A new study shows individuals who were raised in a cleaner environment are more likely to develop Crohn's disease.
Young children who grow up with a dog or in a large family may have some protection later in life from a common inflammatory bowel disease known as Crohn’s disease, according to a study to be presented at Digestive Disease Week (DDW) 2022.
What Is Crohn’s Disease?
‘Childhood exposure to microbes by living with pet dogs or a large family may protect an individual from developing Crohn's disease later in life.’
Crohn’s disease is a type of inflammatory bowel disease that affects around half a million people in the U.S. It most often develops in young adults, people who smoke, and those with a close family member who has IBD.Symptoms include diarrhea, abdominal pain, and weight loss. Treatments currently aim to prevent symptom flare-ups through diet modification, medication, and surgery.
Currently, researchers are digging into the concept of hygiene hypothesis and questioning its role in Crohn’s disease.
Cleaning Up the Hygiene Hypothesis
The hygiene hypothesis is a theory that suggests the lack of exposure to microbes early in life may lead to a lack of immune regulation toward environmental microbes.
Advertisement
Using responses to the questionnaire and historical data collected at the time of recruitment, researchers analyzed several environmental factors, including family size, the presence of dogs or cats as household pets, the number of bathrooms in the house, living on a farm, drinking unpasteurized milk and drinking well water. The analysis also included age at the time of exposure.
Advertisement
But they did not see the same results with cats and are still trying to determine why. It could also happen because dog owners get outside more often with their pets or live in areas with more green space, which is shown to protect against Crohn’s.
Another protective factor seemed to be living with three or more family members in the first year of life, which was associated with microbiome composition later in life.
The gut microbiome is believed to play a role in several health conditions, such as inflammatory bowel disease, colorectal cancer, diabetes, and high blood pressure.
These findings may assist physicians in asking detailed questions of patients to determine who is at the highest risk. However, the early life environmental factors were assessed by questionnaires, so caution is warranted in interpreting these results due to possible recall bias at recruitment.
The reasons dog ownership and larger families appear to protect Crohn’s remain unclear. We hope researchers would find the answers soon.
Source-Eurekalert