Family size, infection and atopy: the first decade of the "hygiene hypothesis".

PubWeight™: 5.14‹?› | Rank: Top 1%

🔗 View Article (PMC 1765943)

Published in Thorax on August 01, 2000

Authors

D P Strachan1

Author Affiliations

1: Department of Public Health Sciences, St George's Hospital Medical School, London, UK.

Articles citing this

(truncated to the top 100)

Diet, gut microbiota and immune responses. Nat Immunol (2011) 3.66

Decanalization and the origin of complex disease. Nat Rev Genet (2009) 3.12

Gut microbiota composition and development of atopic manifestations in infancy: the KOALA Birth Cohort Study. Gut (2006) 2.85

Infant antibiotic exposures and early-life body mass. Int J Obes (Lond) (2012) 2.72

Role of viral respiratory infections in asthma and asthma exacerbations. Lancet (2010) 2.60

Asthma is inversely associated with Helicobacter pylori status in an urban population. PLoS One (2008) 2.04

Age at first viral infection determines the pattern of T cell-mediated disease during reinfection in adulthood. J Exp Med (2002) 2.03

TLR-dependent T cell activation in autoimmunity. Nat Rev Immunol (2011) 1.88

A genome-wide association meta-analysis of self-reported allergy identifies shared and allergy-specific susceptibility loci. Nat Genet (2013) 1.85

The role of acetaminophen and geohelminth infection on the incidence of wheeze and eczema: a longitudinal birth-cohort study. Am J Respir Crit Care Med (2010) 1.84

Does a higher number of siblings protect against the development of allergy and asthma? A review. J Epidemiol Community Health (2002) 1.83

Immunogenicity and efficacy of oral vaccines in developing countries: lessons from a live cholera vaccine. BMC Biol (2010) 1.83

Is the global rise of asthma an early impact of anthropogenic climate change? Environ Health Perspect (2005) 1.79

Maternal TLR signaling is required for prenatal asthma protection by the nonpathogenic microbe Acinetobacter lwoffii F78. J Exp Med (2009) 1.79

Endotoxin in inner-city homes: associations with wheeze and eczema in early childhood. J Allergy Clin Immunol (2006) 1.62

Childhood asthma may be a consequence of vitamin D deficiency. Curr Opin Allergy Clin Immunol (2009) 1.62

Rising prevalence of asthma is sex-specific in a US farming population. J Allergy Clin Immunol (2011) 1.60

Clinical Use of Probiotics in Pediatric Allergy (CUPPA): A World Allergy Organization Position Paper. World Allergy Organ J (2012) 1.60

The protective effect of community factors on childhood asthma. J Allergy Clin Immunol (2009) 1.55

Born in Bradford, a cohort study of babies born in Bradford, and their parents: protocol for the recruitment phase. BMC Public Health (2008) 1.53

Environmental epigenetics of asthma: an update. J Allergy Clin Immunol (2010) 1.53

Early prescriptions of antibiotics and the risk of allergic disease in adults: a cohort study. Thorax (2004) 1.52

Systematic review of worldwide variations of the prevalence of wheezing symptoms in children. Environ Health (2008) 1.48

Hygiene levels in a contemporary population cohort are associated with wheezing and atopic eczema in preschool infants. Arch Dis Child (2002) 1.47

Timing of routine immunisations and subsequent hay fever risk. Arch Dis Child (2005) 1.45

Asthma symptoms among adolescents who attend public schools that are located near confined swine feeding operations. Pediatrics (2006) 1.43

Early-life environmental risk factors for asthma: findings from the Children's Health Study. Environ Health Perspect (2004) 1.42

Understanding health disparities: the role of race and socioeconomic status in children's health. Am J Public Health (2006) 1.42

Chlorinated pool attendance, atopy, and the risk of asthma during childhood. Environ Health Perspect (2006) 1.41

Family income gradients in the health and health care access of US children. Matern Child Health J (2009) 1.36

Effects of intestinal microflora and the environment on the development of asthma and allergy. Springer Semin Immunopathol (2003) 1.35

