Correlation between socio‐economic status and atopic dermatitis in Korean adults: the Korea national health and nutrition examination survey (2007–2014)

Lee, J.S.; Kim, Jun‐Mo; Seok, Joon; Kim, B.J.

doi:10.1111/jdv.14343

Cited by 20 publications

(31 citation statements)

References 43 publications

(84 reference statements)

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“…These previous studies reported that the prevalence of physician-diagnosed asthma was 3.9% in Japan and 20.09% in Sweden, and the prevalence of physician-diagnosed atopic dermatitis was 6.9% in Japan and 10.6% in the United States. The prevalence rates of asthma and atopic dermatitis in previous Korean studies using the National Nutrition Survey were in agreement with our study [4, 29], but a previous Korean study using both questionnaire and bronchial challenge reported that the prevalence of asthma was 3.4%. We infer that the prevalence of allergic diseases in our patients, which differs from other countries, may be affected by race, culture, and some underreporting [30].…”

Section: Discussionsupporting

confidence: 82%

The Effect of Hidden Female Smoking on the Association between Smoking and Asthma

Kim¹,

Lee²

2018

Int Arch Allergy Immunol

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Background: The association between smoking and asthma remains controversial. In our previous study, we were not able to show an association between asthma and smoking in Korean adults. One Korean study demonstrated underreporting of smoking history by female adults. The aim of the present study was to investigate the effects of hidden female smoking on the association between asthma and smoking in Korean adults. Methods: Data were acquired from 23,483 men and women aged ≥19 years who participated in the Korean National Health and Nutrition Examination Surveys (KNHANES). Results: The prevalence of asthma was 1.5%, the self-reported smoking prevalence was 32.4%, and the cotinine-verified smoking prevalence was 30.3%. Of the male cotinine-verified smokers, 6.4% were self-reported nonsmokers (2.7% never smokers and 3.7% ex–smokers), whereas 48.8% of the female cotinine-verified smokers were self-reported nonsmokers (43.2% never smokers and 5.6% ex–smokers). In males, the adjusted odds ratio of the association between smoking and asthma was 0.738 (confidence interval, CI: 0.393–1.173) in self-reported and 0.767 (CI: 0.515–1.143) in cotinine-verified smoking; in females, the adjusted odds ratio was 1.945 (CI: 1.348–2.805) in self-reported and 1.531 (CI: 1.076–2.179) in cotinine-verified smoking. Conclusions: Our study showed smoking was associated with asthma in females but not in males.

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Section: Discussionsupporting

confidence: 82%

The Effect of Hidden Female Smoking on the Association between Smoking and Asthma

Kim¹,

Lee²

2018

Int Arch Allergy Immunol

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“…Data from the fifth KNHANES with assessment of the glucose tolerance status found no association between type 2 diabetes and AD [20]. In contrast the KNHANES survey with self-reported physician's diagnosis of diabetes mellitus found decreased odds [19]. A Danish database study from 1995 to 2012 by Egeberg et al [44] with 7,937 adults found a lower prevalence of diabetes in patients with AD (adjusted OR 0.81; 95% CI 0.72-0.91; p < 0.05) and patients with severe AD (treated with systemic therapy) (adjusted OR 0.80; 95% CI 0.69-0.93; p < 0.05).…”

Section: Discussionmentioning

confidence: 74%

“…A positive association between AD and hypertension was observed in 6 out of 11 studies [1,2,15,18,22,24], 3 studies [12,17,23] found an inverse association, and 2 studies [19,32] did not find any association. The study by Uehara et al [12] with physician's diagnosed AD and measured blood pressure found no association.…”

Section: Discussionmentioning

confidence: 94%

“…A Danish database study from 1995 to 2012 by Egeberg et al [44] with 7,937 adults found a lower prevalence of diabetes in patients with AD (adjusted OR 0.81; 95% CI 0.72-0.91; p < 0.05) and patients with severe AD (treated with systemic therapy) (adjusted OR 0.80; 95% CI 0.69-0.93; p < 0.05). Moreover, studies by Lee et al [19] and Drucker et al [17] also found decreased odds of diabetes in patients with AD. In contrast, the studies from the USA by Kwa et al [24] and Silverberg et al [1] found a positive association.…”

