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Published on: June 4, 2017
Factors associated with allergic rhinitis in children from northern Mexico City
B E Del-Río-Navarro1, J A Luna-Pech, A Berber
1Department of Allergy and Clinical Immunology, Hospital Infantil de Mexico Federico Gomez, Mexico City, Mexico.
Insights
This study found that allergic rhinitis symptoms in children are linked to asthma, eczema, and paracetamol use. These findings highlight rhinitis and asthma as common respiratory conditions in children.
Area of Science:
- Pediatric Allergy and Immunology
- Epidemiology of Allergic Diseases
- Environmental Health
Background:
- The International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire is a tool for identifying factors associated with allergic diseases.
- Most previous research focused on asthma risk factors, with less attention paid to rhinitis.
Purpose of the Study:
- To identify key factors associated with allergic rhinitis and rhinoconjunctivitis symptoms in schoolchildren and adolescents.
- Focus on a population in northern Mexico City.
Main Methods:
- A cross-sectional, multicenter survey was conducted.
- Utilized the Phase Three B ISAAC questionnaire, validated and standardized in Spanish.
- Included children aged 6-7 and 13-14 years.
Main Results:
- Prevalence of diagnosed allergic rhinitis was 4.6%, while symptoms were high (>29%).
- Symptoms of rhinitis with conjunctivitis ranged from 20.3% to 30.2%.
- Allergic rhinitis and rhinoconjunctivitis symptoms correlated with asthma, atopic eczema, and current paracetamol use (OR > 1, P < .05).
Conclusions:
- Supports the view of rhinitis and asthma as common chronic respiratory diseases.
- Identified a significant association between paracetamol use and rhinitis in children.
Background:
The International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire allows users to find factors associated with allergic diseases, but thus far most of the studies on risk factors for allergic diseases have been devoted to asthma and not to rhinitis.
Objective:
To determine the main factors associated with symptoms of allergic rhinitis and rhinoconjunctivitis in school children and adolescents in northern Mexico City.
Patients And Methods:
A cross sectional, multicenter survey was conducted in northern Mexico City, in children aged 6-7 and 13-14 years. The survey instrument was the Phase Three B ISAAC questionnaire, which was validated and standardized in Spanish.
Results:
There were 4106 6-7-year-olds and 6576 13-14-year-olds. The total prevalence of diagnosis of allergic rhinitis was 4.6%. The prevalence of cumulative and current symptoms of rhinitis was considered high (>29%), but the prevalence of the diagnosis of allergic rhinitis was considered low (ranging from 3.4% to 5.6%). The prevalence of symptoms of rhinitis with conjunctivitis had intermediate values (ranging from 20.3% to 30.2%). Cumulative symptoms of allergic rhinitis, current symptoms of allergic rhinitis, and rhinoconjunctivitis were related to symptoms of current or cumulative asthma, symptoms of current or cumulative atopic eczema, and current use of paracetamol (odds ratio > 1, P < .05).
Conclusion:
The present results support the concept of rhinitis and asthma as common chronic respiratory diseases, and this study also found a relation between paracetamol use and rhinitis in children.
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