دوره 28، شماره 130 - ( 7-1399 )                   جلد 28 شماره 130 صفحات 236-230 | برگشت به فهرست نسخه ها


XML English Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ahmadiafshar A, Nourollahi S, Arminpour A, Faghihzadeh S. The Prevalence and Risk Factors of Asthma, Allergic Rhinitis, and Eczema in Primary School Children, Zanjan, Iran. J Adv Med Biomed Res 2020; 28 (130) :230-236
URL: http://journal.zums.ac.ir/article-1-6008-fa.html
The Prevalence and Risk Factors of Asthma, Allergic Rhinitis, and Eczema in Primary School Children, Zanjan, Iran. Journal of Advances in Medical and Biomedical Research. 1399; 28 (130) :230-236

URL: http://journal.zums.ac.ir/article-1-6008-fa.html


چکیده:   (144672 مشاهده)

Background & Objective: Allergies are manifested with a variety of signs and symptoms. In this study, the frequencies of asthma symptoms, allergic rhinitis, eczema, and related factors among 6- to 7-year-old schoolchildren were investigated.
Materials & Methods: This cross-sectional study was carried out among schoolchildren of 35 elementary schools of Zanjan by using the International Study of Asthma and Allergies in Childhood (ISSAC) questionnaire consisting of the following:  asthma symptoms, allergic rhinitis, atopic dermatitis, sex, weight, height, feeding, paracetamol and antibiotic use, maternal education, physical activity, exposure to pets or farm animals, heavy traffic exposure, and parental tobacco use. Data were gathered and analyzed by SPSS software.
Results: In this study, 800 children (383 girls and 417 boys) were recruited. The prevalence of wheezing was 28.5% (95% confidence interval [CI] [27, 36]), rhinitis 20% (95% CI [19, 27]), and dermatitis 16.8% (95% CI [13.1, 17.5]). However, the rates of physician-diagnosed asthma, allergic rhinitis, and eczema were 1%, 8.9%, and 4.1%, respectively. The prevalence rates of asthma symptoms and atopic dermatitis were significantly higher in girls than in boys (P=0.01 and P<0.001, respectively). The weight of children with asthma was significantly higher than children without asthma (P=0.01). 
Conclusion: The frequencies of wheezing, rhinitis, and dermatitis among 6- to 7-year-old children were high. Thus, symptoms and history should be considered for the accurate diagnosis and management of children. 

متن کامل [PDF 292 kb]   (154823 دریافت) |   |   متن کامل (HTML)  (3405 مشاهده)  
نوع مطالعه: مقاله پژوهشی | موضوع مقاله: Epidemiologic studies
دریافت: 1399/2/18 | پذیرش: 1399/6/26 | انتشار: 1399/6/31

