The effects of growing up on a farm on adult lung function and allergic phenotypes: an international population-based study.
Identifieur interne : 000F68 ( PubMed/Corpus ); précédent : 000F67; suivant : 000F69The effects of growing up on a farm on adult lung function and allergic phenotypes: an international population-based study.
Auteurs : B. Campbell ; C. Raherison ; C J Lodge ; A J Lowe ; T. Gislason ; J. Heinrich ; J. Sunyer ; F. G Mez Real ; D. Norb Ck ; M C Matheson ; M. Wjst ; J. Dratva ; R. De Marco ; D. Jarvis ; V. Schlünssen ; C. Janson ; B. Leynaert ; C. Svanes ; S C DharmageSource :
- Thorax [ 1468-3296 ] ; 2017.
English descriptors
- KwdEn :
- Adult, Animals, Asthma (epidemiology), Biodiversity, Cats, Child, Child Care, Dogs, Environmental Exposure, Farms, Female, Humans, Hypersensitivity (epidemiology), Internationality, Male, Middle Aged, Phenotype, Residence Characteristics, Respiratory Function Tests, Rhinitis (epidemiology), Siblings.
- MESH :
- epidemiology : Asthma, Hypersensitivity, Rhinitis.
- Adult, Animals, Biodiversity, Cats, Child, Child Care, Dogs, Environmental Exposure, Farms, Female, Humans, Internationality, Male, Middle Aged, Phenotype, Residence Characteristics, Respiratory Function Tests, Siblings.
Abstract
Evidence has suggested that exposure to environmental or microbial biodiversity in early life may impact subsequent lung function and allergic disease risk.
DOI: 10.1136/thoraxjnl-2015-208154
PubMed: 27672121
Links to Exploration step
pubmed:27672121Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The effects of growing up on a farm on adult lung function and allergic phenotypes: an international population-based study.</title><author><name sortKey="Campbell, B" sort="Campbell, B" uniqKey="Campbell B" first="B" last="Campbell">B. Campbell</name><affiliation><nlm:affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Raherison, C" sort="Raherison, C" uniqKey="Raherison C" first="C" last="Raherison">C. Raherison</name><affiliation><nlm:affiliation>Unité Epidémiologie et Biostatistique, Université Bordeaux Segalen, Bordeaux, France.</nlm:affiliation></affiliation></author><author><name sortKey="Lodge, C J" sort="Lodge, C J" uniqKey="Lodge C" first="C J" last="Lodge">C J Lodge</name><affiliation><nlm:affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Lowe, A J" sort="Lowe, A J" uniqKey="Lowe A" first="A J" last="Lowe">A J Lowe</name><affiliation><nlm:affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Gislason, T" sort="Gislason, T" uniqKey="Gislason T" first="T" last="Gislason">T. Gislason</name><affiliation><nlm:affiliation>Department of Respiratory Medicine and Sleep, Landspitali University Hospital, Reykjavik, Iceland.</nlm:affiliation></affiliation></author><author><name sortKey="Heinrich, J" sort="Heinrich, J" uniqKey="Heinrich J" first="J" last="Heinrich">J. Heinrich</name><affiliation><nlm:affiliation>Instititute of Epidemiology I, German Research Centre for Environmental Health, Helmholtz Zentrum München, Neuherberg, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Sunyer, J" sort="Sunyer, J" uniqKey="Sunyer J" first="J" last="Sunyer">J. Sunyer</name><affiliation><nlm:affiliation>Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="G Mez Real, F" sort="G Mez Real, F" uniqKey="G Mez Real F" first="F" last="G Mez Real">F. G Mez Real</name><affiliation><nlm:affiliation>Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway.</nlm:affiliation></affiliation></author><author><name sortKey="Norb Ck, D" sort="Norb Ck, D" uniqKey="Norb Ck D" first="D" last="Norb Ck">D. Norb Ck</name><affiliation><nlm:affiliation>Department of Medical Sciences; Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Matheson, M C" sort="Matheson, M C" uniqKey="Matheson M" first="M C" last="Matheson">M C Matheson</name><affiliation><nlm:affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Wjst, M" sort="Wjst, M" uniqKey="Wjst M" first="M" last="Wjst">M. Wjst</name><affiliation><nlm:affiliation>Institute of Lung Biology and Health (iLBD), Comprehensive Pneumology Center (CPC), Helmholtz Zentrum München, Munich-Neuherberg, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Dratva, J" sort="Dratva, J" uniqKey="Dratva J" first="J" last="Dratva">J. Dratva</name><affiliation><nlm:affiliation>Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="De Marco, R" sort="De Marco, R" uniqKey="De Marco R" first="R" last="De Marco">R. De Marco</name><affiliation><nlm:affiliation>Epidemiology and Medical Statistics, University of Verona, Verona, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Jarvis, D" sort="Jarvis, D" uniqKey="Jarvis D" first="D" last="Jarvis">D. Jarvis</name><affiliation><nlm:affiliation>National Heart and Lung Institute, Imperial College, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Schlunssen, V" sort="Schlunssen, V" uniqKey="Schlunssen V" first="V" last="Schlünssen">V. Schlünssen</name><affiliation><nlm:affiliation>Section for Environment Occupation and Health, Department of Public Health, Aarhus University, Aarhus, Denmark.