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Published on: September 22, 2023
Small airways in children with allergic rhinoconjunctivitis: the potential role of a multicomponent nutraceutical
Salvatore Leonardi1, Giuseppe Parisi2, Maria Papale2
1Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy University . gio.cip@libero.it.
Insights
A multicomponent nutraceutical may prevent the decline in MEF50 (maximal expiratory flow at 50% of forced vital capacity) in children with allergic rhinoconjunctivitis, suggesting a way to manage early bronchial involvement.
Area of Science:
- Pediatrics
- Allergology
- Pulmonology
Background:
- Allergic rhinitis (AR) and asthma are closely linked, with rhinitis often preceding asthma development.
- Spirometry parameters like FEF25-75 and MEF50 can indicate small airway patency and predict early bronchial issues in AR patients.
Purpose of the Study:
- To evaluate spirometry changes over time in children with AR.
- To assess the effect of a multicomponent nutraceutical on spirometry parameters in children with AR.
Main Methods:
- Two groups of children with AR were studied: an active group (AG) receiving a nutraceutical and a control group (CG).
- Spirometry (FEV1, FVC, MEF50) was measured at baseline, after the nutraceutical course, and after 1 year.
Main Results:
- After one year, children in the active group (AG) showed significantly higher MEF50 compared to the control group (CG) (p=0.009).
- The nutraceutical intervention appeared to prevent a decline in MEF50 in children with allergic rhinoconjunctivitis.
Conclusions:
- A course of a multicomponent nutraceutical may help prevent the decline of MEF50 in children suffering from allergic rhinoconjunctivitis.
- This intervention could be a strategy to manage early bronchial involvement in pediatric allergic rhinoconjunctivitis.
Abstract:
Allergic rhinitis and asthma are closely linked. A progression from rhinitis to overt asthma is common. FEF25-75 is a spirometry parameter that could reflect small airways patency and could reliably predict early bronchial involvement in allergic rhinitis patients. MEF50 very strongly correlates with FEF25-75. The aim of this study was to evaluate possible spirometry change in two groups of children suffering from AR over time. The first group took a course of a nutraceutical (Lertal®) before the observation (active group, AG); a second one was considered as control (control group, CG). The children were visited at baseline, at the end of the nutraceutical course, and after 1 year. FEV1, FVC, and MEF50 were the primary outcomes. After one year, children in AG had significantly higher MEF50 than CG children (p=0.009). In conclusion, the present study showed that a course with a multicomponent nutraceutical could prevent the MEF50 decline in children with allergic rhinoconjunctivitis.
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