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Bisphenol A as a risk factor for allergic rhinitis in children
A Nalbantoğlu1, A Çelikkol2, N Samancı1
1Department of Pediatrics, 472605Faculty of Medicine, Namık Kemal University, Tekirdağ, Turkey.
Insights
Children with allergic rhinitis have higher levels of Bisphenol-A (BPA), an endocrine disruptor. Increased BPA exposure is linked to more severe allergic rhinitis symptoms in children.
Area of Science:
- Environmental Health
- Pediatric Allergy
- Endocrinology
Background:
- Bisphenol-A (BPA) is an endocrine-disrupting compound with potential links to allergic diseases.
- Limited evidence exists on the association between BPA exposure and allergic rhinitis (AR) in children.
Purpose of the Study:
- To investigate the relationship between BPA exposure and allergic rhinitis in a pediatric population.
- To determine if BPA levels correlate with the severity of allergic rhinitis in children.
Main Methods:
- A case-controlled clinical study involving 140 children with AR and 140 healthy controls.
- Measurement of serum Bisphenol-A (BPA), interleukin-4 (IL-4), interleukin-13 (IL-13), total IgE, and interferon-gamma.
- Assessment of disease severity using total nasal symptom scores and ARIA classification.
Main Results:
- Children with allergic rhinitis exhibited significantly higher serum levels of IL-4, IgE, and BPA compared to controls.
- Elevated BPA and IL-4 levels were observed in children with moderate to severe persistent allergic rhinitis.
- A positive correlation was found between total nasal symptom scores and BPA levels in children with AR.
Conclusions:
- This study establishes a statistically significant association between BPA concentrations and allergic rhinitis in children.
- Higher BPA levels are correlated with increased severity of allergic rhinitis in the pediatric population.
Aim:
Bisphenol-A (BPA) is an endocrine disrupting compound and may exacerbate or induce allergic diseases. To the best of our knowledge, there is little evidence regarding the effects of BPA exposure on allergic rhinitis (AR) in children. In the present study, we sought to examine whether exposure to BPA in children is associated with AR.
Methods:
This study was designed as a case controlled clinical study. 140 children diagnosed as allergic rhinitis and 140 healthy children as control group were recruited. BPA, interleukin-4, interleukin-13, total IgE and interferon-gamma levels were determined. Skin prick tests were performed in patient group. Total nasal symptom score and ARIA classification were used to predict disease severity.
Results:
Serum IL-4, IgE and BPA levels of children with allergic rhinitis were found to be significantly higher than the control group. BPA and IL-4 levels were significantly higher in moderate to severe-persistent group. There was a positive correlation between total nasal symptom scores and Bisphenol A levels in children with allergic rhinitis.
Conclusions:
The present study is the first to observe statistically significant relationship between BPA concentrations and allergic rhinitis in children. Also increased levels of BPA are associated with disease severity.
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