Relationship of cord blood IgE with maternal, fetal, and environmental factors in the Chinese population

Allergol Immunopathol (Madr). 2021 May 1;49(3):50-55. doi: 10.15586/aei.v49i3.76. eCollection 2021.

Abstract

Introduction and objectives: Previous studies reported that history of pregnancy and delivery and family environment might influence cord blood IgE (CB-IgE) levels and development of allergies; however, the association between them is not well-established. This study aimed at investigating the IgE level in the newborn's umbilical cord blood and its relationship with maternal, fetal, and environmental factors.

Materials and methods: A total of 989 mothers and their infants were analyzed in this study. Mothers were given a questionnaire that had a series of questions to evaluate demographic information, maternal allergic status, and environmental exposures during pregnancy. Neonatal cord blood samples were taken at the same time for IgE assay.

Results: By univariate analysis, we found statistically significant correlations between CB-IgE levels and gender (P = 0.000) and delivery mode (P = 0.017). By multivariate analysis, gender was found to have a significant association with CB-IgE levels (P = 0.001). No significant difference was found between CB-IgE levels and antenatal complications, the season of birth, birth weight, gestational age, and household income (P > 0.050).

Conclusions: In this study, newborn gender was found to be a strong predictor of elevated CB-IgE. The delivery mode was a probable predictor.

Keywords: IgE; cord blood; delivery mode; gender; newborn.

MeSH terms

  • Adult
  • Analysis of Variance
  • Birth Weight
  • China
  • Delivery, Obstetric / methods
  • Environmental Exposure
  • Family
  • Female
  • Fetal Blood / immunology*
  • Gestational Age
  • Humans
  • Hypersensitivity / etiology*
  • Hypersensitivity / immunology
  • Immunoglobulin E / blood*
  • Income
  • Infant, Newborn
  • Male
  • Pregnancy
  • Pregnancy Complications / epidemiology
  • Seasons
  • Sex Factors*

Substances

  • Immunoglobulin E