Factors | Total IgE | SPT Positivity | Eosinophils | Comments |
Genetics | ||||
Genetic markers | + | + | + | Problematic for geneticists |
Gender | + | + | ± | ↑ IgE for men |
↑ SPT for men | ||||
Ethnic group | + | + | ± | ↑ IgE in some groups (genetic, environmental, social) |
Individual susceptibility | + | + | ? | ↑ IgE, ↑ atopy |
Family history of atopy | + | + | ? | |
Individuals | ||||
Maternal age at birth | + | ? | ? | ↓ IgE in newborns of young mothers |
Perinatal complications | ± | ? | ? | ↑ IgE in newborns |
Medication during pregnancy | + | ? | ? | ↑ IgE in newborns (progesterone) |
Head circumference | ± | ? | ↑ IgE in adults and newborns if head circumference at birth ≥37 cm | |
Birth weight | ± | ? | - | ↓ IgE in low birth weight |
Birth month | + | ? | - | ↑ IgE during pollen season |
Age | + | + | + | Increase in youth and decrease with age |
Infections | ± | ± | - | Depend on age of infection |
Family size | - | + | - | Depends also on birth order |
Environmental | ||||
Maternal smoking during pregnancy | ± | ? | ? | Contradictory results for IgE |
Active smoking | + | Inversely related | + | ↑ IgE with active smoking ↑ eosinophils |
Passive smoking | ± | ± | ± | Among children |
Allergens exposure | + | + | - | |
Month of test | ± | ? | - | ↑ IgE during pollen season |
Indoor pollution (humidity, mite) | ± | ± | ? | ↑ IgE mites |
Outdoor pollution (NO2, SO2, diesel) | ± | ± | ? | ↑ IgE with diesel |
Occupational exposure | + | + | ? | ↑ IgE in individuals exposed to allergens, dust, gas and fumes |
?: No evidence, investigation is required; ±: uncertain relationship; +: established relationship; -: not yet studied in population-based samples; ↑: increase; ↓: decrease; SPT: skin prick test; NO2: nitrogen dioxide; IgE: immunoglobulin E.