</nlm:affiliation></affiliation></author><author><name sortKey="Janson, C" sort="Janson, C" uniqKey="Janson C" first="C" last="Janson">C. Janson</name><affiliation><nlm:affiliation>Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway.</nlm:affiliation></affiliation></author><author><name sortKey="Leynaert, B" sort="Leynaert, B" uniqKey="Leynaert B" first="B" last="Leynaert">B. Leynaert</name><affiliation><nlm:affiliation>Centre de Recherche Albert Bonniot, Grenoble, France.</nlm:affiliation></affiliation></author><author><name sortKey="Svanes, C" sort="Svanes, C" uniqKey="Svanes C" first="C" last="Svanes">C. Svanes</name><affiliation><nlm:affiliation>Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway.</nlm:affiliation></affiliation></author><author><name sortKey="Dharmage, S C" sort="Dharmage, S C" uniqKey="Dharmage S" first="S C" last="Dharmage">S C Dharmage</name><affiliation><nlm:affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:27672121</idno><idno type="pmid">27672121</idno><idno type="doi">10.1136/thoraxjnl-2015-208154</idno><idno type="wicri:Area/PubMed/Corpus">000F68</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000F68</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The effects of growing up on a farm on adult lung function and allergic phenotypes: an international population-based study.</title><author><name sortKey="Campbell, B" sort="Campbell, B" uniqKey="Campbell B" first="B" last="Campbell">B. Campbell</name><affiliation><nlm:affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Raherison, C" sort="Raherison, C" uniqKey="Raherison C" first="C" last="Raherison">C. Raherison</name><affiliation><nlm:affiliation>Unité Epidémiologie et Biostatistique, Université Bordeaux Segalen, Bordeaux, France.</nlm:affiliation></affiliation></author><author><name sortKey="Lodge, C J" sort="Lodge, C J" uniqKey="Lodge C" first="C J" last="Lodge">C J Lodge</name><affiliation><nlm:affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Lowe, A J" sort="Lowe, A J" uniqKey="Lowe A" first="A J" last="Lowe">A J Lowe</name><affiliation><nlm:affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Gislason, T" sort="Gislason, T" uniqKey="Gislason T" first="T" last="Gislason">T. Gislason</name><affiliation><nlm:affiliation>Department of Respiratory Medicine and Sleep, Landspitali University Hospital, Reykjavik, Iceland.</nlm:affiliation></affiliation></author><author><name sortKey="Heinrich, J" sort="Heinrich, J" uniqKey="Heinrich J" first="J" last="Heinrich">J. Heinrich</name><affiliation><nlm:affiliation>Instititute of Epidemiology I, German Research Centre for Environmental Health, Helmholtz Zentrum München, Neuherberg, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Sunyer, J" sort="Sunyer, J" uniqKey="Sunyer J" first="J" last="Sunyer">J. Sunyer</name><affiliation><nlm:affiliation>Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="G Mez Real, F" sort="G Mez Real, F" uniqKey="G Mez Real F" first="F" last="G Mez Real">F. G Mez Real</name><affiliation><nlm:affiliation>Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway.</nlm:affiliation></affiliation></author><author><name sortKey="Norb Ck, D" sort="Norb Ck, D" uniqKey="Norb Ck D" first="D" last="Norb Ck">D. Norb Ck</name><affiliation><nlm:affiliation>Department of Medical Sciences; Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Matheson, M C" sort="Matheson, M C" uniqKey="Matheson M" first="M C" last="Matheson">M C Matheson</name><affiliation><nlm:affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Wjst, M" sort="Wjst, M" uniqKey="Wjst M" first="M" last="Wjst">M. Wjst</name><affiliation><nlm:affiliation>Institute of Lung Biology and Health (iLBD), Comprehensive Pneumology Center (CPC), Helmholtz Zentrum München, Munich-Neuherberg, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Dratva, J" sort="Dratva, J" uniqKey="Dratva J" first="J" last="Dratva">J. Dratva</name><affiliation><nlm:affiliation>Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="De Marco, R" sort="De Marco, R" uniqKey="De Marco R" first="R" last="De Marco">R. De Marco</name><affiliation><nlm:affiliation>Epidemiology and Medical Statistics, University of Verona, Verona, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Jarvis, D" sort="Jarvis, D" uniqKey="Jarvis D" first="D" last="Jarvis">D. Jarvis</name><affiliation><nlm:affiliation>National Heart and Lung Institute, Imperial College, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Schlunssen, V" sort="Schlunssen, V" uniqKey="Schlunssen V" first="V" last="Schlünssen">V. Schlünssen</name><affiliation><nlm:affiliation>Section for Environment Occupation and Health, Department of Public Health, Aarhus University, Aarhus, Denmark.