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Higher diversity of vegetable consumption is associated with less airway inflammation and prevalence of asthma in school‐aged children

Background A diet rich in fruits and vegetables has been suggested to counteract the oxidative stress and inflammation that characterize asthma. We aimed to assess the association between vegetable and fruit diversity consumption and asthma and its related outcomes in school‐aged children. Methods P...

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Published in:Pediatric allergy and immunology 2021-07, Vol.32 (5), p.925-936
Main Authors: Mendes, Francisca de Castro, Paciência, Inês, Cavaleiro Rufo, João, Farraia, Mariana, Silva, Diana, Padrão, Patrícia, Delgado, Luís, Garcia‐Larsen, Vanessa, Moreira, André, Moreira, Pedro, Kalaycı, Ömer
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creator Mendes, Francisca de Castro
Paciência, Inês
Cavaleiro Rufo, João
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Delgado, Luís
Garcia‐Larsen, Vanessa
Moreira, André
Moreira, Pedro
Kalaycı, Ömer
description Background A diet rich in fruits and vegetables has been suggested to counteract the oxidative stress and inflammation that characterize asthma. We aimed to assess the association between vegetable and fruit diversity consumption and asthma and its related outcomes in school‐aged children. Methods Participants included 647 children (49% females, aged 7‐12 years) recruited from 20 public schools across the city of Porto, in Portugal. Vegetable intake and fruit intake were ascertained using a single self‐reported 24‐hour recall questionnaire. A diversity score was built taking into account the different number of individual vegetables and fruits consumed and categorized into two groups based on the total reported median consumption, which was rounded to the nearest whole number (≤3 and >3, for vegetables; and ≤1 and >1, for fruits). A questionnaire was used to enquire about self‐reported medical diagnosis of asthma and respiratory symptoms. Airway inflammation was assessed measuring exhaled fractional nitric oxide concentration (eNO) and was categorized into two groups (
doi_str_mv 10.1111/pai.13446
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We aimed to assess the association between vegetable and fruit diversity consumption and asthma and its related outcomes in school‐aged children. Methods Participants included 647 children (49% females, aged 7‐12 years) recruited from 20 public schools across the city of Porto, in Portugal. Vegetable intake and fruit intake were ascertained using a single self‐reported 24‐hour recall questionnaire. A diversity score was built taking into account the different number of individual vegetables and fruits consumed and categorized into two groups based on the total reported median consumption, which was rounded to the nearest whole number (≤3 and &gt;3, for vegetables; and ≤1 and &gt;1, for fruits). A questionnaire was used to enquire about self‐reported medical diagnosis of asthma and respiratory symptoms. Airway inflammation was assessed measuring exhaled fractional nitric oxide concentration (eNO) and was categorized into two groups (&lt;35 and ≥35 ppb). The association between fruit and vegetable diversity and respiratory outcomes was examined using logistic regression models, adjusting for confounders. Results A higher vegetable diversity consumption per day was negatively associated with having self‐reported asthma (OR = 0.67; 95% CI 0.47, 0.95), while having a vegetable diversity consumption superior to 3 items per day was negatively associated with levels of eNO ≥ 35 ppb (OR = 0.38; 95% CI 0.16, 0.88) and breathing difficulties (OR = 0.39; 95% CI 0.16, 0.97). Conclusion Eating a greater variety of vegetables was associated with a lower chance of airway inflammation and prevalence of self‐reported asthma in school children.</description><identifier>ISSN: 0905-6157</identifier><identifier>EISSN: 1399-3038</identifier><identifier>DOI: 10.1111/pai.13446</identifier><identifier>PMID: 33394508</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>airway inflammation ; Asthma ; Children ; diet ; Fruits ; Inflammation ; Nitric oxide ; Oxidative stress ; Questionnaires ; Regression analysis ; Respiratory tract ; Respiratory tract diseases ; vegetable diversity consumption ; Vegetables</subject><ispartof>Pediatric allergy and immunology, 2021-07, Vol.32 (5), p.925-936</ispartof><rights>2021 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.