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Risk factors for allergic rhinitis in preschool children: a meta-analysis and systematic review
Nannan Si1,2,3, Wei Chang2, Fengli Cheng1,3
1Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, 030001, China.
Insights
Parental allergies, male sex, and damp homes increase the risk of allergic rhinitis (AR) in young children. Conversely, having pets at home may protect against AR development.
Area of Science:
- Pediatrics
- Allergology
- Environmental Health
Background:
- Allergic rhinitis (AR) significantly impacts preschool children's quality of life.
- Identifying AR risk factors is crucial for early diagnosis and prevention.
Purpose of the Study:
- To conduct a meta-analysis identifying and summarizing risk factors for allergic rhinitis in preschool children.
Main Methods:
- Systematic literature search of major databases up to January 2025.
- Inclusion of 10 cohort studies with 94,774 preschool children.
- Random-effects model to calculate combined odds ratios (OR) and 95% confidence intervals (CI).
Main Results:
- Parental allergic rhinitis (OR=2.4), eczema (OR=1.72), and asthma (OR=2.45) were associated with increased AR risk.
- Male sex (OR=1.54), caesarean birth (OR=1.32), and home dampness (OR=1.24) also increased AR odds.
- Presence of pets at home showed a protective effect, reducing AR risk (OR=0.57).
Conclusions:
- Parental allergy history, male gender, caesarean birth, and damp environments are potential risk factors for childhood AR.
- Pet ownership may offer a protective role against developing allergic rhinitis.
- Findings highlight the interplay of genetic and environmental influences on pediatric allergic rhinitis.
Background:
Allergic rhinitis (AR) is a common disease in preschool children and seriously affects their quality of life. Defining the risk factors of AR can help early diagnosis and prevention. The aim of this meta-analysis was to identify and summarizes the risk factors associated with allergic rhinitis in preschool children.
Methods:
A systematic search of PubMed, Embase, Cochrane library, Web of Science, built up to 20 January 2025 was performed. Studies were included if they reported risk factors for AR in preschool children. A random-effects model was used to calculate the combined odd ratio (OR) and 95% confidence interval (CI).
Results:
A total of 10 cohort studies involving 94,774 preschool children were included in this meta-analysis. The results suggested that several factors may associated with higher odds of allergic rhinitis in preschool children. These factors include parental allergic rhinitis (OR = 2.4, 95% CI: 2.01-2.87), parental eczema (OR = 1.72, 95% CI: 1.48-1.99), parental asthma (OR = 2.45, 95% CI: 1.53-3.93), male (OR = 1.54, 95% CI: 1.37-1.72), caesarean birth (OR = 1.32, 95% CI: 1.08-1.61), and dampness at home (OR = 1.24, 95% CI: 1.08-1.42). On the other hand, the presence of pets at home was found to be protective, with a reduced risk of allergic rhinitis (OR = 0.57, 95% CI: 0.41-0.78).
Conclusion:
This study suggests that factors such as parental history of allergy, boys, caesarean section and damp environment at home may increase the risk of allergic rhinitis in preschool children, whereas pets may have a protective role. These findings emphasize the influence of genetic and environmental factors on allergic rhinitis in children.
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