Cohort study of sibling effect, infectious diseases, and risk of atopic dermatitis during first 18 months of life. BMJ (2004) 1.33

Too clean, or not too clean: the hygiene hypothesis and home hygiene. Clin Exp Allergy (2006) 1.32

The social determinants of child health: variations across health outcomes - a population-based cross-sectional analysis. BMC Pediatr (2009) 1.31

Infections, medication use, and the prevalence of symptoms of asthma, rhinitis, and eczema in childhood. J Epidemiol Community Health (2004) 1.30

Risk factors for asthma and allergy associated with urban migration: background and methodology of a cross-sectional study in Afro-Ecuadorian school children in Northeastern Ecuador (Esmeraldas-SCAALA Study). BMC Pulm Med (2006) 1.28

Defining dysbiosis and its influence on host immunity and disease. Cell Microbiol (2014) 1.28

Pathology of asthma. Front Microbiol (2013) 1.25

Effect of intestinal microbiota on the induction of regulatory CD25+ CD4+ T cells. Clin Exp Immunol (2008) 1.23

Composition of the early intestinal microbiota: knowledge, knowledge gaps and the use of high-throughput sequencing to address these gaps. Gut Microbes (2012) 1.23

Evidence that asthma is a developmental origin disease influenced by maternal diet and bacterial metabolites. Nat Commun (2015) 1.21

A brief targeted review of susceptibility factors, environmental exposures, asthma incidence, and recommendations for future asthma incidence research. Environ Health Perspect (2006) 1.20

The allergy epidemics: 1870-2010. J Allergy Clin Immunol (2015) 1.20

The microbiology of asthma. Nat Rev Microbiol (2012) 1.14

Changing prevalence of allergic diseases in the Asia-pacific region. Allergy Asthma Immunol Res (2013) 1.14

Association between sibship size and allergic diseases in the Glasgow Alumni Study. Thorax (2006) 1.13

The coming-of-age of the hygiene hypothesis. Respir Res (2001) 1.13

Impact of early life exposures to geohelminth infections on the development of vaccine immunity, allergic sensitization, and allergic inflammatory diseases in children living in tropical Ecuador: the ECUAVIDA birth cohort study. BMC Infect Dis (2011) 1.11

Allergic sensitization and microbial load--a comparison between Finland and Russian Karelia. Clin Exp Immunol (2007) 1.10

Common risk alleles for inflammatory diseases are targets of recent positive selection. Am J Hum Genet (2013) 1.09

Prevalence of asthma. BMJ (2005) 1.09

Lessons from model organisms: phenotypic robustness and missing heritability in complex disease. PLoS Genet (2012) 1.06

The two sides of the "endotoxin coin". Occup Environ Med (2006) 1.06

Relationship between socioeconomic status and asthma: a longitudinal cohort study. Thorax (2004) 1.05

Cancers and immune related diseases associated with Down's syndrome: a record linkage study. Arch Dis Child (2004) 1.03

Immune system development during early childhood in tropical Latin America: evidence for the age-dependent down regulation of the innate immune response. Clin Immunol (2011) 0.99

Helminths in the hygiene hypothesis: sooner or later? Clin Exp Immunol (2014) 0.99

Effect of barrier microbes on organ-based inflammation. J Allergy Clin Immunol (2013) 0.97

Diversity of the gut microbiota and eczema in early life. Clin Mol Allergy (2008) 0.97

Microbial manipulation of immune function for asthma prevention: inferences from clinical trials. Proc Am Thorac Soc (2007) 0.97

Ecological association between childhood asthma and availability of indoor chlorinated swimming pools in Europe. Occup Environ Med (2006) 0.96

Gene-environment interactions in asthma. Arch Dis Child (2007) 0.96

Early-Life Events, Including Mode of Delivery and Type of Feeding, Siblings and Gender, Shape the Developing Gut Microbiota. PLoS One (2016) 0.95

Cellular immune response parameters that influence IgE sensitization. J Immunol Methods (2012) 0.94