</rights><rights>Copyright © 2021 John Wiley &amp; Sons A/S</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3806-6c8af4fdf91540659850f04aae0eae705997d5ba8217097ef3e783a2ffa272cc3</citedby><cites>FETCH-LOGICAL-c3806-6c8af4fdf91540659850f04aae0eae705997d5ba8217097ef3e783a2ffa272cc3</cites><orcidid>0000-0002-2400-8408 ; 0000-0003-1175-242X ; 0000-0001-5762-7814 ; 0000-0003-2375-9071 ; 0000-0002-0656-7206</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33394508$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Kalaycı, Ömer</contributor><creatorcontrib>Mendes, Francisca de Castro</creatorcontrib><creatorcontrib>Paciência, Inês</creatorcontrib><creatorcontrib>Cavaleiro Rufo, João</creatorcontrib><creatorcontrib>Farraia, Mariana</creatorcontrib><creatorcontrib>Silva, Diana</creatorcontrib><creatorcontrib>Padrão, Patrícia</creatorcontrib><creatorcontrib>Delgado, Luís</creatorcontrib><creatorcontrib>Garcia‐Larsen, Vanessa</creatorcontrib><creatorcontrib>Moreira, André</creatorcontrib><creatorcontrib>Moreira, Pedro</creatorcontrib><creatorcontrib>Kalaycı, Ömer</creatorcontrib><title>Higher diversity of vegetable consumption is associated with less airway inflammation and prevalence of asthma in school‐aged children</title><title>Pediatric allergy and immunology</title><addtitle>Pediatr Allergy Immunol</addtitle><description>Background A diet rich in fruits and vegetables has been suggested to counteract the oxidative stress and inflammation that characterize asthma. We aimed to assess the association between vegetable and fruit diversity consumption and asthma and its related outcomes in school‐aged children. Methods Participants included 647 children (49% females, aged 7‐12 years) recruited from 20 public schools across the city of Porto, in Portugal. Vegetable intake and fruit intake were ascertained using a single self‐reported 24‐hour recall questionnaire. A diversity score was built taking into account the different number of individual vegetables and fruits consumed and categorized into two groups based on the total reported median consumption, which was rounded to the nearest whole number (≤3 and &gt;3, for vegetables; and ≤1 and &gt;1, for fruits). A questionnaire was used to enquire about self‐reported medical diagnosis of asthma and respiratory symptoms. Airway inflammation was assessed measuring exhaled fractional nitric oxide concentration (eNO) and was categorized into two groups (&lt;35 and ≥35 ppb). The association between fruit and vegetable diversity and respiratory outcomes was examined using logistic regression models, adjusting for confounders. Results A higher vegetable diversity consumption per day was negatively associated with having self‐reported asthma (OR = 0.67; 95% CI 0.47, 0.95), while having a vegetable diversity consumption superior to 3 items per day was negatively associated with levels of eNO ≥ 35 ppb (OR = 0.38; 95% CI 0.16, 0.88) and breathing difficulties (OR = 0.39; 95% CI 0.16, 0.97). Conclusion Eating a greater variety of vegetables was associated with a lower chance of airway inflammation and prevalence of self‐reported asthma in school children.</description><subject>airway inflammation</subject><subject>Asthma</subject><subject>Children</subject><subject>diet</subject><subject>Fruits</subject><subject>Inflammation</subject><subject>Nitric oxide</subject><subject>Oxidative stress</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Respiratory tract</subject><subject>Respiratory tract diseases</subject><subject>vegetable diversity consumption</subject><subject>Vegetables</subject><issn>0905-6157</issn><issn>1399-3038</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp10TFv1DAYxnELUdGjMPAFkCUWGNLacezEY1UBrVSJDu0cvee8vrhy4mAnd7qtIyOfkU-C2ysMSGSxFP30l-WHkHecnfL8nU3gTrmoKvWCrLjQuhBMNC_JimkmC8VlfUxep3TPGK-F4q_IsRBCV5I1K_Lj0m16jLRzW4zJzXsaLN3iBmdYe6QmjGkZptmFkbpEIaVgHMzY0Z2be-ox5Z8u7mBP3Wg9DAM8WRg7OkXcgsfR4GMT0twPkBVNpg_B_3r4CZvcMb3zXcTxDTmy4BO-fT5PyN2Xz7cXl8X1t69XF-fXhRENU4UyDdjKdlZzWTEldSOZZRUAMgSsmdS67uQampLXTNdoBdaNgNJaKOvSGHFCPh66UwzfF0xzO7hk0HsYMSypLataMq24kpl--IfehyWO-XZtKSvVsPyIPKtPB2ViSCmibafoBoj7lrP2cZ42z9M-zZPt--fish6w-yv_7JHB2QHsnMf9_0vtzfnVIfkbXnacbg</recordid><startdate>202107</startdate><enddate>202107</enddate><creator>Mendes, Francisca