OKLAHOMA CITY — Americans have a need for cleanliness, especially when it comes to our children. But mounting research suggests our quest to be clean might make children sicker, not healthier.
Oklahoma Medical Research Foundation immunologist Eliza Chakravarty, M.D., said this groundswell of germophobic parenting and the tendency to create over-sterilized environments may keep children’s immune systems from developing adequate defenses.
It’s called the ‘hygiene hypothesis,’ where scientists believe early exposure to allergens actually contributes to a healthier immune system. While it isn’t a new theory, it is becoming more widely accepted.
“For your immune system to protect you, it has to know the difference in what is dangerous and should be attacked and harmless substances that can be ignored,” Chakravarty said. “And to learn that, it needs to be exposed to some of the elements we’re erasing from the environment.”
Handwashing and maintaining a clean living area are still important, Chakravarty said, as are vaccines and immunizations. “But there’s a difference between a healthy level of cleanliness and essentially living in a bubble.”
Your immune system is built to protect you, so if it sits idle, it will find something to fight. Even fairly harmless substances like pollen, peanuts or pet dander can look like foreign invaders and result in an immune system overreaction. Autoimmune diseases occur when the immune system attacks your own body’s tissues as if it were a pathogen or virus.
“We need protection from serious illnesses, but kids need exposure to a wide variety of things that aren’t actually dangerous,” Chakravarty said. “Kids are going to eat dirt, and that’s generally OK.”
It’s important to note that not all bacteria are harmful. Some actually help keep us healthy. The 100 trillion microbial and bacterial cells in our bodies, called the microbiome, also needs diversity, said OMRF geneticist Patrick Gaffney, M.D., and that comes from exposure to the environment.
Gaffney said more evidence is needed, but increasing research links germ exposure, diverse environments and minor infections at a young age with a lower risk of health problems later in life.
“Exposure to low-level allergens and germs like dog hair, pollen and common pathogens when you’re young allows the immune system to fine-tune itself and learn how to function properly,” Gaffney said. “Regular hygiene is still important, but don’t fret if your little ones dig in the dirt or wrestle with the dog. They may wind up healthier for it.”