Arthritis susceptibility and the gut microbiome. FEBS Lett (2014) 0.94

Extraintestinal manifestations of Helicobacter pylori: a concise review. World J Gastroenterol (2014) 0.94

The ecological relationship of tobacco smoking to the prevalence of symptoms of asthma and other atopic diseases in children: the International Study of Asthma and Allergies in Childhood (ISAAC). Eur J Epidemiol (2001) 0.93

Toll-like receptors promote mutually beneficial commensal-host interactions. PLoS Pathog (2012) 0.93

Environmental changes, microbiota, and allergic diseases. Allergy Asthma Immunol Res (2014) 0.93

Gestational age at birth and risk of allergic rhinitis in young adulthood. J Allergy Clin Immunol (2011) 0.92

Expression and functional analysis of toll-like receptors of peripheral blood cells in asthmatic patients: implication for immunopathological mechanism in asthma. J Clin Immunol (2008) 0.91

99th Dahlem conference on infection, inflammation and chronic inflammatory disorders: controversial aspects of the 'hygiene hypothesis'. Clin Exp Immunol (2010) 0.91

Worms and the treatment of inflammatory bowel disease: are molecules the answer? Clin Dev Immunol (2008) 0.91

Interleukin-12-independent down-modulation of cockroach antigen-induced asthma in mice by intranasal exposure to bacterial lipopolysaccharide. Am J Pathol (2003) 0.90

The effect of Helicobacter pylori on asthma and allergy. J Asthma Allergy (2010) 0.90

Oral pathogens and allergic disease: results from the Third National Health and Nutrition Examination Survey. J Allergy Clin Immunol (2006) 0.90

Wheezing and asthma may be enhanced by broad spectrum antibiotics used in early childhood. Concept and results of a pharmacoepidemiology study. J Physiol Pharmacol (2011) 0.89

Association between allergies and risk of pancreatic cancer. Cancer Epidemiol Biomarkers Prev (2014) 0.89

Siblings, asthma, rhinoconjunctivitis and eczema: a worldwide perspective from the International Study of Asthma and Allergies in Childhood. Clin Exp Allergy (2015) 0.89

The asthma epidemic and our artificial habitats. BMC Pulm Med (2005) 0.89

99th Dahlem conference on infection, inflammation and chronic inflammatory disorders: the role of infections in allergy: atopic asthma as a paradigm. Clin Exp Immunol (2010) 0.89

Allergy associations with the adult fecal microbiota: Analysis of the American Gut Project. EBioMedicine (2015) 0.87

Atopic dermatitis-like skin lesions reduced by topical application and intraperitoneal injection of Hirsutenone in NC/Nga mice. Clin Dev Immunol (2010) 0.87

The childhood asthma epidemic. Thorax (2006) 0.87

Mgat2 ablation in the myeloid lineage leads to defective glycoantigen T cell responses. Glycobiology (2013) 0.86

Neonatal Escherichia coli infection alters glial, cytokine, and neuronal gene expression in response to acute amphetamine in adolescent rats. Neurosci Lett (2010) 0.85

Antenatal risk factors, cytokines and the development of atopic disease in early childhood. Arch Dis Child Fetal Neonatal Ed (2007) 0.85

Impact of direct soil exposures from airborne dust and geophagy on human health. Int J Environ Res Public Health (2010) 0.84

Psychoneuroimmunology of Early-Life Stress: The Hidden Wounds of Childhood Trauma? Neuropsychopharmacology (2016) 0.83

Asthma onset prior to multiple sclerosis and the contribution of sibling exposure in early life. Clin Exp Immunol (2006) 0.83

Murine cytomegalovirus influences Foxj1 expression, ciliogenesis, and mucus plugging in mice with allergic airway disease. Am J Pathol (2008) 0.83

TLR2 and TLR4 as Potential Biomarkers of Environmental Particulate Matter Exposed Human Myeloid Dendritic Cells. Biomark Insights (2007) 0.83

