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.

Plos One
|November 20, 2025
PubMed

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.
Abstract

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