Early nutrition and eczema in infancy

dc.check.date10000-01-01
dc.check.embargoformatNot applicableen
dc.check.infoIndefiniteen
dc.check.opt-outYesen
dc.check.reasonNo embargo requireden
dc.check.typeNo Embargo Required
dc.contributor.advisorKiely, Maireaden
dc.contributor.authorO'Donovan, Sinéad Margaret
dc.contributor.funderNational Children’s Research Centre, Irelanden
dc.date.accessioned2015-06-19T11:19:16Z
dc.date.issued2014
dc.date.submitted2014
dc.description.abstractEczema prevalence rates among Irish infants are unreported, despite eczema being the most common inflammatory condition of infancy. Maternal and infant nutritional status including vitamin D and other fat-soluble vitamins as well as early infant feeding have been linked with eczema initiation and development. Therefore, early nutrition could be a potential modifiable risk factor. The objective of this thesis was to prospectively describe early infant feeding and complementary feeding practices, to evaluate infant vitamin D supplementation practice, to quantify cord serum 25-hydroxyvitamin D [25(OH)D] and propose reference intervals for vitamin D metabolites, to report eczema prevalence and explore the potential role of infant nutrition and eczema. These research needs were investigated through the Cork BASELINE (Babies After SCOPE: Evaluating the Longitudinal Impact with Neurological and Nutritional Endpoints) Birth Cohort Study (n 2137). This thesis was the first comprehensive report from the birth cohort, therefore it was important to describe the cohort sociodemographic profile. Although socio-demographic characteristics compared well with national data, there was an over-representation of educated mothers which may limit the generalizability of the results. From August 2008 through November 2011, comprehensive postnatal assessments were completed at day 2 and at 2, 6, 12 and 24 months. Breastfeeding rates were low, while complementary feeding practices were broadly compliant with national guidelines. The implementation of a national infant vitamin D supplementation policy had a major impact on supplementation practice. Low levels of serum 25(OH)D were universal among Irish neonates. Eczema is a complex and multifaceted disease, which is increasing globally. This was the first report of eczema prevalence data among Irish infants which compared with international reports. Given the high prevalence and considerable burden eczema has on the lives of sufferers, intensive research efforts to identify a cause and therapeutic strategies to prevent/reduce eczema was re-emphasized in this thesis.en
dc.description.statusNot peer revieweden
dc.description.versionAccepted Version
dc.format.mimetypeapplication/pdfen
dc.identifier.citationO'Donovan, S. M. 2014. Early nutrition and eczema in infancy. PhD Thesis, University College Cork.en
dc.identifier.urihttps://hdl.handle.net/10468/1849
dc.language.isoenen
dc.publisherUniversity College Corken
dc.rights© 2014, Sinéad M. O'Donovanen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/en
dc.subjectInfancyen
dc.subjectEarly feedingen
dc.subjectEczemaen
dc.subjectVitamin Den
dc.subjectSupplementationen
dc.subjectComplementary feedingen
dc.thesis.opt-outtrue
dc.titleEarly nutrition and eczema in infancyen
dc.typeDoctoral thesisen
dc.type.qualificationlevelDoctoralen
dc.type.qualificationnamePhD (Food Science and Technology)en
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