The EPIIC hypothesis: intrapartum effects on the neonatal epigenome and consequent health outcomes. Med Hypotheses (2013) 0.83

Schistosoma mansoni proteins attenuate gastrointestinal motility disturbances during experimental colitis in mice. World J Gastroenterol (2010) 0.83

New insights into the hygiene hypothesis in allergic diseases: mediation of sibling and birth mode effects by the gut microbiota. Gut Microbes (2014) 0.83

Prevalence of asthma among schoolchildren in Patras, Greece: four questionnaire surveys during 1978-2003. Arch Dis Child (2006) 0.83

The microbiome and development of allergic disease. Curr Opin Allergy Clin Immunol (2016) 0.83

The human microbiome. Early life determinant of health outcomes. Ann Am Thorac Soc (2014) 0.83

Neonatal exposure to pneumococcal phosphorylcholine modulates the development of house dust mite allergy during adult life. J Immunol (2015) 0.83

Bacterial capsular polysaccharide prevents the onset of asthma through T-cell activation. Glycobiology (2014) 0.83

Articles cited by this

Hay fever, hygiene, and household size. BMJ (1989) 15.94

Asthma and wheezing in the first six years of life. The Group Health Medical Associates. N Engl J Med (1995) 15.68

Incidence and prognosis of asthma and wheezing illness from early childhood to age 33 in a national British cohort. BMJ (1996) 6.90

Hay fever, a post industrial revolution epidemic: a history of its growth during the 19th century. Clin Allergy (1988) 4.63

The relationship between viral infections and onset of allergic diseases and asthma. Clin Exp Allergy (1989) 4.40

Impact of anti-vaccine movements on pertussis control: the untold story. Lancet (1998) 4.18

Measles and atopy in Guinea-Bissau. Lancet (1996) 4.03

Atopy in children of families with an anthroposophic lifestyle. Lancet (1999) 3.41

Give us this day our daily germs. Immunol Today (1998) 3.19

Prevalence of asthma and atopy in two areas of West and East Germany. Am J Respir Crit Care Med (1994) 3.16

How much asthma is really attributable to atopy? Thorax (1999) 3.04

Skin test reactivity and number of siblings. BMJ (1994) 3.02

Exposure to foodborne and orofecal microbes versus airborne viruses in relation to atopy and allergic asthma: epidemiological study. BMJ (2000) 2.97

Th1-Th2: reliable paradigm or dangerous dogma? Immunol Today (1997) 2.83

Reduced risk of hay fever and asthma among children of farmers. Clin Exp Allergy (2000) 2.70

Cross sectional retrospective study of prevalence of atopy among Italian military students with antibodies against hepatitis A virus. BMJ (1997) 2.70

A potential vaccine strategy for asthma and allied atopic diseases during early childhood. Lancet (1994) 2.68

Prevalence of asthma and allergic disorders among children in united Germany: a descriptive comparison. BMJ (1992) 2.48

Age of entry to day nursery and allergy in later childhood. Lancet (1999) 2.42

Frequency of infections and risk of asthma, atopy and airway hyperresponsiveness in children. Eur Respir J (1999) 2.35

Prevalence of hay fever and allergic sensitization in farmer's children and their peers living in the same rural community. SCARPOL team. Swiss Study on Childhood Allergy and Respiratory Symptoms with Respect to Air Pollution. Clin Exp Allergy (1999) 2.32

Early BCG vaccination and development of atopy. Lancet (1997) 2.23

Perinatal risk factors for atopic disease in conscripts. Clin Exp Allergy (1998) 2.23

Asthma: an epidemic in the absence of infection? Science (1997) 2.12

Is low birth weight a risk factor for asthma during adolescence? Arch Dis Child (1991) 2.02

Prevalence of allergy in children in relation to prior BCG vaccination and infection with atypical mycobacteria. Allergy (1998) 1.94

Is infant immunization a risk factor for childhood asthma or allergy? Epidemiology (1997) 1.94

Farm environment in childhood prevents the development of allergies. Clin Exp Allergy (2000) 1.92

