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Published on: June 4, 2017
Survey Health Data on Allergic Rhinitis (AR) and Asthmatic Symptoms and Blood Samples (IgE Sensitizations) in
Susanne Kutzora1,2, Jonas Mehrl2,3, Jonas Huß1
1Department of Occupational and Environmental Health/Epidemiology, Bavarian Health and Food Safety Authority, Munich, Germany.
Insights
This study found that children with IgE sensitizations are more likely to have allergic rhinitis (AR) and asthma symptoms. Parental asthma and low birth weight are key risk factors for developing these conditions in children.
Area of Science:
- Pediatric Allergy and Immunology
- Environmental Health
- Epidemiology
Background:
- Investigated the link between IgE sensitization and allergic rhinitis (AR) and asthmatic symptoms in children.
- Assessed prevalence of AR, asthma, and sensitization in a German pediatric cohort.
Purpose of the Study:
- To determine the association between serum IgE sensitizations and self-reported allergic rhinitis and asthmatic symptoms.
- Identify risk factors for allergic diseases in early childhood.
Main Methods:
- Survey of 1190 children (aged 60-64 months) using questionnaires on allergic symptoms and medical history.
- Serum IgE sensitization analysis in 340 children.
- Regression analysis to assess associations between sensitization and health outcomes.
Main Results:
- 118 out of 340 children (34.7%) showed sensitization to at least one allergen.
- Sensitized children reported higher rates of AR symptoms, wheeze, and asthma.
- Parental asthma and physician-diagnosed asthma (OR 4.79) were strongly associated with childhood asthma.
Conclusions:
- Parental asthma and underweight at birth are significant risk factors for allergic symptoms and asthma in children.
- IgE sensitization is linked to increased reporting of allergic rhinitis and asthma symptoms.
Background:
Aim of the study was to investigate the association of IgE sensitizations in serum and self-reported allergic rhinitis (AR) and asthmatic symptoms.
Methods:
Between 2015 and 2018, parents of 1190 children in Günzburg, Germany participated in the study by completing a questionnaire. Settings were the Health-Monitoring-Units (HMU) during the obligatory school entry examinations and a medical examination for all German children at the age of 60-64 months (U9). Random serum samples from 340 children were analyzed for IgE-sensitizations. For possible associations of sensitization and six health outcomes (symptoms of AR, dry cough at night, wheeze, asthma diagnosis, physician-diagnosed asthma, and physician-diagnosed AR), a regression analysis was performed.
Results:
The parents of 1190 children completed the questionnaire. Parental asthma and physician-diagnosed asthma (OR 4.79; 95%-CI [2.16-10.65]) and underweight at birth/preterm delivery showed the highest associations with asthma based on the German ISAAC definition (OR 3.58; 95%-CI [1.77-7.22]). Out of 340 children blood samples 118 children were sensitized against at least one allergen (airborne pollen allergens, non-seasonal airborne allergens, or food allergens). Sensitized children reported more frequently from symptoms of AR, wheeze, and asthma based on the German ISAAC definition than children without sensitization.
Conclusion:
This observational study identified the prevalence of AR, asthma and existing sensitization among the participating children. Parental asthma and underweight at birth were identified as risk factors for allergic symptoms and asthma.
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