Section: Discussionmentioning

confidence: 96%

“…Studies not finding an association between AD and hypertension are from Asia [12,19] and may differ due to genetics (race/ethnicity) and environmental factors (socioeconomic, diet, and exposures).…”

Section: Discussionmentioning

confidence: 99%

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Association between Atopic Dermatitis and the Metabolic Syndrome: A Systematic Review

et al. 2018

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Atopic dermatitis (AD) may be associated with the metabolic syndrome and by that carry an increased risk of cardiovascular disease. Our objective was to provide an update on current knowledge of the association between AD and metabolic syndrome, including each component of the metabolic syndrome. A systematic literature review was performed to identify studies investigating the association between metabolic syndrome and AD from PubMed, Embase, and the Cochrane Library in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. A total of 14 studies, investigating the association between AD and the metabolic syndrome or AD and components of metabolic syndrome fulfilled the inclusion criteria and were included. It seems unlikely that the association between AD and metabolic syndrome is causal. However, women with AD tended to have components of metabolic syndrome more often than women without AD. There was a positive association between AD and central obesity measured as waist circumference, and this association was stronger for women than men. Despite conflicting results regarding hypertension, the association between hypertension and AD also appeared stronger for women. On the other hand, the association between AD and hyperglycemia appears unlikely, and the association between AD and cholesterol levels was inconsistent. In conclusion, it remains unclear whether AD is a risk factor for metabolic syndrome and its components. However, data indicate that central obesity is associated with AD and that the association is stronger for women than men.

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Prevalence, incidence and relative risk of cardiovascular disease risk factors in adults with atopic dermatitis: A systematic review

Thyssen

Terres

Pierce

et al. 2023

JEADV Clinical Practice

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Atopic dermatitis (AD) has been associated with cardiovascular disease (CVD). A better understanding of CVD risk factors in AD populations may help dermatologists better counsel their patients regarding potential risks and treatment choices. This systematic literature review evaluated the prevalence, absolute risk (i.e., incidence) and relative risk of CVD risk factors in adults with AD. MEDLINE, Embase and The Cochrane Library were searched for English‐language articles published between January 2005 and the search date (16–17 March 2021) using terms for AD, prevalence/risk and CVD risk factors. Observational studies that reported the prevalence, absolute risk and/or relative risk of CVD risk factors in adults with AD were eligible. Of the 1277 unique articles identified, 71 met the inclusion criteria. Most studies were cross‐sectional or retrospective cohort studies from Europe, North America or Asia; many used national databases. Studies were heterogeneous, with inconsistent definitions of AD and risk factors (especially smoking and obesity), different methodologies and different populations (e.g., ethnicity). Within most controlled studies, the prevalence of several risk factors, particularly obesity, hypertension and dyslipidemia, was higher for AD than for controls. Where assessed, the prevalence of most CVD risk factors increased with increasing AD severity. Relative risks varied across studies. Only nine studies reported the temporal relationship between AD and CVD risk factors. Six studies reported absolute or relative risk of developing CVD risk factors (diabetes, hypertension and smoking) in AD populations; only one of these reported an elevated risk (hypertension). Despite the high number of studies to date, conclusive data regarding the relationship between AD and many CVD risk factors are lacking, and additional, carefully designed, prospective studies are required.

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Correlation between socio‐economic status and atopic dermatitis in Korean adults: the Korea national health and nutrition examination survey (2007–2014)

Abstract: Female sex, age, marital status, urban residence, and the presence of asthma are important risk factors of the prevalence of AD in Korean adults.

Cited by 20 publications

References 43 publications

The Effect of Hidden Female Smoking on the Association between Smoking and Asthma

The Effect of Hidden Female Smoking on the Association between Smoking and Asthma

Association between Atopic Dermatitis and the Metabolic Syndrome: A Systematic Review

Prevalence, incidence and relative risk of cardiovascular disease risk factors in adults with atopic dermatitis: A systematic review

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