de Castro</creator><creator>Paciência, Inês</creator><creator>Cavaleiro Rufo, João</creator><creator>Farraia, Mariana</creator><creator>Silva, Diana</creator><creator>Padrão, Patrícia</creator><creator>Delgado, Luís</creator><creator>Garcia‐Larsen, Vanessa</creator><creator>Moreira, André</creator><creator>Moreira, Pedro</creator><creator>Kalaycı, Ömer</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2400-8408</orcidid><orcidid>https://orcid.org/0000-0003-1175-242X</orcidid><orcidid>https://orcid.org/0000-0001-5762-7814</orcidid><orcidid>https://orcid.org/0000-0003-2375-9071</orcidid><orcidid>https://orcid.org/0000-0002-0656-7206</orcidid></search><sort><creationdate>202107</creationdate><title>Higher diversity of vegetable consumption is associated with less airway inflammation and prevalence of asthma in school‐aged children</title><author>Mendes, Francisca de Castro ; Paciência, Inês ; Cavaleiro Rufo, João ; Farraia, Mariana ; Silva, Diana ; Padrão, Patrícia ; Delgado, Luís ; Garcia‐Larsen, Vanessa ; Moreira, André ; Moreira, Pedro ; Kalaycı, Ömer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3806-6c8af4fdf91540659850f04aae0eae705997d5ba8217097ef3e783a2ffa272cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>airway inflammation</topic><topic>Asthma</topic><topic>Children</topic><topic>diet</topic><topic>Fruits</topic><topic>Inflammation</topic><topic>Nitric oxide</topic><topic>Oxidative stress</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Respiratory tract</topic><topic>Respiratory tract diseases</topic><topic>vegetable diversity consumption</topic><topic>Vegetables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mendes, Francisca de Castro</creatorcontrib><creatorcontrib>Paciência, Inês</creatorcontrib><creatorcontrib>Cavaleiro Rufo, João</creatorcontrib><creatorcontrib>Farraia, Mariana</creatorcontrib><creatorcontrib>Silva, Diana</creatorcontrib><creatorcontrib>Padrão, Patrícia</creatorcontrib><creatorcontrib>Delgado, Luís</creatorcontrib><creatorcontrib>Garcia‐Larsen, Vanessa</creatorcontrib><creatorcontrib>Moreira, André</creatorcontrib><creatorcontrib>Moreira, Pedro</creatorcontrib><creatorcontrib>Kalaycı, Ömer</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; 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We aimed to assess the association between vegetable and fruit diversity consumption and asthma and its related outcomes in school‐aged children. Methods Participants included 647 children (49% females, aged 7‐12 years) recruited from 20 public schools across the city of Porto, in Portugal. Vegetable intake and fruit intake were ascertained using a single self‐reported 24‐hour recall questionnaire. A diversity score was built taking into account the different number of individual vegetables and fruits consumed and categorized into two groups based on the total reported median consumption, which was rounded to the nearest whole number (≤3 and &gt;3, for vegetables; and ≤1 and &gt;1, for fruits). A questionnaire was used to enquire about self‐reported medical diagnosis of asthma and respiratory symptoms. Airway inflammation was assessed measuring exhaled fractional nitric oxide concentration (eNO) and was categorized into two groups (&lt;35 and ≥35 ppb). The association between fruit and vegetable diversity and respiratory outcomes was examined using logistic regression models, adjusting for confounders. Results A higher vegetable diversity consumption per day was negatively associated with having self‐reported asthma (OR = 0.67; 95% CI 0.47, 0.95), while having a vegetable diversity consumption superior to 3 items per day was negatively associated with levels of eNO ≥ 35 ppb (OR = 0.38; 95% CI 0.16, 0.88) and breathing difficulties (OR = 0.39; 95% CI 0.16, 0.97). 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subjects airway inflammation
Asthma
Children
diet
Fruits
Inflammation
Nitric oxide
Oxidative stress
Questionnaires
Regression analysis
Respiratory tract
Respiratory tract diseases
vegetable diversity consumption
Vegetables
title Higher diversity of vegetable consumption is associated with less airway inflammation and prevalence of asthma in school‐aged children
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