Πέμπτη 8 Μαρτίου 2018

PEDIABRIEF



Vaccines won’t overload your child’s immune system—or increase their risk of other infections

As the global antivaccination movement grows, so has the number of U.S. parents who don’t vaccinate their children on time: As of 2015, an estimated 10% to 15% didn’t follow the recommended schedules for children under 2. Now, a new study shows that at least one of their fears—that vaccines overload the immune system and increase susceptibility to other diseases—is unfounded. Researchers examined the medical records of more than 900 infants from six hospitals and clinics across the western United States between 2003 and 2013. The team compared children who had contracted diseases not covered by vaccinations with those who didn’t—193 children in the first group and 751 in the second. There was no link between vaccines given before the age of 2 and other infections from ages 2 to 4, the team reports today in The Journal of the American Medical Association. Paul Offit, a physician at the Children’s Hospital of Philadelphia in Pennsylvania who was not involved with the study, says the results aren’t surprising. Newborns experience a “tremendous shock of bacteria” when they’re born, having gone from a sterile womb straight into to our bacteria-filled environment. The immune system challenge from vaccines “pales in comparison,” he says. The researchers say that means that following the Centers for Disease Control and Prevention’s recommended childhood immunization schedule is probably in everyone’s best interest.
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  • Mom's Immune System May Affect Baby's Brain

     
(HealthDay News) -- If a pregnant woman's immune system is activated, it can affect her child's brain development, new research suggests.
A number of triggers -- infections, stress, illness and allergies -- can activate the immune system. This causes proteins to be released as part of an inflammatory response.
Previous research in animals has shown that some of these proteins can affect offspring. However, little has been known about this effect in humans.
To learn more, the researchers studied young women through pregnancy, childbirth and until their children were toddlers.
They found that a child's short- and long-term brain functioning might be influenced by their mother's immune system activity during the third trimester of pregnancy.
The findings included changes in the fetal heart rate in the babies of pregnant women who showed signs of inflammation. Citing the link between fetal heart rate and the nervous system, the researchers said the heart rate changes indicate that maternal inflammation was beginning to have an effect even before birth.
In the first few weeks after birth, brain scans taken on the newborns revealed disruptions in the communication between various regions of the brain in children whose mothers had elevated proteins during pregnancy that signaled inflammation.
Then, when the babies were 14 months old, testing showed differences in motor skills, language development and behavior among the children of mothers whose immune systems had been activated by inflammation.
The findings "fill in a missing piece," study leader Dr. Bradley Peterson said in a news release from Children's Hospital Los Angeles. He's director of the hospital's Institute for the Developing Mind.
"Although studies in animals have suggested it, this study indicates that markers of inflammation in a mom's blood can be associated with short- and long-term changes in their child's brain," Peterson said. "[This] will now allow us to identify ways to prevent those effects and ensure children develop in the healthiest possible way -- beginning in the womb and continuing through later childhood and beyond."
Though the researchers described their findings as a significant advance, they also noted that much more research is needed to fully understand how activation of a mother's immune system during pregnancy affects her child.
The study was published online recently in the Journal of Neuroscience.
-- Robert Preidt

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