The international study of asthma and allergies in childhood (ISAAC): phase three rationale and methods

P Ellwood1, M I Asher, R Beasley

  • 1Department of Paediatrics, The University of Auckland, Auckland, New Zealand. p.ellwood@auckland.ac.nz

Insights

The International Study of Asthma and Allergies in Childhood (ISAAC) investigated global symptom prevalence of asthma and allergies in children. Phase Three aims to map worldwide trends and uncover causes of these common childhood conditions.

Area of Science:

  • Pediatric Allergy and Immunology
  • Epidemiology
  • Global Health

Background:

  • The International Study of Asthma and Allergies in Childhood (ISAAC) was established in 1991 to investigate the causes of asthma, allergic rhinoconjunctivitis, and atopic eczema in children globally.
  • Phase One revealed significant international variations in symptom prevalence, which current knowledge cannot fully explain.
  • Subsequent phases aimed to explore risk and protective factors contributing to these observed differences.

Purpose of the Study:

  • To determine the global prevalence of asthma and allergic disease symptoms in children.
  • To analyze recent time trends in symptom prevalence worldwide.
  • To investigate the underlying causes (aetiology) of asthma and allergic diseases in diverse populations.

Main Methods:

  • ISAAC Phase Three replicated Phase One methodology with enhanced standardization across numerous international centers.
  • Data collection involved standardized questionnaires administered to children and adolescents.
  • The study involved over 280 centers in 106 countries, facilitating large-scale data acquisition.

Main Results:

  • Phase One identified substantial global disparities in the prevalence of asthma and allergy symptoms.
  • Phase Two focused on identifying environmental and genetic factors influencing these differences.
  • Phase Three aimed to provide a comprehensive global map of symptom prevalence and trends.

Conclusions:

  • ISAAC Phase Three provides a detailed global overview of asthma and allergy symptom prevalence and trends in children.
  • The findings contribute to a better understanding of the aetiology of these conditions worldwide.
  • International collaboration and standardized methods are crucial for global epidemiological research.

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