Role of viral infections in the inception of asthma and allergies during childhood: could they be protective? Thorax (1994) 1.92

Absence of relationship between tuberculin reactivity and atopy in BCG vaccinated young adults. Thorax (2000) 1.88

Family size, childhood infections and atopic diseases. The Aberdeen WHEASE Group. Thorax (1998) 1.80

Severity of childhood asthma by socioeconomic status. Int J Epidemiol (1996) 1.79

The association of family size with atopy and atopic disease. Clin Exp Allergy (1997) 1.71

Family structure, neonatal infection, and hay fever in adolescence. Arch Dis Child (1996) 1.66

Childhood eczema: disease of the advantaged? BMJ (1994) 1.61

Intestinal microflora of Estonian and Swedish infants. Acta Paediatr (1997) 1.60

Atopic versus infectious diseases in childhood: a question of balance? Pediatr Allergy Immunol (1997) 1.60

Accumulation of atopic disorders within families: a sibling effect only in the offspring of atopic fathers. Clin Exp Allergy (1998) 1.54

Exercise induced bronchospasm in Ghana: differences in prevalence between urban and rural schoolchildren. Thorax (1997) 1.45

Allergen avoidance in the treatment of asthma and atopic disorders. Thorax (1998) 1.45

Antibiotic use in early childhood and the development of asthma. Clin Exp Allergy (1999) 1.43

Asthma and poverty. Thorax (2000) 1.38

A randomized controlled trial of the effect of pertussis vaccines on atopic disease. Arch Pediatr Adolesc Med (1998) 1.29

Prevalence of respiratory symptoms, bronchial hyperresponsiveness and atopy among adults: west and east Germany. Eur Respir J (1996) 1.18

Outcome of wheeze in childhood: the influence of atopy. Eur Respir J (1995) 1.18

Epidemiology of the allergic diseases: are they really on the increase? Int Arch Allergy Appl Immunol (1989) 1.18

Lifestyle and atopy. Lancet (1999) 1.17

Allergy and family size: a riddle worth solving. Clin Exp Allergy (1997) 1.13

Sibship size and self-reported inhalant allergy among adult women. ALSPAC Study Team. Clin Exp Allergy (1997) 1.13

Changing patterns of childhood infection and the rise in allergic disease. Clin Exp Allergy (1995) 1.08

Labelling of rhinitis and hayfever by doctors. Thorax (1991) 1.06

The magnitude of the effect of smaller family sizes on the increase in the prevalence of asthma and hay fever in the United Kingdom and New Zealand. J Allergy Clin Immunol (1999) 1.05

Bronchial asthma, allergic rhinitis, and allergy skin tests among college students. J Allergy (1969) 1.04

The non-specific enhancement of allergy. I. In vivo effects of Bordetella pertussis vaccine on IgE synthesis. Allergy (1983) 1.02

Do infections in infancy affect sensitization to airborne allergens and development of atopic disease? A retrospective study of seven-year-old children. Allergy (1984) 1.02

Atopy in children and parental social class. Am J Public Health (1998) 1.00

BCG vaccination and atopy--unfinished business? Lancet (1997) 0.99

Infections and the development of allergy. Toxicol Lett (1996) 0.98

Infections preventing atopy: facts and new questions. Allergy (1997) 0.98

Atopy, hygiene, and anthroposophic lifestyle. San Marino Study Group. Lancet (1999) 0.94

Mycobacterium tuberculosis infection and the subsequent development of asthma and allergic conditions. J Allergy Clin Immunol (1999) 0.94

Time trends in asthma and allergy: ten questions, fewer answers. Clin Exp Allergy (1995) 0.93

Protection against atopic diseases by measles--a rash conclusion? JAMA (2000) 0.87

Infections in asthma and allergy. Thorax (1998) 0.86

The hygiene hypothesis in the development of atopy and asthma--still a matter of controversy? QJM (1998) 0.85

Measles and atopy in African children. Lancet (1996) 0.84

Animals and allergy. Clin Exp Allergy (2000) 0.83