Mixed evidence on the relationship between socioeconomic position and atopic dermatitis: A systematic review

Bajwa, Harsimran; Baghchechi, Mohsen; Mujahid, Mahasin S.; Dufour, Mi‐Suk Kang; Langan, Sinéad; Abuabara, Katrina

doi:10.1016/j.jaad.2021.09.018

Cited by 14 publications

(6 citation statements)

References 22 publications

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“…One Spanish study showed a 40% increased risk of AD development in children who swam before the age of 3 years and a higher risk of AD was observed within the highest tercile of years in swimming practice. 16 However, AD was self‐reported, and adjustment for parental socioeconomic group and educational status, factors known to be associated with an increased risk of AD in children, 17 was not performed. Another Spanish study reported increased risk of AD in children who swam in pools before 2 years of age, 18 but AD was parent‐reported and the possibility of reverse causation cannot be ruled out.…”

Section: Resultsmentioning

confidence: 99%

Pooling the evidence: A review of swimming and atopic dermatitis

O’Connor

McCarthy

Murphy

2023

Pediatric Dermatology

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Swimming is an excellent form of aerobic exercise and is an essential life skill. Many children with atopic dermatitis (AD) are advised not to swim because of concerns about negative impacts on their skin disease, and some children with AD do not swim because they are self-conscious about the appearance of their skin. We aimed to perform a narrative review of the available literature on swimming and AD and scientifically analyze the potential impact of all components of swimming in AD-water, skin barrier, swimming gear, and exercise. Studies examined the impact of swimming on the skin barrier and the relative contraindications to swimming. Constituents of water which may affect AD include hardness, pH, temperature, antiseptics, and other chemicals. Potential interventions to reduce damage included emollient application, special swim gear, and showering post-submersion. The benefits of swimming as a form of exercise in AD included reduced sweating, cardiorespiratory fitness, and maintenance of healthy weight. Drawbacks of swimming as a form of exercise in AD included the limited benefit on bone mineral density. Future research should examine the impact of swimming on flares of AD using noninvasive biomarkers as well as clinical severity assessment and assess the role for different types of emollient as an intervention for optimal eczema control. This review highlights gaps in the scientific literature on swimming and AD and provides evidence-based guidance on interventions to minimize deleterious effects on skincare and maximize opportunities for children with AD to swim.

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Section: Resultsmentioning

confidence: 99%

Pooling the evidence: A review of swimming and atopic dermatitis

O’Connor

McCarthy

Murphy

2023

Pediatric Dermatology

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“…This demographic skew limits the applicability of the findings to parents of lower income brackets or different ethnic backgrounds. A study on atopic dermatitis revealed a similar trend, with lower illness prevalence rates among those in higher socioeconomic positions due to better immune systems [57]. The risk of reporting bias is also present, as most of the selected studies relied on self-reporting methods.…”

Section: Critique Of Selected Studiesmentioning

confidence: 90%

The burdens faced by parents of preschoolers with type 1 diabetes mellitus: an integrative review

Choi¹,

Shin²

2023

Child Health Nurs Res

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Purpose: This study examined the literature concerning the burdens of parents of preschool-aged children diagnosed with type 1 diabetes mellitus.Methods: We employed an integrative review methodology based on Whittemore and Knafl's framework. The literature search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines across four electronic databases: PubMed, Web of Science, the Cumulative Index to Nursing Allied Health Literature (CINAHL), and PsycINFO. Ultimately, 18 articles were included in the review.Results: The review yielded four themes: (1) parental burdens, (2) factors related to the burdens, (3) coping strategies, and (4) implications for clinical practice. Parents experienced psychological, physical, and social burdens due to the diabetes care of their children. Several factors influenced burdens, including child-related characteristics such as age, severity of diabetes, and hospitalization experience, as well as parental factors like family income, race, and residential area. Parents initially felt burdened when their child was diagnosed with type 1 diabetes, but over time, they often adapted to the situation through support and sharing of responsibilities. Parents desired education and interventions reflecting the unique characteristics of preschoolers.Conclusion: This integrative literature review revealed that parents experience numerous burdens when their child is diagnosed with diabetes. Future research should focus on developing interventions to address parents' psychological difficulties, including tracking parental psychological changes over time. Tailored nursing interventions should also be provided to parents of preschool-aged children, as opposed to the more generic nursing interventions traditionally applied across all age groups of children in clinical settings.

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“…As an effective means to treat AD, traditional Chinese medicine has signi cant effects in preventing, treating and avoiding disease recurrence [42]. Sophora avescens has been widely used in China, Korea and Japan to treat fever, in ammation, and itching [43,44]. Clinical observations of Sophora avescens in treating itching [22]; In addition, animal experiments have been conducted to observe the effects of different concentrations of Sophora avescens extract on the scratching behavior of 1-uoro-2,4-dinitro uorobenzene (DNFB)-induced pruritus in mice [45,46].…”

Section: Discussionmentioning

confidence: 99%

The pharmacological mechanisms of Sophoraflavescens in the treatment of atopic dermatitis based on pharmacology network strategy

Song

Shentao

Yan

et al. 2022

Preprint

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Background Network pharmacology explores the protective mechanism of Sophoraflavescens on atopic dermatitis (AD). Methods With the help of the Traditional Chinese Medicine System Pharmacology Technology Platform (TCMSP) and the Swiss target prediction database, the effective ingredients and potential target information of the active ingredients of Sophoraflavescens were obtained, and the human gene database (GeneCards) software was used to screen out the target genes related to atopic dermatitis. Using network pharmacology to explore possible molecular mechanisms. Results A total of 38 active ingredients and 508 corresponding targets of Sophoraflavescens were screened out, of which the core target is PAR-2. Sophoraflavescens and cetirizine can significantly improve the degree of inflammatory cell infiltration in AD model mice, reduce pruritus symptoms and pathological damage, and reduce the levels of PGE2, CGRP, LTB4 and SP. Inhibit the expression of PAR-2 and the downstream receptor TrK-A protein. Conclusions Sophoraflavescens and its components can affect AD pruritus by inhibiting the PAR-2 signaling pathway.

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Mixed evidence on the relationship between socioeconomic position and atopic dermatitis: A systematic review

Cited by 14 publications

References 22 publications

Pooling the evidence: A review of swimming and atopic dermatitis

Pooling the evidence: A review of swimming and atopic dermatitis

The burdens faced by parents of preschoolers with type 1 diabetes mellitus: an integrative review

The pharmacological mechanisms of Sophoraflavescens in the treatment of atopic dermatitis based on pharmacology network strategy

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