</nlm:affiliation></affiliation></author><author><name sortKey="Janson, C" sort="Janson, C" uniqKey="Janson C" first="C" last="Janson">C. Janson</name><affiliation><nlm:affiliation>Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway.</nlm:affiliation></affiliation></author><author><name sortKey="Leynaert, B" sort="Leynaert, B" uniqKey="Leynaert B" first="B" last="Leynaert">B. Leynaert</name><affiliation><nlm:affiliation>Centre de Recherche Albert Bonniot, Grenoble, France.</nlm:affiliation></affiliation></author><author><name sortKey="Svanes, C" sort="Svanes, C" uniqKey="Svanes C" first="C" last="Svanes">C. Svanes</name><affiliation><nlm:affiliation>Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway.</nlm:affiliation></affiliation></author><author><name sortKey="Dharmage, S C" sort="Dharmage, S C" uniqKey="Dharmage S" first="S C" last="Dharmage">S C Dharmage</name><affiliation><nlm:affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Thorax</title><idno type="eISSN">1468-3296</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Animals</term><term>Asthma (epidemiology)</term><term>Biodiversity</term><term>Cats</term><term>Child</term><term>Child Care</term><term>Dogs</term><term>Environmental Exposure</term><term>Farms</term><term>Female</term><term>Humans</term><term>Hypersensitivity (epidemiology)</term><term>Internationality</term><term>Male</term><term>Middle Aged</term><term>Phenotype</term><term>Residence Characteristics</term><term>Respiratory Function Tests</term><term>Rhinitis (epidemiology)</term><term>Siblings</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Asthma</term><term>Hypersensitivity</term><term>Rhinitis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Animals</term><term>Biodiversity</term><term>Cats</term><term>Child</term><term>Child Care</term><term>Dogs</term><term>Environmental Exposure</term><term>Farms</term><term>Female</term><term>Humans</term><term>Internationality</term><term>Male</term><term>Middle Aged</term><term>Phenotype</term><term>Residence Characteristics</term><term>Respiratory Function Tests</term><term>Siblings</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Evidence has suggested that exposure to environmental or microbial biodiversity in early life may impact subsequent lung function and allergic disease risk.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27672121</PMID><DateCreated><Year>2016</Year><Month>09</Month><Day>27</Day></DateCreated><DateCompleted><Year>2017</Year><Month>06</Month><Day>14</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1468-3296</ISSN><JournalIssue CitedMedium="Internet"><Volume>72</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Thorax</Title><ISOAbbreviation>Thorax</ISOAbbreviation></Journal><ArticleTitle>The effects of growing up on a farm on adult lung function and allergic phenotypes: an international population-based study.</ArticleTitle><Pagination><MedlinePgn>236-244</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/thoraxjnl-2015-208154</ELocationID><Abstract><AbstractText Label="RATIONALE" NlmCategory="BACKGROUND">Evidence has suggested that exposure to environmental or microbial biodiversity in early life may impact subsequent lung function and allergic disease risk.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To investigate the influence of childhood living environment and biodiversity indicators on atopy, asthma and lung function in adulthood.</AbstractText><AbstractText Label="METHODS AND MEASUREMENTS" NlmCategory="METHODS">The European Community Respiratory Health Survey II investigated ∼10 201 participants aged 26-54 years from 14 countries, including participants' place of upbringing (farm, rural environment or inner city) before age 5 years. A 'biodiversity score' was created based on childhood exposure to cats, dogs, day care, bedroom sharing and older siblings. Associations with lung function, bronchial hyper-responsiveness (BHR), allergic sensitisation, asthma and rhinitis were analysed.</AbstractText><AbstractText Label="MAIN RESULTS" NlmCategory="RESULTS">As compared with a city upbringing, those with early-life farm exposure had less atopic sensitisation (adjusted OR 0.46, 95% CI 0.37 to 0.58), atopic BHR (0.54 (0.35 to 0.83)), atopic asthma (0.47 (0.28 to 0.81)) and atopic rhinitis (0.43 (0.32 to 0.57)), but not non-atopic outcomes. Less pronounced protective effects were observed for rural environment exposures. Women with a farm upbringing had higher FEV1 (adjusted difference 110 mL (64 to 157)), independent of sensitisation and asthma. In an inner city environment, a higher biodiversity score was related to less allergic sensitisation.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This is the first study to report beneficial effects of growing up on a farm on adult FEV1. Our study confirmed the beneficial effects of early farm life on sensitisation, asthma and rhinitis, and found a similar association for BHR. In persons with an urban upbringing, a higher biodiversity score predicted less allergic sensitisation, but to a lesser magnitude than a childhood farm environment.