Growing up around farm animals may
protect children from allergies and asthma, a
Canadian study presented to the American Thoracic
Society says.
To find out whether exposure to
livestock affects respiratory problems and
allergies, University of British Columbia
researcher Helen Dimich-Ward and colleague C. M.
Trask surveyed 1,158 4-H Club members, aged 8 to
20.
The members were asked about current and
previous residences and residential exposure to
livestock, and about any problems with allergies
and asthma.
Allergic symptoms were lower among those who
lived on farms when the survey was taken or who
had lived on farms. The findings were presented on
the weekend to the thoracic society's annual
international conference in Seattle.
The study confirms similar findings in Europe.
Dr. Dimich-Ward, an epidemiologist who raises
llamas on a small farm in the Fraser Valley, says
that the earlier studies were surprising and that
because she lives on a farm she wanted to test
them out herself.
The highest prevalence of allergic symptoms was
found in urban or rural residents without
livestock. Diagnosed asthma was lowest among those
who currently lived on a farm, and former farm
dwellers were the least likely ever to have
wheezed.
The study, funded by the B.C. Lung Association,
says a "protective farm factor" may be the reason.
This means that children who grow up on farms are
less likely to suffer from asthma and allergies
because they have more frequent, higher exposures
to endotoxins. Endotoxins, poisonous substances in
bacteria, are found in livestock feces, barn and
house dust and mattresses.
Scientists also call this the hygiene
hypothesis: the idea that a Western lifestyle with
lower birthrates, better hygiene and cleaner
surroundings decreases childhood exposure to
infections that may protect against allergies or
asthma. But exposure to endotoxins can aggravate
the condition in someone who already has asthma or
allergies.
"Endotoxin exposure is an appealing
explanation," Dr. Dimich-Ward says. That's true
both for the lower allergic symptoms among farm
children and for the results of some studies that
found fewer allergic conditions in children
exposed to dogs or cats at an early age.
The latter studies found that infants who lived
in homes with high levels of endotoxins generally
did not develop allergies to dust mites, cats,
dogs, cockroaches, mice, milk, egg or soy, whereas
children in homes with low levels were much more
likely to develop those allergies.
The Canadian Lung Association says that about
2.5 million Canadian adults and children have
asthma. A chronic lung condition, asthma is the
most common chronic respiratory disease of
children.
Dr. Dimich-Ward, an associate professor in
UBC's department of medicine, says it is not yet
absolutely clear that endotoxins are the
protective mechanism. Contact with farm animals
was not the only factor in her study that appeared
to have a protective effect.
"Rather, lower risks for allergic symptoms were
associated with living on a farm or [in a] rural
area and having livestock currently and at an
early age."
A study published last year in the New England
Journal of Medicine found that of more than 800
Swiss, German and Austrian children evaluated,
asthma and allergy rates were lower among the 319
who grew up on farms.
In 2000, a study published in the American
Journal of Respiratory and Critical Care Medicine
found that a lower prevalence of asthma persists
in farm children, even after accounting for the
fact that they smoke less than their urban
counterparts.
Dr. Dimich-Ward acknowledges that other factors
may explain the findings. One possibility is that
children who live on a farm may be less likely to
have parents who are allergic, since families
subject to allergies might be inclined to leave
the farm environment. Relatively few parents of
the farm children she surveyed had a history of
allergies, she said.