short sampling period in this Swedish pregnancy cohort. Our results indicate that replacement of phthalates can make an impact on human exposure to these chemicals. During this particularly vulnerable stage of life, phthalate exposures are of particular concern as the impacts, though not immediately noticeable, may increase the risk for health effects later in life.

  • 21.
    Shu, Huan
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Jönsson, Bo
    Lund University.
    Lindh, Christian
    Lund University.
    Knutz, Malin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Nånberg, Eewa
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Svensson, Åke
    Malmö University Hospital.
    Bornehag, Carl Gustaf
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    PVC flooring in the home is related to urinary levels of phthalates in swedish pregnant women in the selma study2014In: Indoor Air, ISSN 0905-6947, E-ISSN 1600-0668, p. 976-978Article in journal (Refereed)
  • 22.
    von Kobyletzki, Laura B
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences. Lund Univ, Skne Univ Hosp, Dept Dermatol, Inst Clin Res Malmo, Malmo, Sweden..
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Breeze, E.
    London Sch Hyg & Trop Med, London WC1, England..
    Larsson, Malin
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Engman, L. Hagerhed
    SP Tech Res Inst Sweden, Dept Bldg Phys & Indoor Environm, Bors, Sweden..
    Boman Lindström, Cecilia
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Svensson, A.
    Lund Univ, Skne Univ Hosp, Dept Dermatol, Inst Clin Res Malmo, Malmo, Sweden..
    Remission of eczema in children and influencing factors: a prospective population-based Swedish study2012In: Experimental dermatology, ISSN 0906-6705, E-ISSN 1600-0625, Vol. 21, no 3, p. e21-e22Article in journal (Refereed)
  • 23.
    von Kobyletzki, Laura B
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Lund University.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Breeze, Elizabeth
    London School of Hygiene and Tropical Medicine, United Kingdom.
    Larsson, Malin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Boman Lindström, Cecilia
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Svensson, Ake
    Lund University.
    Factors Associated with Remission of Eczema in Children: A Population-based Follow-up Study2014In: Acta Dermato-Venereologica, ISSN 0001-5555, E-ISSN 1651-2057, Vol. 90, no 2, p. 179-184Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to analyse factors associated with remission of atopic dermatitis (AD) in childhood. A population-based AD cohort of 894 children aged 1-3 years from a cross-sectional baseline study in 2000 was followed up in 2005. The association between remission, background, health, lifestyle, and environmental variables was estimated with crude and multivariable logistic regression. At follow-up, 52% of the children had remission. Independent factors at baseline predicting remission were: milder eczema (adjusted odds ratio (aOR), 1.43; 95% confidence interval (95% CI) 1.16-1.77); later onset of eczema (aOR 1.40; 95% CI 1.08-1.80); non-flexural eczema (aOR 2.57; 95% CI 1.62-4.09); no food allergy (aOR 1.51; 95% CI 1.11-2.04), and rural living (aOR 1.48; 95% CI 1.07-2.05). Certain aspects of AD and rural living were important for remission, but despite the initial hypotheses to the contrary, the environmental factors examined in this paper were not substantial predictors of remission.

  • 24.
    von Kobyletzki, Laura B.
    et al.
    Lund Univ, Skane Univ Hosp, Dept Dermatol, SE-20502 Malmo, Sweden.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hasselgren, Mikael
    School of Medicine, Örebro University.
    Larsson, Malin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Boman Lindström, Cecilia
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Svensson, Åke
    und Univ, Skane Univ Hosp, Dept Dermatol, SE-20502 Malmo, Sweden.
    Eczema in early childhood is strongly associated with the development of asthma and rhinitis in a prospective cohort.2012In: BMC Dermatology, ISSN 1471-5945, E-ISSN 1471-5945, Vol. 12, p. 11-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: This study aimed to estimate the association between eczema in early childhood and the onset of asthma and rhinitis later in life in children.

    METHODS: A total of 3,124 children aged 1-2 years were included in the Dampness in Building and Health (DBH) study in the year 2000, and followed up 5 years later by a parental questionnaire based on an International Study of Asthma and Allergies in Childhood protocol. The association between eczema in early childhood and the incidence of asthma and rhinitis later in life was estimated by univariable and multivariable logistic regression modelling.

    RESULTS: The prevalence of eczema in children aged 1-2 years was 17.6% at baseline. Children with eczema had a 3-fold increased odds of developing asthma (adjusted odds ratio [aOR], 3.07; 95% confidence interval (CI) 1.79-5.27), and a nearly 3-fold increased odds of developing rhinitis (aOR, 2.63; 1.85-3.73) at follow-up compared with children without eczema, adjusted for age, sex, parental allergic disease, parental smoking, length of breastfeeding, site of living, polyvinylchloride flooring material, and concomitant allergic disease. When eczema was divided into subgroups, moderate to severe eczema (aOR, 3.56; 1.62-7.83 and aOR, 3.87; 2.37-6.33, respectively), early onset of eczema (aOR, 3.44; 1.94-6.09 and aOR, 4.05; 2.82-5.81; respectively), and persistence of eczema (aOR, 5.16; 2.62-10.18 and aOR, 4.00; 2.53-6.22, respectively) further increased the odds of developing asthma and rhinitis. Further independent risk factors increasing the odds of developing asthma were a parental history of allergic disease (aOR, 1.83; 1.29-2.60) and a period of breast feeding shorter than 6 months (aOR, 1.57; 1.03-2.39). The incidence of rhinitis was increased for parental history of allergic disease (aOR, 2.00; 1.59-2.51) and polyvinylchloride flooring (aOR, 1.60; 1.02-2.51).

    CONCLUSION: Eczema in infancy is associated with development of asthma and rhinitis during the following 5-year period, and eczema is one of the strongest risk factors. Early identification is valuable for prediction of the atopic march.

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