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Published on: June 4, 2017
Prevalence and comorbidity of allergic diseases in preschool children
Hyeong Yun Kim1, Eun Byul Kwon, Ji Hyeon Baek
1Department of Pediatrics, Bundang Jesaeng General Hospital, Seongnam, Korea.
Insights
This study found high rates of allergic rhinitis in Korean preschoolers. Allergic conjunctivitis frequently co-occurred with asthma and allergic rhinitis in this age group.
Area of Science:
- Pediatric Allergy and Immunology
- Epidemiology of Allergic Diseases
- Childhood Respiratory and Skin Conditions
Background:
- Allergic diseases significantly impact children's quality of life.
- Comorbidities of allergic diseases are well-documented in adults but less so in preschoolers.
- Understanding allergic disease prevalence in young children is crucial for effective management.
Purpose of the Study:
- To determine the prevalence of allergic diseases in Korean preschool children.
- To investigate the comorbidities among allergic diseases in this population.
- To provide data on allergic conditions in a young, understudied demographic.
Main Methods:
- A cross-sectional study involving 615 Korean children aged 3-6 years.
- Utilized the Korean version of the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire, adapted for preschoolers.
- Assessed symptom prevalence and comorbidities over the preceding 12 months.
Main Results:
- Prevalence rates: Asthma (13.8%), allergic rhinitis (40.7%), atopic dermatitis (20.8%), allergic conjunctivitis (14.8%), food allergy (10.4%), drug allergy (0.8%).
- Significant associations found: Allergic rhinitis in children with asthma (64.3%), asthma in children with allergic rhinitis (21.6%).
- High co-occurrence of allergic conjunctivitis and rhinitis (64.8% rhinitis with conjunctivitis; 23.6% conjunctivitis with rhinitis).
Conclusions:
- The prevalence of current rhinitis in Korean preschoolers exceeds previous reports.
- Allergic conjunctivitis shows a strong association with asthma and allergic rhinitis.
- Further research is needed to fully understand the prevalence and health impact of these comorbidities in preschool children.
Purpose:
Allergic disease and its comorbidities significantly influence the quality of life. Although the comorbidities of allergic diseases are well described in adult populations, little is known about them in preschool children. In the present study, we aimed to assess the prevalence and comorbidity of allergic diseases in Korean preschool children.
Methods:
We conducted a cross-sectional study comprising 615 Korean children (age, 3 to 6 years). Symptoms of allergic diseases were assessed using the Korean version of the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire that was modified for preschool children. Comorbidities of allergic diseases were assessed by 'In the last 12 months, has your child had symptoms?'.
Results:
The prevalence of symptoms of asthma, allergic rhinitis, and atopic dermatitis as recorded using the ISAAC questionnaire, within the last 12 months was 13.8%, 40.7%, and 20.8%, respectively. The symptom rates of allergic conjunctivitis, food allergy, and drug allergy were 14.8%, 10.4%, and 0.8%, respectively. The prevalence of allergic rhinitis in children with asthma was 64.3% and that of asthma in children with allergic rhinitis was 21.6%. The prevalence of rhinitis in children with conjunctivitis was 64.8% and that of conjunctivitis in children with rhinitis was 23.6%.
Conclusion:
The prevalence of current rhinitis in our preschool children is shown to be higher than that previously reported. Allergic conjunctivitis is closely associated with asthma and allergic rhinitis. However, further studies are warranted to determine the prevalence and effects of these comorbidities on health outcomes in preschool children.
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