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Gender differences in indoor allergen exposure and association with current rhinitis
R J Bertelsen1, C Instanes, B Granum
1Department of Environmental Immunology, Division of Environmental Medicine, Norwegian Institute of Public Health, Nydalen, Oslo, Norway. randi.jacobsen.bertelsen@fhi.no
Insights
Girls exhibit higher indoor cat and dog allergen levels, but only house dust mite (HDM) allergen exposure is linked to rhinitis risk in girls, not boys.
Area of Science:
- Pediatric Allergy and Immunology
- Environmental Health
- Epidemiology
Background:
- Sex differences in allergic disease are established, potentially extending beyond physiological factors.
- Investigating environmental exposures like indoor allergens is crucial for understanding these differences.
Purpose of the Study:
- To determine if sex influences exposure to indoor allergens (cat, dog, house dust mite) in children.
- To examine the association between indoor allergen levels and rhinitis in 10-year-old boys and girls.
Main Methods:
- Analysis of mattress dust for cat, dog, and house dust mite (HDM) allergens in 797 children (360 girls).
- Collection of interview data on current allergic disease.
- Statistical analysis to compare allergen levels and rhinitis risk between sexes.
Main Results:
- Girls showed higher cat and dog allergen concentrations than boys.
- No significant difference in HDM allergen levels was found between sexes.
- Increased Der p 1 (HDM) allergen levels were associated with higher rhinitis risk in girls, but not in boys.
Conclusions:
- Girls have greater exposure to cat and dog allergens, but HDM allergen exposure is the primary risk factor for rhinitis in girls.
- The association between indoor allergens and rhinitis differs between sexes, highlighting the need for sex-specific environmental health considerations.
Background:
Differences between boys and girls in allergic manifestations are well known, and this difference is possibly not attributed to physiological differences alone.
Objective:
We, therefore, investigated whether boys and girls could be exposed to different allergen levels at home and whether indoor allergen levels could be differently associated with rhinitis in boys and girls at 10 years of age.
Methods:
Cat, dog and house dust mite (HDM) allergen levels in mattress dust and interview data regarding current allergic disease were available for 797 10-year-old children (360 girls) in The Environment and Childhood Asthma Study in Oslo.
Results:
Girls had higher concentrations of cat and dog allergens in their mattresses compared with boys, also in homes without cats [geometric mean 95% confidence intervals (95% CI): 0.37 (0.31, 0.44) for girls and 0.26 (0.23, 0.30) microg cat allergen/g dust for boys, P=0.002], and without dogs [girls: 0.74 (0.63, 0.86) and boys: 0.55 (0.48, 0.62) microg dog allergen/g dust, P=0.003]. No difference was observed for HDM allergen (Der p 1) levels. Of the 190 (23.8%) children reporting current rhinitis, 144 (75.8%) were sensitized to at least one allergen. The adjusted odds ratio for current rhinitis increased with 1.20 (95% CI: 1.01, 1.42) per 1 microg/g dust increase in Der p 1 for girls (P=0.037), but not for boys (P=0.91).
Conclusion:
Girls had higher levels of cat and dog allergens in mattress dust compared with boys, whereas no difference was observed for Der p 1 allergen. Nevertheless, only increasing levels of Der p 1 and not cat and dog allergens significantly increased the risk of current rhinitis in girls, whereas no significant association was observed for boys.
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