Incidence of Asthma, Atopic Dermatitis, and Allergic Rhinitis in Korean Adults before and during the COVID-19 Pandemic Using Data from the Korea National Health and Nutrition Examination Survey

Choi, Hyo Geun; Kim, So Young; Joo, Yeon‐Hee; Cho, Hyun Jin; Kim, Sang–Wook; Jeon, Yung Jin

doi:10.3390/ijerph192114274

Cited by 10 publications

(6 citation statements)

References 53 publications

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“…Notably, there was no difference between the two genders across different age groups and ethnicities before and after the COVID-19 pandemic. In congruence with a recent study done in Korea, there is no significant change in the AR prevalence between genders when comparing the number of cases among adults between 2019 and 2020 [ 30 ].…”

Section: Discussionsupporting

confidence: 83%

The Trend of the Burden of Allergic Rhinitis Pre- and Post-COVID-19 Pandemic in the Urban Population of Perak, Malaysia

Chew

Lim

Narayanan

et al. 2023

Indian J Otolaryngol Head Neck Surg

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Aims This study aims to determine the trend of allergic rhinitis (AR) prevalence in a tertiary hospital between 2017 and 2022, and to compare its prevalence pre- and post-COVID-19 pandemic. Methods This was a cross-sectional study involving the extraction of all Malaysian patients’ medical records who were diagnosed with AR and attended the otorhinolaryngology outpatient clinic of a government-funded tertiary hospital in Malaysia between 2017 and 2022. Results 3,744 cases out of the 57,968 first-encounter outpatient visits to the otorhinolaryngology clinic were extracted for analysis. Overall, the prevalence of AR cases ranged from 1.83 to 9.23% between 2017 and 2022. There was a significant drop of 21.38 to 70.22% between the pre- and post-COVID-19 pandemic (p < 0.001). Males (0.34 to 1.60%) were more prevalent in the 6 to 18 year old than females (0.09 to 1.23%). The trend shifted with age, whereby females (0.50 to 2.45%) experienced a higher prevalence than males (0.21 to 1.77%) as they aged from 19 to 59. The Malay (1.01 to 4.59%) demonstrated a two-time higher prevalence than the Chinese (0.30 to 2.01%) and Indian (0.40 to 2.14%) ethnicities. After stratifying by gender and ethnicity, Indian women (0.17 to 1.09%) had a higher rate of AR than their Chinese counterparts (0.12 to 0.99%) across all years. Conclusion The AR prevalence consistently ranged from 8.14 to 9.23% pre-pandemic. A remarkable drop was observed post-pandemic, ranging from 1.83 to 6.40%. A gender shift from male to female predominance as age progressed. The Malay had the highest prevalence of AR.

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Section: Discussionsupporting

confidence: 83%

The Trend of the Burden of Allergic Rhinitis Pre- and Post-COVID-19 Pandemic in the Urban Population of Perak, Malaysia

Chew

Lim

Narayanan

et al. 2023

Indian J Otolaryngol Head Neck Surg

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“…However, SARS-CoV-2 infection was not found to be causally associated with allergic diseases, and severe COVID-19 did not in turn lead to an increase or decrease in the risk of the allergic disease. The Korea National Health and Nutrition Examination Survey also did not show a significant reduction in the incidence of each allergic disease (asthma, AD, AR), whether self-reported or physician-diagnosed, in 2020 compared with 2019 27 . Although COVID-19 does not cause allergic diseases, viral infections (not just SARS-CoV-2) may exacerbate the symptoms of allergic diseases, so telemedicine is still advised during the COVID-19 pandemic 28 .…”

Section: Discussionmentioning

confidence: 87%

“…New diagnoses of atopic dermatitis also fell slightly 43 . As mentioned above, no significant decrease was shown in the incidence rates of allergic diseases (asthma, AD, AR) in Korea 27 . However, data from the nationally representative Korean Adolescent Risk Behavior Survey presented that the prevalence of allergy among Korean adolescents increased before 2019, but decreased significantly in 2020 44 .…”

