Risk factors for atopic diseases and recurrent respiratory tract infections in children

Kansen, Hannah M.; Lebbink, Melanie A.; Mul, Joeri; Erp, Francine C. van; Engelen, Martine van; Vries, Esther de; Prevaes, Sabine M. P. J.; Le, Thuy‐My; Ent, Cornelis K. van der; Verhagen, Lilly M.

doi:10.1002/ppul.25042

Cited by 33 publications

(22 citation statements)

References 30 publications

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“…Regarding children's age, the odds of URTI in children aged 7-12 and 13-17 years was lower than that in children aged 0-1 year, and no significant difference was observed in children aged 2-6 years. This is quite similar to the study reported by Kansen et al (7) The possible reason was that sinus development and immune system in children above 7 years were maturing to prevent virus infections.…”

Section: Discussionsupporting

confidence: 91%

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Influence factors for upper respiratory tract infection in Chinese rural children: A cross-sectional study

Luo

et al. 2022

Front. Pediatr.

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AimThe prevalence rate of upper respiratory tract infection (URTI) is high in children. Influencing factors for URTI have been reported in Chinese urban children, but those have not been explored in rural children. In China, children in the rural areas are a disadvantaged group. Therefore, this study aims to explore influencing factors for URTI in Chinese rural children.MethodsThis is a cross-sectional study based on the 1991–2015 China Health and Nutrition Survey (CHNS). In total, 5,289 children were eligible for the analysis, including 3,684 rural children and 1,605 urban children. The generalized estimating equation was used to determine the influencing factors, and results were expressed as odds ratios (ORs) with 95% confidence intervals (95% CIs).ResultsThe results showed that rural children aged 7–12 and 13–17 years had lower odds of URTI than those aged 0–1 year, with OR value of 0.17 (95% CI, 0.11–0.27) and 0.12 (95% CI, 0.08–0.19), respectively. Compared with uneducated mothers, those with education level of primary school (OR: 0.59, 95% CI, 0.42–0.84), lower middle school (OR: 0.53, 95% CI, 0.38–0.73), and upper middle school and technical school (OR: 0.62, 95% CI, 0.40–0.95) were associated with the lower odds of URTI in rural children. Children, whose mothers were office workers, had 46% lower odds of URTI than those with farmer mothers (OR: 0.54, 95% CI, 0.34–0.84).ConclusionsThis study found that mother's education level, children's age, and mother's occupation were significant influencing factors for URTI, which suggested the importance to improve mother's health-related knowledge and working conditions in Chinese rural areas.

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Section: Discussionsupporting

confidence: 91%

“…Although URTI is rarely fatal, it is a source of severe morbidities and causes some complications, thereby increasing medical costs and bringing a considerable economic burden ( 5 , 6 ). Many factors make children vulnerable to URTI, many of which are preventable ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

Influence factors for upper respiratory tract infection in Chinese rural children: A cross-sectional study

Luo

et al. 2022

Front. Pediatr.

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“…It was more pronounced in children who started daycare before the age of one than in children who started attending daycare after the age of two [79]. In contrast, a recent study of 5517 participants aged 1 to 18 years did not show an increased risk of atopic diseases (including food allergy) in children attending daycare during the first year of life [80]. Similarly, Koplin et al revealed lower risk of challenge-proven egg, sesame and peanut allergy in children at daycare in the first six months of life compared to those cared for at home [81].…”

Section: Daycarementioning

confidence: 64%

Primary Prevention of Food Allergy—Environmental Protection beyond Diet

Sikorska-Szaflik¹,

Sozańska²

2021

Nutrients

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A food allergy is a potentially life-threatening disease with a genetic and environmental background. As its prevalence has increased significantly in recent years, the need for its effective prevention has been emphasized. The role of diet modifications and nutrients in food allergy reduction has been extensively studied. Much less is known about the role of other environmental factors, which can influence the incidence of this disease. Changes in neonates gut microbiome by delivery mode, animal contact, inhalant allergens, oral and then cutaneous allergen exposure, air pollution, smoking, infections and vaccinations can be the potential modifiers of food allergy development. There is some data about their role as the risk or preventive factors, but yet the results are not entirely consistent. In this paper we present the current knowledge about their possible role in primary prevention of food allergies. We discuss the mechanisms of action, difficulties in designing accurate studies about food allergy and the potential biases in interpreting the connection between environmental factors and food allergy prevention. A better understanding of the role of environmental factors in food allergies development may help in implementing practical solutions for food allergy primary prevention in the future.

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“…One study reported that lower respiratory tract infection in the first year of life is associated with allergic rhinitis in children [ 46 ]. Kansen et al showed that the concurrent presence of recurrent respiratory tract infections increased the odds of having asthma or allergic rhinitis, while it reduced the odds of having atopic dermatitis [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Asthma, Allergic Rhinitis, and Atopic Dermatitis Incidence in Korean Adolescents before and after COVID-19

Choi

Kong

2021

JCM

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With changes in personal habits (masks and handwashing) during the COVID-19 outbreak, the study analyzed the reporting of physician-diagnosed cases (incidence) of allergic diseases (asthma, allergic rhinitis, and atopic dermatitis) using the data for years 2019 and 2020 from the Korean adolescent risk behavior web-based survey (KYRBWS-15 and 16). Altogether, 92,659 adolescents (48,443 in 2019 and 44,216 in 2020) were enrolled. The crude and adjusted odd ratios (ORs) were calculated for each disease in 2020 compared to that in 2019 using multiple logistic regression. Subgroup analyses were performed according to sex and economic status. The incidence of asthma decreased from 1.5% in 2019 to 1.0% 2020 (p < 0.001). The incidence of allergic rhinitis in 2019 and 2020 was 19.5% and 16.3%, respectively (p < 0.001). Compared with 2019, the adjusted OR (aOR) in 2020 was 0.68 (95% CI = 0.66–0.77, p value < 0.001) for asthma and 0.82 (95% CI = 0.78–0.85, p < 0.001) for allergic rhinitis. In contrast, there was no statistically significant difference between the incidence of atopic dermatitis in 2019 and that in 2020 (6.4%, vs. 6.4%, p > 0.05, respectively). Subgroup analyses results were consistent. In conclusion, there was decrease in the incidence of asthma and allergic rhinitis but not in that of atopic dermatitis from 2019 to 2020.

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Risk factors for atopic diseases and recurrent respiratory tract infections in children

Cited by 33 publications

References 30 publications

Influence factors for upper respiratory tract infection in Chinese rural children: A cross-sectional study

Influence factors for upper respiratory tract infection in Chinese rural children: A cross-sectional study

Primary Prevention of Food Allergy—Environmental Protection beyond Diet

Asthma, Allergic Rhinitis, and Atopic Dermatitis Incidence in Korean Adolescents before and after COVID-19

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