Parent‐reported ISAAC written questionnaire may underestimate the prevalence of asthma in children aged 10–12 years

Kim, Myoung Hee; Kwon, Ji‐Won; Kim, Hyo Bin; Song, Youngsup; Yu, Jinho; Kim, Woo-Kyung; Kim, Byeong-Ju; Lee, So Yeon; Kim, Kyoung-Won; Ji, Hye-Mi; Kim, Kyu-Earn; Shin, Yee-Jin; Kim, Ho; Hong, Soo‐Jong

doi:10.1002/ppul.21512

Cited by 16 publications

(16 citation statements)

References 30 publications

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“…These results demonstrate that the questionnaire is a useful tool to exclude atopic diseases but has strong limitations in confirming an existing allergy. Low sensitivity rates found in both groups make us question the reliability of questionnaires . Our results are in line with Caffarelli et al who investigated 63 patients with T1D and 108 controls .…”

Section: Discussionsupporting

confidence: 91%

“…The vast majority of studies conducted so far define allergic disease by patient‐reported allergic symptoms in questionnaires. However, self‐awareness of allergic symptoms has been shown to be biased and inaccurate . In only a few studies allergy tests, such as a skin prick test or measurement of allergen‐specific serum IgE antibodies (by ImmunoCAP), were performed.…”

Section: Introductionmentioning

confidence: 99%

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Type 1 diabetes in children and adolescents is not associated with a reduced prevalence of atopy and allergic diseases

et al. 2017

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Type 1 diabetes in children and adolescents is not associated with a reduced prevalence of atopy and allergic diseases

et al. 2017

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“…Baseline questionnaires were obtained on enrollment and included questions on the presence and source of allergies. The questionnaire used is not validated and not age‐specific; caregivers routinely completed questionnaires for children <18 years of age, which may underestimate the prevalence of allergies as suggested from the asthma literature 20–22. Subjects were excluded from analyses if complete questionnaire data were not available, which yielded a study sample of 1,321 individuals.…”

Section: Methodsmentioning

confidence: 99%

Environmental allergies and respiratory morbidities in cystic fibrosis

Collaco

Morrow

Green

et al. 2012

Pediatric Pulmonology

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SUMMARY Background Cystic fibrosis (CF) is characterized by recurrent respiratory infections and progressive lung disease. Although environmental factors account for 50% of the variation in CF lung function, few specific exposures have been identified. Studies using small study samples focusing on environmental allergies in CF have had inconsistent results. Our objective was to examine the role of environmental allergies in upper and lower respiratory tract morbidities in CF. Methods A total of 1321 subjects with CF were recruited through the U.S. CF Twin-Sibling Study. Questionnaires were used to determine the presence/absence of environmental allergies. Questionnaires, chart review, and U.S. CF Foundation Patient Registry data were used to track outcomes. Results Within the study sample 14% reported environmental allergies. Environmental allergies were associated with a higher risk of sinus disease (adjusted OR: 2.68; p<0.001) and nasal polyps (adjusted OR: 1.74; p=0.003). Environmental allergies were also associated with a more rapid decline in lung function (additional −1.1%/year; p=0.001). However, allergies were associated with a later median age of acquisition of Pseudomonas aeruginosa (6.6 yo vs. 4.4 yo; log rank p=0.027). The reported use of common allergy medications, anti-histamines and leukotriene inhibitors, did not alter the frequency of respiratory morbidities. Conclusions Environmental allergies are associated with an increased risk of sinus disease and nasal polyps and a more rapid decline in CF lung function, but may have a protective effect against the acquisition of P. aeruginosa. Prospective studies are needed to confirm these associations which have implications for more aggressive management of allergies.

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“…However, the recently performed nonresponder analyses in the Swedish [18] and the Norwegian [19] studies indicate that our results are fairly valid. To further complicate the discussion, the estimation of asthma prevalence through ISAAC questionnaires answered by the children's parents may not always correlate with the actual prevalence, as the parents may not be aware of or observe the children's respiratory symptoms [20], leading to an underestimation of asthma prevalence.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of asthma and respiratory symptoms among cross-country skiers in early adolescence

Lennelöv

Irewall

Naumburg

et al. 2019

Paediatric Asthma and Allergy

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Objective. To determine the prevalence of asthma and respiratory symptoms among Swedish crosscountry skiers in early adolescence in comparison to a population-based reference group of similar ages. Methods. A postal questionnaire on asthma, asthma medication, allergy, respiratory symptoms, and physical activity was distributed to Swedish competitive crosscountry skiers aged 12-15 years (n � 331) and a population-based reference group (n � 1000). e level of asthma control was measured by the Asthma Control Test. Results. e response rate was 27% (n � 87) among skiers and 29% (n � 292) in the reference group. e prevalence of self-reported asthma (physician-diagnosed asthma and use of asthma medication in the last 12 months) and the prevalence of reported wheezing during the last 12 months were 23% and 25%, respectively, among skiers, which were significantly higher than the values reported in the reference group (12% and 14%). Skiers exercised more hours/week than the reference group. Among adolescents with self-reported asthma, neither the usage of asthma medications nor the level of asthma control according to the Asthma Control Test differed between skiers and the reference group. Conclusions. Adolescent competitive crosscountry skiers have an increased prevalence of respiratory symptoms and asthma compared to nonskiers.

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Parent‐reported ISAAC written questionnaire may underestimate the prevalence of asthma in children aged 10–12 years

Abstract: The ISAAC AVQ may be another effective instrument for assessing the prevalence of asthma symptoms in children aged 10-12 years, whereas the parent-reported-WQ may underestimate the prevalence of asthma symptoms in this age-group.

Cited by 16 publications

References 30 publications

Type 1 diabetes in children and adolescents is not associated with a reduced prevalence of atopy and allergic diseases

Type 1 diabetes in children and adolescents is not associated with a reduced prevalence of atopy and allergic diseases

Environmental allergies and respiratory morbidities in cystic fibrosis

Prevalence of asthma and respiratory symptoms among cross-country skiers in early adolescence

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