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Birth month as a risk factor of allergic diseases: Analysis of database of about 50 thousand children
Alexander Pampura1,2, Natalia Esakova2, Daria Dolotova2
1Morozov Children's City Hospital, Moscow, Russian Federation.
Insights
Children born in winter months (December-February) have a higher risk of allergic rhinitis. Those born in October face increased odds of atopic dermatitis, independent of other factors.
Area of Science:
- Pediatric Allergy and Immunology
- Environmental Epidemiology
- Public Health
Background:
- Season of birth is a known factor influencing neonatal adaptation and allergy risk.
- Understanding birth month's impact on childhood allergies is crucial for public health initiatives.
Purpose of the Study:
- To investigate the association between month of birth and the development of allergic diseases in Moscow children.
- To identify specific birth months linked to increased risk of atopic dermatitis and allergic rhinitis.
Main Methods:
- Utilized de-identified data from 49,857 children under 18 from Moscow's Unified Medical Information System (2024).
- Included data on atopic dermatitis, asthma, allergic rhinitis, age, sex, and family history.
- Employed multivariate logistic regression to calculate adjusted odds ratios (aOR).
Main Results:
- Children born October-April showed higher odds of allergic rhinitis compared to July, particularly December-February (aOR 1.34-1.39).
- Births between August-February were linked to increased atopic dermatitis risk versus April, with October showing the highest association (aOR 1.17).
- Winter births (Dec-Feb) increased allergic rhinitis odds by 34-38%; October births increased atopic dermatitis odds by 16%.
Conclusions:
- This study is the first in Russia to link specific birth months to elevated allergy risks.
- Children born in October have higher odds of atopic dermatitis; those born in December, January, or February have higher odds of allergic rhinitis.
- These associations were independent of sex, age, family history, and co-existing allergic conditions, warranting further research.
Background:
The season of birth is a factor influencing the child during the neonatal adaptation period and potentially affecting the risk of allergies. The objective of this study was to ascertain the association between the month of birth and the subsequent development of allergic diseases in Moscow children, Russia.
Methods:
in 2024 the de-identified data from medical records and parental questionnaires of 49,857 children under the age of 18 was retrieved from the Moscow Unified Medical Information and Analytical System. The database contained the information regarding the presence of atopic dermatitis, asthma, allergic rhinitis, age, sex and family history of allergies. The statistical processing involved the calculation of crude odds ratio (cOR), adjusted odds ratio (aOR) based on multivariate logistic regression.
Results:
the odds of allergic rhinitis among children born between October and April was found to be significantly higher in comparison to July (reference), with the strongest association observed for December (aOR, 1,342; 95% CI, 1,203-1,497), January (aOR, 1,386; 95% CI, 1,243-1,546) and February (aOR, 1,371; 95% CI, 1,226-1,533). In these months, the odds were 34-38% higher than in July. The odds of atopic dermatitis among children born between August and February was significantly higher compared to April (reference), the greatest association observed for October (aOR, 1,169; 95% CI, 1,059-1,291), with the association being 16% higher than for April.
Conclusion:
This is the first study in Russia to demonstrate that children born in October in Moscow face elevated odds of atopic dermatitis, while children born in December, January, and February are more susceptible to allergic rhinitis. The association detected was independent of sex, age, family allergic history and combination of allergic diseases, which merits further investigation.
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