فهرست منابع
1. Del-Rio-Navarro BE, Navarrete-Rodríguez EM, Berber A, Reyes-Noriega N, García-Marcos Álvarez L. The burden of asthma in an inner-city area: A historical review 10 years after Isaac. World Allergy Organ J. 2020;13(1):100092. [DOI:10.1016/j.waojou.2019.100092]
2. Bateman ED, Hurd SS, Barnes PJ , et al. Global strategy for asthma management and prevention: GINA executive summary. Eur Respir J. 2008;31(1):143-78. [DOI:10.1183/09031936.00138707]
3. Mehta R. Allergy and Asthma: Allergic Rhinitis and Allergic Conjunctivitis. FP Essent. 2018;472:11-5.
4. Goh YY, Keshavarzi F, Chew YL. Prevalence of atopic dermatitis and pattern of drug therapy in malaysian children. Dermatitis. 2018;29(3):151-61. [DOI:10.1097/DER.0000000000000376]
5. Roduit C, Frei R, Depner M, et al. Phenotypes of atopic dermatitis depending on the timing of onset and progression in childhood. JAMA Pediatr. 2017;171(7):655-62. [DOI:10.1001/jamapediatrics.2017.0556]
6. Spergel JM. Epidemiology of atopic dermatitis and atopic march in children. Immunol Allergy Clin North Am. 2010;30(3):269-80. [DOI:10.1016/j.iac.2010.06.003]
7. Khan DA. Allergic rhinitis and asthma: epidemiology and common pathophysiology. Allergy Asthma Proc. 2014;35(5):357-61. [DOI:10.2500/aap.2014.35.3794]
8. Ferrante G, La Grutta S. The burden of pediatric asthma. Front Pediatr. 2018;22;6:186. [DOI:10.3389/fped.2018.00186]
9. Sharifi L, Dashti R, Pourpak Z, et al. Economic burden of pediatric asthma: Ann Cost Dis Iran. Iran J Public Health. 2018;47(2):256-63.
10. Ghaffari J, Aarabi M. The prevalence of pediatric asthma in the Islamic Republic of Iran: A systematic review and meta-analysis. J Pediatr Rev 2013;1(1):2-11.
11. Farrokhi S, Gheybi MK, Movahhed A, et al. Prevalence and risk factors of asthma and allergic diseases in primary schoolchildren living in Bushehr, Iran: phase I, III ISAAC protocol. Iran J Allergy Asthma Immunol. 2014;13(5):348-55.
12. Ghaffari J, Mohammadzadeh I, Khalilian A, Rafatpanah H, Mohammadjafari H, Davoudi A. Prevalence of asthma, allergic rhinitis and eczema in elementary schools in Sari (Iran). Caspian J Intern Med. 2012;3(1):372-6.
13. Zamanfar D, Gaffari J, Behzadnia S, Yazdani-Charati J, Tavakoli S. The prevalence of allergic rhinitis, eczema and asthma in students of guidance schools in Mazandaran province, Iran. Open Access Maced J Med Sci. 2016;4(4):619-23. [DOI:10.3889/oamjms.2016.112]
14. Salarnia S, Momen T, Jari M. Prevalence and risk factors of allergic rhinitis in primary school students of Isfahan, Iran. Adv Biomed Res. 2018;7:157 [DOI:10.4103/abr.abr_194_18]
15. Ahmadiafshar A, Parchegani MR, Moosavinasab N, Koosha A. A study of relation between BCG scar and atopy in schoolchildren of Zanjan city. Iran J Allergy Asthma Immunol. 2005;4(4):185-8.
16. Ahmadiafshar A, Ghoreishi A, Afkhami Ardakan iS, Khoshnevisasl P, Faghihzadeh S, Nickmehr P. The high prevalence of depression among adolescents with asthma in Iran. Psychosom Med. 2016;78(1):113-4. [DOI:10.1097/PSY.0000000000000286]
17. ISAAC Committee. Worldwide variations in the prevalence of atopic diseases: the international study of asthma and allergies in childhood (ISAAC). Lancet 1998;351:1225-32. [DOI:10.1016/S0140-6736(97)07302-9]
18. Mohammadzadeh I, Ghafari J, Barari Savadkoohi R. The prevalence of asthma, allergic rhinitis and eczema in North of Iran. Iran J Pediatr. 2008;18(2):117-22.
19. Nasiri Kalmarzi R, Shekari A, Tajik M, et al. The prevalence of asthma symptoms in elementary and middle school students in Kurdistan province, the West of Iran. Int J Pediatr. 2016;4(26):1323-30.
20. Masjedi MR, Fadaizadeh L, Najafizadeh K, Dokouhaki P. Prevalence and severity of asthma symptoms in children of Tehran- International Study of Asthma and Allergies in Childhood (ISAAC). Iran J Allergy Asthma Immunol 2004;3(1):25-30.
21. Barr JG, Al-Reefy H, Fox AT, Hopkins C. Allergic rhinitis in children. BMJ. 2014;349:g4153. [DOI:10.1136/bmj.g4153]
