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Órgano Oficial del Colegio Mexicano de Alergia, Asma e Inmunología Pediátrica y de la Asociación Latinoamericana de Pediatría

2023, Number 1-3

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Alerg Asma Inmunol Pediatr 2023; 32 (1-3)

Prevalence and risk factors of allergic rhinitis in four states of Mexico

Mancilla HE, Morfin MBM, Mancilla TM, Jiménez MJA

Language: Spanish
References: 28
Page: 10-16
PDF size: 208.60 Kb.


ABSTRACT

Introduction: the prevalence of allergic rhinitis fluctuates between 10-40%, its frequency is increased by the presence of environmental factors. Objective: to evaluate the prevalence of allergic rhinitis and examine possible risk factors in preschool and school population in four states of the Mexican Republic. Material and methods: a cross-sectional study was conducted. The parents or guardians of participants completed two questionnaires, that explored demographics, allergic rhinitis symptoms, and possible risk factors. Results: 4,348 surveys were conducted in population between the ages of 3-12. The overall prevalence of allergic rhinitis was 16.5%, with male predominance (52.1%). Risk factors identified were family history of atopy (RM = 2.9-20.6, p < 0.001), damp walls in the house (RM = 1.67-9, p < 0.05), and recurrent respiratory tract infections (RM = 6.7-8.05, p < 0.0001). Other non-generalized factors were, living in urban area, vehicular traffic and parent's educational level. Type of birth, bottle feeding and use of scented disinfectants were not associated with risk of allergic rhinitis. Conclusions: the main risk factors for allergic rhinitis in preschool and school children were family history of allergy, recurrent respiratory infections and damp on walls.


REFERENCES

  1. Bjorksten B, Clayton T, Ellwood P, Stewart A, Strachan D, The ISAAC Phase III Study Group. Worldwide time trends for symptoms of rhinitis and conjunctivitis: phase III of the International Study of Asthma and Allergies in Childhood. Pediatr Allergy Immunol. 2007; 19 (2): 110-124. doi: 10.1111/j.1399-3038.2007.00601.x.

  2. Brozek JL, Bousquet J, Baena-Cagnani CE, Bonini S, Canonica GW, Casale TB et al. Allergic rhinitis and its impact on asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol. 2010; 126 (3): 466-476. doi: 10.1016/j.jaci.2010.06.047.

  3. Khan DA. Allergic rhinitis and asthma: epidemiology and common pathophysiology. Allergy Asthma Proc. 2014; 35 (5): 357-361. doi: 10.2500/app.2014.35.3794.

  4. Compalati E, Ridolo E, Passalacqua G, Braido F, Villa E, Canonica W. The link between allergic rhinitis and asthma: the united airway disease. Exp Rev Clin Immunol. 2010; 6 (3): 413-423. doi: 10.1586/eci.1015.

  5. Nieto A, Wahn U, Bufe A, Eigenmann P, Halken S, Hedlin G et al. Allergy and asthma prevention 2014. Pediatr Allergy Immunol. 2014; 25: 516-533. doi: 10.1111/pai.12272.

  6. Caussade LS, Valdivia CG, Navarro MH, Pérez EB, Aquevedo SA, Sánchez DI. Prevalencia de síntomas de rinitis alérgica y su relación con factores de riesgo en escolares de Santiago, Chile. Rev Med Chile. 2006; 134 (4): 456-464.

  7. Mpairwe H, Nkurunungi G, Tumwesige P, Akurut H, Namutebi M, Nambuya I et al. Risk factors associated with rhinitis, allergic conjunctivitis and eczema among schoolchildren in Uganda. Clin Exp Allergy. 2021; 51: 108-119. doi: 10.1111/cea.13769.

  8. Philco Toaza PE, Proaño Cortez PF. Factores de riesgo asociados a rinitis alérgica en niños de 3 a 5 años. Revista Universidad y Sociedad. 2019; 11 (4): 135-140.

  9. Rosário Filho NA, Urrutia-Pereira M, D'Amato G, Cecchi L, Ansotegui IJ, Galán C et al. Air pollution and indoor settings. World Allergy Organ J. 2021; 14 (1): 100499. doi: 10.1016/j.waojou.2020.100499.

  10. Dávila I, Domínguez-Ortega J, Navarro-Pulido A, Alonso A, Antolín-Amérigo O, González-Mancebo E et al. Consensus document on dog and cat allergy. Allergy. 2018; 73 (6): 1206-1222. doi: 10.1111/all.13391.

  11. Baumann LM, Romero KM, Robinson CL, Hansel NN, Gilman RH, Hamilton RG et al. Prevalence and risk factors for allergic rhinitis in two resource-limited settings in Peru with disparate degrees of urbanization. Clin Exp Allergy. 2015; 45 (1): 192-199. doi: 10.1111/cea.12379.

  12. Norhafizah S, Salina H, Goh BS. Prevalence of allergic rhinitis in children with otitis media with effusion. Eur Ann Allergy Clin Immunol. 2020; 52 (3): 121-130. doi: 10.23822/EurAnnACI.1764-1489.119.

