Exploring the Relation between Atopic Diseases and Lifestyle Patterns among Adolescents Living in Greece: Evidence from the Greek Global Asthma Network (GAN) Cross-Sectional Study

Αntonogeorgos, George; Priftis, Kostas Ν.; Panagiotakos, Demosthenes B.; Ellwood, Philippa; García‐Marcos, Luis; Liakou, Evangelia; Koutsokera, Alexandra; Drakontaeidis, Pavlos; Moriki, Dafni; Thanasia, Marina; Mandrapylia, Maria; Douros, Konstantinos

doi:10.3390/children8100932

Cited by 11 publications

(19 citation statements)

References 50 publications

(53 reference statements)

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“…Table S3 shows the baseline characteristics of the cohort and cross-sectional studies recorded separately in this meta-analysis, while Table S4 presents the specific statistical values in each article. In total, 63 articles were included for data analysis, due to the inclusion of the same population in the four articles by Arvaniti et al 57 , 58 and Antonogeorgos et al 86 , 87 …”

Section: Resultsmentioning

confidence: 99%

“…Of the 63 articles included, 8 33 , 34 , 59–62 , 69 , 81 were cohort studies and 55 22 , 27–32 , 35–57 , 63–68 , 70–80 , 82–86 , 88–90 were cross-sectional studies. Regarding the geographical area, one article 83 originated from Africa, one article 51 was international, 13 articles 30–32 , 35 , 36 , 41 , 47 , 64 , 73 , 74 , 76 , 77 , 80 were published in Asia, 27 articles 22 , 27 , 29 , 33 , 34 , 37–39 , 43–46 , 48 , 49 , 55–57 , 59 , 62 , 69 , 70 , 72 , 81 , 82 , 86 , 88 , 90 originated from Europe, 7 articles 50 , 53 , 54 , 63 , 68 , 84 , 89 from North America, 4 articles 28 , 40 , 60 , 61 from Oceania and 10 articles 42 , 52 , 65–67 , 71 , 75 , 78 ,…”

Section: Resultsmentioning

confidence: 99%

“…All study participants were divided into four age groups: 91 toddlers 61 (1–2 years), preschool-age children 33 , 34 , 38 , 59 , 60 , 69 (3–5 years), school-age children 22 , 27 , 28 , 30 , 32 , 35–37 , 39–50 , 52–58 , 61 , 62 , 65 , 66 , 68 , 70 , 72 , 74 , 80–83 , 87 , 88 , 90 (6–13 years), and teenagers 31 , 64 , 67 , 77 , 79 , 86 (14–17 years).…”

Section: Resultsmentioning

confidence: 99%

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The Effects of a Healthy Diet on Asthma and Wheezing in Children and Adolescents: A Systematic Review and Meta-Analysis

Zhang,

He,

et al. 2023

JAA

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Background Asthma is a public health problem requiring focused attention. This study aimed to systematically evaluate the association between dietary structure and asthma or wheezing in children. Methods The study protocol of this meta-analysis has been registered in the International Prospective Register of Systematic Reviews (PROSPERO) with the registration code CRD42023390191. A total of 8397 articles were retrieved, searching PubMed, Medline, Embase, Web of Science, and Scopus databases as of November 21, 2022. Two independent authors were responsible for independently conducting the literature screening process. Effect-size estimates were expressed as odds ratio (OR) in cross-sectional studies and risk ratio (RR) in cohort studies with a 95% confidence interval (CI). Summary effect estimates were evaluated with random-effect models. Meanwhile, subgroup and sensitivity analyses were performed to assess the potential sources of heterogeneity and the robustness of the pooled estimation. Results A total of 65 studies, including 567,426 subjects had been analyzed. Overall analyses of cross-sectional studies revealed that a healthy diet was protective against asthma (adjusted OR=0.85, 95% CI: 0.80–0.89, P <0.001, I 2 =69.8%, Tau 2 =0.026) and wheezing (adjusted OR=0.85, 95% CI: 0.81–0.89, P <0.001, I 2 =66.8%, Tau 2 =0.015) in children and adolescents. Conversely, unhealthy diets can exacerbate asthma (adjusted OR=1.28, 95% CI: 1.20–1.36, P <0.001, I 2 =64.9%, Tau 2 =0.019) and wheeze (adjusted OR=1.09, 95% CI: 1.02–1.16, P =0.006, I 2 =75.2%, Tau 2 =0.023) in children and adolescents. The same trend was found in cohort studies (adjusted RR=0.72, 95% CI: 0.58–0.90, P =0.003, I 2 =83.5%, Tau 2 =0.105). A clear trend was observed between high-frequency healthy diets (OR=0.80; 95% CI: 0.71–0.89; P <0.001) is more protective against asthma than low-frequency healthy diets (OR=0.81; 95% CI: 0.70–0.94; P =0.007). Conclusion Our findings highlight the protective effects of a healthy diet on asthma and wheezing in children, including fruit, seafood, cereals, and the Mediterranean diet.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The Effects of a Healthy Diet on Asthma and Wheezing in Children and Adolescents: A Systematic Review and Meta-Analysis