22. Safari M, Jari M. Prevalence of allergic rhinitis in 13-14 year old school children in Hamedan. Iran J Pediatr. 2008;18(S1):41-6.
23. Kim HY, Kwon EB, Baek JH, et al. Prevalence and comorbidity of allergic diseases in preschool children. Korean J Pediatr. 2013;56(8):338-42. [DOI:10.3345/kjp.2013.56.8.338]
24. Ramírez-Soto M, Bedolla-Barajas M, González-Mendoza T. Prevalence of asthma, allergic rhinitis and atopic dermatitis in school children of the Mexican Bajío region. Rev Alerg Mex. 2018;65(4):372-8. [DOI:10.29262/ram.v65i4.527]
25. Aberle N, Kljaić Bukvić B, Blekić M, et al. Allergic diseases and atopy among schoolchildren in Eastern Croatia. Acta Clin Croat. 2018;57(1):82-90. [DOI:10.20471/acc.2018.57.01.09]
26. Stipić-Marković A, Pevec B, Pevec MR, Custović A. Prevalence of symptoms of asthma, allergic rhinitis, conjunctivitis and atopic eczema: ISAAC (International Study of Asthma and Allergies in Childhood) in a population of schoolchildren in Zagreb. Acta Med Croatica. 2003;57(4):281-5.
27. Hwang CY, Chen Y, Lin MW, et al. Prevalence of atopic dermatitis, allergic rhinitis and asthma in Taiwan: a national study 2000 to 2007. Acta Derm Venereol. 2010;90(6):589-94. [DOI:10.2340/00015555-0963]
28. Ahmed A, Hakim A, Becker A. Evaluation of eczema, asthma, allergic rhinitis and allergies among the grade-1 children of Iqaluit. Allergy Asthma Clin Immunol. 2018;14(9):10.1186/s13223-018-0232-2. [DOI:10.1186/s13223-018-0232-2]
29. Mirzaei M, Karimi M, Beheshti S, Mohammadi M. Prevalence of asthma among middle eastern children: a systematic review. Med J Islam Repub Iran. 2016;31:9 [DOI:10.18869/mjiri.31.9]
30. Lau S, Matricardi PM, Wahn U, Lee Y, Keil T. Allergy and atopy from infancy to adulthood: Messages from the German birth cohort MAS. Ann Allergy Asthma Immunol. 2019;122(1):25-32. [DOI:10.1016/j.anai.2018.05.012]
31. Ahmadiafshar A, Tabbakhha S, Mousavinasab N, Khoshnevis P. Relation between asthma and body mass index in 6-15 years old children. Acta Medica Iranica. 2013;51(9):615-19.
32. Asher MI, Stewart AW, Mallol J, et al. Which population level environmental factors are associated with asthma, rhinoconjunctivitis and eczema? Review of the ecological analyses of ISAAC Phase One. Respir Res. 2010;11:10.1186/465-9921-11-8. [DOI:10.1186/1465-9921-11-8]
33. Hammer-Helmich L, Linneberg A, Thomsen SF, Glümer C. Association between parental socioeconomic position and prevalence of asthma, atopic eczema and hay fever in children. Scand J Public Health. 2014;42(2):120-7. [DOI:10.1177/1403494813505727]
34. Ghozikali MG, Ansarin K, Naddafi K, et al. Prevalence of asthma and associated factors among male late adolescents in Tabriz, Iran. Environ Sci Pollut Res Int. 2018;25(3):2184-93. [DOI:10.1007/s11356-017-0553-6]
35. Gergen PJ, Mitchell HE, Calatroni A, et al. Sensitization and exposure to pets: the effect on asthma morbidity in the US population. J Allergy Clin Immunol Pract. 2018;6(1):101-7. [DOI:10.1016/j.jaip.2017.05.019]
36. Silverwood RJ, Rutter CE, Mitchell EA, et al. Are environmental risk factors for current wheeze in the international study of asthma and allergies in childhood (ISAAC) phase three due to reverse causation? Clin Exp Allergy. 2019;49(4):430-41. [DOI:10.1111/cea.13325]
37. Rutter CE, Silverwood RJ, Williams HC, et al. Are environmental factors for atopic eczema in ISAAC phase three due to reverse causation? J Invest Dermatol. 2019;139(5):1023-36. [DOI:10.1016/j.jid.2018.08.035]
38. Ferreira MA, Vonk JM, Baurecht H, et al. Shared genetic origin of asthma, hay fever and eczema elucidates allergic disease biology. Nat Genet. 2017;49(12):1752-7. [DOI:10.1038/ng.3985]

بازنشر اطلاعات
Creative Commons License این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است.

کلیه حقوق این وب سایت متعلق به Journal of Advances in Medical and Biomedical Research می باشد.

طراحی و برنامه نویسی : یکتاوب افزار شرق

© 2024 CC BY-NC 4.0 | Journal of Advances in Medical and Biomedical Research

Designed & Developed by : Yektaweb