  13. Westman M, Kull I, Lind T, Melén E, Stjarne P, Toskala E et al. The link between parental allergy and offspring allergic and nonallergic rhinitis. Allergy. 2013; 68: 1571-1578. doi: 10.1111/all.12267.

  14. Bousquet J, Schünemann HJ, Samolinski B, Demoly P, Baena-Cagnani CE, Bachert C et al. Allergic Rhinitis and its Impact on Asthma (ARIA): achievements in 10 years and future needs. J Allergy Clin Immunol. 2012; 130 (5): 1049-1062. doi: 10.4168/aair.2019.11.4.450.

  15. Liu Y, Lu C, Li Y, Norback D, Deng Q. Outdoor air pollution and indoor window condensation associated with childhood symptoms of allergic rhinitis to pollen. Int J Environ Res Public Health. 2022; 19 (13): 8071. doi: 10.3390/ijerph19138071.

  16. Mancilla-Hernández E, Medina-Ávalos MA, Osorio-Escamilla RE. Validación de un cuestionario diagnóstico de rinitis alérgica para estudios epidemiológicos. Rev Alerg Mex. 2014; 68 (10): 153-161. doi: 10.29262/ram.v61i3.40.

  17. El clima y el tiempo promedio en todo el año en Ciudad Cancún [Internet]. [Consultado 20 de junio de 2023] Disponible en: https://es.weatherspark.com/y/14484/Clima-promedio-en-Ciudad-Canc%C3%BAn-M%C3%A9xico-durante-todo-el-a%C3%B1o

  18. Acevedo N, Zakzuk J, Caraballo L. House dust mite allergy under changing environments. Allergy Asthma Immunol Res. 2019; 11 (4): 450-69. doi: 10.4168/aair.2019.11.4.450.

  19. Dahlen GH, Downe S, Wright LM, Kennedy HP, Taylor YJ. Childbirth and consequent atopic disease: emerging evidence on epigenetic effects based on the hygiene and EPIIC hypotheses. BMC Pregnancy Childbirth. 2016; 16 (4). doi: 10.1186/s12884-015-0768-9.

  20. Van Neerven RJ, Savelkoul H. Nutrition and allergic diseases. Nutrients. 2017; 9 (7): 762. doi: 10.3390/nu9070762.

  21. González-Díaz SN, Del Río-Navarro BE, Pietropaolo-Cienfuegos DR, Escalante-Domínguez AJ, García-Almaraz RG, Mérida-Palacio V et al. Factors associated with allergic rhinitis in children and adolescents from northern Mexico: International Study of Asthma and Allergies in Childhood Phase IIIB. Allergy Asthma Proc. 2010; 31 (4): e53-e62. doi: 10.2500/aap.2010.31.3346.

  22. Foliaki S, Annesi-Maesano I, Tuuau-Potoi N, Waqatakirewa L, Cheng S, Douwes J et al. Risk factors for symptoms of childhood asthma, allergic rhinoconjunctivitis and eczema in the Pacific: an ISAAC Phase III study. Int J Tuberc Lung Dis. 2008; 12 (7): 799-806.

  23. Weinmayr G, Gehring U, Genuneit J, Buchele G, Kleiner A, Siebers R et al. Dampness and moulds in relation to respiratory and allergic symptoms in children: results from phase two of the international study of asthma and allergies in childhood (ISAAC phase two). Clin Exp Allergy. 2013; 43: 762-774. doi: 10.1111/cea.12107.

  24. Tanaka K, Miyake Y, Kiyohara C. Environmental factors and allergic disorders. Allergol Intern. 2007; 56 (4): 363-396. doi: 10.2332/allergolint.R-07-143 30.

  25. Mommers M, Swaen GM, Weishoff-Houben M, Creemers H, Freund H, Dott W et al. Childhood infections and risk of wheezing and allergic sensitisation at age 7-8 years. Eur J Epidemiol. 2004; 19: 945-951. doi: 10.1007/s10654-004-6016-7.

  26. Von Kobyletzki LB, Bornehag CG, Hasselgren M, Larsson M, Lindstrom CB, Svensson A. Eczema in early childhood is strongly associated with the development of asthma and rhinitis in a prospective cohort. BMC Dermatol. 2012; 12: 11. doi: 10.1186/1471-5945-12-11.

  27. Lodrup Carlsen KC, Roll S, Carlsen KH, Mowinckel P, Wijga AH et al. Does pet ownership in infancy lead to asthma or allergy at school age? Pooled analysis of individual participant data from 11 European birth cohorts. PLoS One. 2012; 7 (8): e43214. doi: 10.1371/journal.pone.0043214.

  28. Fretzayas A, Kotzia D, Moustaki M. Controversial role of pets in the development of atopy in children. World J Pediatr. 2013; 9 (2): 112-119. doi: 10.1007/s12519-013-0412-6.




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