</AbstractText><CopyrightInformation>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Campbell</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Raherison</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Unité Epidémiologie et Biostatistique, Université Bordeaux Segalen, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lodge</LastName><ForeName>C J</ForeName><Initials>CJ</Initials><AffiliationInfo><Affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Murdoch Children's Research Institute, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lowe</LastName><ForeName>A J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Murdoch Children's Research Institute, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gislason</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Respiratory Medicine and Sleep, Landspitali University Hospital, Reykjavik, Iceland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Medicine, University of Iceland, Reykjavik, Iceland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Heinrich</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Instititute of Epidemiology I, German Research Centre for Environmental Health, Helmholtz Zentrum München, Neuherberg, Germany.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, University Hospital Munich, Ludwig-Maximilians University Munich, Munich, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sunyer</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Departament de Ciències Experimentals i de la Salut (UPF), Universitat Pompeu Fabra, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gómez Real</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for International Health, University of Bergen, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Norbäck</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Medical Sciences; Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Matheson</LastName><ForeName>M C</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wjst</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Institute of Lung Biology and Health (iLBD), Comprehensive Pneumology Center (CPC), Helmholtz Zentrum München, Munich-Neuherberg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dratva</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Basel, Basel, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Marco</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Epidemiology and Medical Statistics, University of Verona, Verona, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jarvis</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>National Heart and Lung Institute, Imperial College, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schlünssen</LastName><ForeName>V</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Section for Environment Occupation and Health, Department of Public Health, Aarhus University, Aarhus, Denmark.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Janson</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Leynaert</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Centre de Recherche Albert Bonniot, Grenoble, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Svanes</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dharmage</LastName><ForeName>S C</ForeName><Initials>SC</Initials><AffiliationInfo><Affiliation>Allergy & Lung Health Unit, Centre for Epidemiology & Biostatistics, The University of Melbourne, Melbourne, Victoria, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>G0901214</GrantID><Agency>Medical Research Council</Agency><Country>United Kingdom</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>09</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Thorax</MedlineTA><NlmUniqueID>0417353</NlmUniqueID><ISSNLinking>0040-6376</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000818" MajorTopicYN="N">Animals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001249" MajorTopicYN="N">Asthma</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D044822" MajorTopicYN="Y">Biodiversity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002415" MajorTopicYN="N">Cats</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002654" MajorTopicYN="N">Child Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004285" MajorTopicYN="N">Dogs</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004781" MajorTopicYN="Y">Environmental Exposure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000072480" MajorTopicYN="Y">Farms</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006967" MajorTopicYN="N">Hypersensitivity</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D038622" MajorTopicYN="N">Internationality</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" 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