Section: Discussionmentioning

confidence: 88%

Allergic disease as a causal protective factor for severe covid-19: a multivariable mendelian randomization study

2023

Preprint

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Allergic diseases were recently reported related to both SARS-CoV-2 infection and severe COVID-19 through observational studies. However, their causal relationship remains unclear. Herein, we performed univariate and multivariate Mendelian randomization (MR) studies to investigate the causal association between various allergic diseases and COVID-19. Genome-wide association studies (GWAS) summaries were used in this study, with 360838 participants in the allergic disease database, 455449 in asthma, 217914 in allergic rhinitis (AR), and 205764 in atopic dermatitis (AD). In univariate MR analysis, the allergic disease was not causally in connection with SARS‐CoV‐2 infection but have a causal protective effect on severe COVID-19. In contrast, no significant causal effect was found of SARS-CoV-2 infection/severe COVID-19 on the allergic disease. AD, mixed asthma, and childhood asthma were causal protective factors for severe COVID-19. Multivariate MR analysis further revealed the dominant role of asthma in allergic diseases and the dominance of childhood asthma in asthma subtypes. In summary, this study, based on the population genetic variation model, pointed out the protective effect of allergic diseases against severe COVID-19, which may provide some inspiration for further exploration of the pathophysiological mechanisms of COVID-19.

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“…Choi, H.G. et al [21] analyzed the frequency rate of self-reported and physician-diagnosed allergic diseases of asthma, atopic dermatitis, and allergic rhinitis in the Korean population. A total of 15,469 individuals were analyzed in the National Health and Nutrition Examination Survey dataset.…”

Section: Discussionmentioning

confidence: 99%

The Effect of the COVID-19 Pandemic on Self-Reported Health Status and Smoking and Drinking Habits in the General Urban Population

Chlabicz,

Szum-Jakubowska,

Sowa

et al. 2023

JCM

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The coronavirus disease 2019 pandemic created a significant crisis in global health. The aim of the study was to compare the impact of the COVID-19 pandemic on self-rated health status and smoking and alcohol habits. The Bialystok PLUS cohort study was conducted in 2018–2022. A total of 1222 randomly selected city residents were examined and divided into two groups: before and during the COVID-19 pandemic. The participants’ lifestyle habits and medical history were collected from self-reported questionnaires. The Alcohol Use Disorders Identification Test (AUDIT) and the Fagerström Test for Nicotine Dependence (FTND) were used to assess the degree of alcohol and nicotine dependence. The survey revealed a reduced frequency of reported allergies vs. an increased frequency of reported sinusitis and asthma; increased incidence of declared hypercholesterolemia and visual impairment; a reduced number of cigarettes smoked per day, lower FTND score, and a greater desire to quit smoking in the next six months; and an increase in hs-CRP and FeNO levels in the population during the pandemic compared to the pre-pandemic population. The COVID-19 pandemic had a measurable impact on the general population’s prevalence of certain medical conditions and lifestyle habits. Further research should continue to examine the long-term health implications of the pandemic.

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Incidence of Asthma, Atopic Dermatitis, and Allergic Rhinitis in Korean Adults before and during the COVID-19 Pandemic Using Data from the Korea National Health and Nutrition Examination Survey

Cited by 10 publications

References 53 publications

The Trend of the Burden of Allergic Rhinitis Pre- and Post-COVID-19 Pandemic in the Urban Population of Perak, Malaysia

The Trend of the Burden of Allergic Rhinitis Pre- and Post-COVID-19 Pandemic in the Urban Population of Perak, Malaysia

Allergic disease as a causal protective factor for severe covid-19: a multivariable mendelian randomization study

The Effect of the COVID-19 Pandemic on Self-Reported Health Status and Smoking and Drinking Habits in the General Urban Population

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