Zhang,

He,

et al. 2023

JAA

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“… 42 However, the GAN study for Greece reported an inverse relationship between an active lifestyle and rhinoconjunctivitis. 43 Moreover, a number of studies also investigated the association between cat exposure and atopic disease. Results, however, are conflicting.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, severity, and risk factors of allergic rhinitis among schoolchildren in Saudi Arabia: A national cross-sectional study, 2019

Alnahas,

Abouammoh,

Althagafi

et al. 2023

World Allergy Organization Journal

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“…11 The Greek part of the GAN study included adolescents aged 13-14 years and followed the same protocol of the study. 12…”

Section: Designmentioning

confidence: 99%

Hierarchical analysis of Mediterranean Dietary pattern on atopic diseases’ prevalence in adolescence: The Greek Global Asthma Network study

Antonogeorgos

Mandrapylia

Liakou

et al. 2022

Allergol Immunopathol

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Introduction: The contribution of dietary patterns in the occurrence of atopic diseases, mainly asthma, allergic rhinits, and eczema is ambiguous. Our study examined the association between the level of adherence to the Mediterranean diet (MedDiet) and the prevalence of atopic diseases in adolescence. Methods: A total of 1934 adolescents (boys: 47.5%, mean age [standard variation]: 12.7[0.6] years) enrolled voluntarily. Participants completed a validated questionnaire on atopic disease status, dietary habits, and other sociodemographic and lifestyle characteristics. KIDMED score was used for the evaluation of adherence to the MedDiet. Discriminant analysis was applied to the hierarchy of foods and beverages consumed in relation to the presence of atopic diseases. Results: Logistic regression analyses revealed that adolescents with moderate and good adher-ence to the MedDiet had 34 and 60% lower odds of having any asthma symptoms, respectively, and 20 and 41% lower odds of having any allergic rhinitis symptoms, respectively, adjusted for several confounders. The food group with the most important contribution to the MedDiet was cooked and raw vegetables, followed by fruits (Wilk’s λ = 0.881 and λ = 0.957, respectively). Conclusion: Our study provided evidence for a strong and inverse association between the level of adherence to the MedDiet and the occurrence of asthma and allergic rhinitis symptoms and signified the importance of contribution of fruits and vegetable consumption in this association. Thus, the promotion of MedDiet could be an efficient lifestyle intervention that can contribute to the reduction of the burden of these atopic diseases in adolescents.

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Exploring the Relation between Atopic Diseases and Lifestyle Patterns among Adolescents Living in Greece: Evidence from the Greek Global Asthma Network (GAN) Cross-Sectional Study

Cited by 11 publications

References 50 publications

The Effects of a Healthy Diet on Asthma and Wheezing in Children and Adolescents: A Systematic Review and Meta-Analysis

The Effects of a Healthy Diet on Asthma and Wheezing in Children and Adolescents: A Systematic Review and Meta-Analysis

Prevalence, severity, and risk factors of allergic rhinitis among schoolchildren in Saudi Arabia: A national cross-sectional study, 2019

Hierarchical analysis of Mediterranean Dietary pattern on atopic diseases’ prevalence in adolescence: The Greek Global Asthma Network study

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