Asthma control, social jetlag, and sleep impairment in high school adolescents

Ferreira, Luana Gabrielle de França; Carvalho, Diogo Augusto Frota de; Alves, Felipe Rocha; Bruin, Veralice Meireles Sales de; Bruin, Pedro Felipe Carvalhedo de

doi:10.1016/j.sleep.2022.07.007

Cited by 4 publications

(6 citation statements)

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“…A new study from India identified the association between chronotype (individual preference for morningness or eveningness) and allergic conditions including asthma. This is the first report on this topic that demonstrated an association between more eveningness and a higher risk of asthma and allergic diseases in children, 25 which was subsequently supported by several other studies, including in adults 36–40 . Therefore, prospective studies focusing on these issues could be important to identify more non‐conventional risk factors for allergic diseases in the Indian population.…”

Section: Risk Factors – What Is Novel In Indiasupporting

confidence: 57%

“…Smoking inside the house is a big problem in Indian societies and is significantly associated with a higher prevalence of asthma and allergic diseases among Indian children 29 . Lifestyle factors such as more evening activities and higher screen timing are also associated with higher risks of asthma and allergic diseases in children 25,36–40 . All these factors play substantial roles in the diagnosis, treatment, and prognosis of chronic allergic diseases in India, particularly in children.…”

Section: Pitfalls and Knowledge Gapsmentioning

confidence: 99%

“…29 Lifestyle factors such as more evening activities and higher screen timing are also associated with higher risks of asthma and allergic diseases in children. 25,[36][37][38][39][40] All these factors play substantial roles in the diagnosis, treatment, and prognosis of chronic allergic diseases in India, particularly in children. 85 of India.…”

Section: Patient-related Factorsmentioning

confidence: 99%

“…This is the first report on this topic that demonstrated an association between more eveningness and a higher risk of asthma and allergic diseases in children, 25 which was subsequently supported by several other studies, including in adults. [36][37][38][39][40] Therefore, prospective studies focusing on these issues could be important to identify more non-conventional risk factors for allergic diseases in the Indian population. Figure 3 summarizes some of the most reported risk factors for AR in India.…”

Section: Social and Behavioural Factorsmentioning

confidence: 99%

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Allergic rhinitis in India

Moitra

Anand

Moitra³

2023

Clin Experimental Allergy

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Allergic rhinitis (AR) is an increasingly prevalent inflammatory condition of nasal mucosa caused by inhaled allergens and characterized by symptoms such as sneezing, rhinorrhoea, nasal obstruction, and pruritus. 1,2 Allergic rhinitis is primarily triggered by aeroallergens such as pollens, house dust mites, animal dander, or moulds. However, several other environmental or occupational hazards such as air pollution, smoke, and exposure to low-molecular-weight substances can also elicit AR response. 3,4 Allergic rhinitis affects approximately 2%-25% of children and 10%-40% of adults globally. 5,6 The prevalence of AR may be increasing globally, and AR is prevalent in high-income countries ranging between 12% and 30% in Europe and North America. Evidence suggests that apart from the common allergens such as pollens, house dust, or animal dander, exposure to tobacco smoke, 7 antibiotics, 8,9 and chemicals 10 during pregnancy are also associated with the risk of AR to offspring. In developing countries, particularly in South-East Asia, the prevalence of AR is also high, for example, the prevalence of AR is between 11 and 18% in China and between 6% and 22% in India where environmental factors such as outdoor and indoor air pollution are the predominant risk factors. 11-17 However, the exact prevalence of AR often varies significantly among studies, even in studies performed in the same geographical locations. This could probably be due to (i) the survey-based nature of the studies where "ever rhinitis" is inaccurately considered as "allergic rhinitis" and the coexistence of allergic and non-allergic rhinitis are not stratified, (ii) self-reported symptoms and children often cannot recognize

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Section: Risk Factors – What Is Novel In Indiasupporting

confidence: 57%

Section: Pitfalls and Knowledge Gapsmentioning

confidence: 99%

Section: Patient-related Factorsmentioning

confidence: 99%

Section: Social and Behavioural Factorsmentioning

confidence: 99%

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Allergic rhinitis in India

Moitra

Anand

Moitra³

2023

Clin Experimental Allergy

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“…The characteristics of each study included in the metaanalysis are presented in Table 1. All studies were crosssectional, of which, only one directly examined ALAN exposure [45], whereas most studies considered chronotype (n = 6) [46][47][48][49][50][51] and shift work (n = 5) [52][53][54][55][56]. We did not find any studies that included more than one exposure at a time (e.g., ALAN and shift work and ALAN and chronotype).…”

Section: Search Results and Study Characteristicsmentioning

confidence: 98%

Influence of light at night on allergic diseases: a systematic review and meta-analysis

Deprato,

Maidstone,

Cros

et al. 2024

BMC Med

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Background Allergic diseases impose a significant global disease burden, however, the influence of light at night exposure on these diseases in humans has not been comprehensively assessed. We aimed to summarize available evidence considering the association between light at night exposure and major allergic diseases through a systematic review and meta-analysis. Methods We completed a search of six databases, two registries, and Google Scholar from inception until December 15, 2023, and included studies that investigated the influence of artificial light at night (ALAN, high vs. low exposure), chronotype (evening vs. morning chronotype), or shift work (night vs. day shift work) on allergic disease outcomes (asthma, allergic rhinitis, and skin allergies). We performed inverse-variance random-effects meta-analyses to examine the association between the exposures (ALAN exposure, chronotype, or shiftwork) and these allergic outcomes. Stratification analyses were conducted by exposure type, disease type, participant age, and geographical location along with sensitivity analyses to assess publication bias. Results We included 12 publications in our review. We found that exposure to light at night was associated with higher odds of allergic diseases, with the strongest association observed for ALAN exposure (OR: 1.88; 95% CI: 1.04 to 3.39), followed by evening chronotype (OR: 1.35; 95% CI: 0.98 to 1.87) and exposure to night shift work (OR: 1.33; 95% CI: 1.06 to 1.67). When analyses were stratified by disease types, light at night exposure was significantly associated with asthma (OR: 1.62; 95% CI: 1.19 to 2.20), allergic rhinitis (OR: 1.89; 95% CI: 1.60 to 2.24), and skin allergies (OR: 1.11; 95% CI: 1.09 to 1.91). We also found that the association between light at night exposure and allergic diseases was more profound in youth (OR: 1.63; 95% CI: 1.07 to 2.48) than adults (OR: 1.30; 95% CI: 1.03 to 1.63). Additionally, we observed significant geographical variations in the association between light at night exposure and allergic diseases. Conclusions Light at night exposure was associated with a higher prevalence of allergic diseases, both in youth and adults. More long-term epidemiological and mechanistic research is required to understand the possible interactions between light at night and allergic diseases.

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