Asthma Is Inversely Associated with Helicobacter pylori Status in an Urban Population
2008

Asthma and H. pylori: A Study on Their Relationship

Sample size: 526 publication 10 minutes Evidence: moderate

Author Information

Author(s): Reibman Joan, Marmor Michael, Filner Joshua, Fernandez-Beros Maria-Elena, Rogers Linda, Perez-Perez Guillermo I., Blaser Martin J.

Primary Institution: New York University School of Medicine

Hypothesis

H. pylori serostatus would be inversely related to the presence of asthma.

Conclusion

The study suggests that colonization with CagA+ H. pylori strains is inversely associated with asthma and is linked to an older age of asthma onset.

Supporting Evidence

  • Asthma cases and controls differed in atopy and lung function.
  • Seropositivity to H. pylori was present in 47.1% of the study population.
  • Asthma was inversely associated with CagA seropositivity.
  • Median age of asthma onset was older in individuals with CagA+ strains.

Takeaway

This study found that people with a certain type of bacteria in their stomachs (H. pylori) might have asthma less often and get diagnosed with it later in life.

Methodology

Adults with asthma and controls were recruited, and serum IgG antibodies to H. pylori were measured.

Potential Biases

Potential recall bias or delay in doctor diagnosis could affect the results.

Limitations

The study does not know the age at which H. pylori was acquired, and there may be confounding factors such as antibiotic use.

Participant Demographics

The study included a racially and ethnically diverse urban population.

Statistical Information

P-Value

0.006

Confidence Interval

95% CI 0.36–0.89

Statistical Significance

p=0.006

Digital Object Identifier (DOI)

10.1371/journal.pone.0004060

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