Prevalence and comorbidity of allergic diseases in preschool children

Kim, Hyeong Yun; Kwon, Eun Byul; Baek, Ji Hyeon; Shin, Youn Ho; Yum, Hye Yung; Jee, Hye Mi; Yoon, Jung Won; Han, Man Yong

doi:10.3345/kjp.2013.56.8.338

Cited by 51 publications

(38 citation statements)

References 24 publications

(50 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is well known that if 1 atopic condition exists, the likelihood of the other condition increases. [11][12][13][14][15][16] What is less clear, however, is why students who had documented food allergy in this study had much higher rates of asthma than students with asthma had food allergy. Of note, it has been demonstrated that children who have food allergy tend to develop asthma at a younger age 17 and also have more severe asthma symptoms.…”

Section: Discussionmentioning

confidence: 59%

Asthma and Food Allergy Management in Chicago Public Schools

et al. 2014

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Asthma and food allergy are common chronic conditions impacting 14% and 8% of US schoolaged children, respectively. School districts must be prepared to track students who have these conditions to ensure proper daily management and emergency response. WHAT THIS STUDY ADDS:This study examines the demographic distribution of asthma and food allergy and the existence of school health management plans in a large, urban school district. The findings show that school health management plans are underused for both conditions. abstract OBJECTIVES: This study aimed to characterize asthma and food allergy reporting and management in Chicago Public Schools.METHODS: Demographic and health data for students who have asthma and food allergy were extracted from the Chicago Public Schools database. Demographic and geographic variability and the existence of school health management plans were analyzed, and multiple logistic regression models were computed. Home addresses were geocoded to create maps of case counts per community area. RESULTS:Approximately 18 000 asthmatic and 4000 food allergic students were identified. Of asthmatic students, 9.3% had a food allergy; of food allergic students, 40.1% had asthma. Asthma odds were significantly higher among black and Hispanic students (odds ratio [OR] = 2.3 and 1.3, respectively), whereas food allergy odds were significantly higher among black students (OR = 1.1; 95% confidence interval [CI], 1.0-1.3) and significantly lower among Hispanic students (OR = 0.8; 95% CI, 0.7-0.9). Only 24.3% of students who had asthma and 50.9% of students who had food allergy had a school health management plan on file. Odds of having a school health management plan were significantly higher among students with both conditions, but the likelihood of having a plan on file was significantly lower among racial/ethnic minority and low-income students, regardless of medical condition.CONCLUSIONS: Only 1 in 4 students who have asthma and half of food allergic students have health management plans in schools, with lower numbers among minority and low-income students. Improving chronic disease reporting and access to school health management plans is critical. Pediatrics 2014;134:729-736

show abstract

Section: Discussionmentioning

confidence: 59%

Asthma and Food Allergy Management in Chicago Public Schools

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Although previous population surveys on the asthma prevalence in Korean children showed that 8.3% to 10.3% of school-aged children19 and 13.3% to 15.4% of preschool ones had bronchial asthma,2021 no study was conducted with regard to the severity profile in Korean asthmatic children within the past 10 years. In 2000, population surveys were conducted in Korea as a part of the Asthma Insights and Reality in Asia Pacific (AIRIAP) program and were later reported as parts of tables or figures in previous reports 622.…”

Section: Discussionmentioning

confidence: 99%

Asthma Severity and the Controller Prescription in Children at 12 Tertiary Hospitals

Suh

Yang

Kim

et al. 2017

Allergy Asthma Immunol Res

Self Cite

View full text Add to dashboard Cite

PurposeGuidelines need to be tailored to where they are applied. We aimed to describe the distinctive asthma severity profile and the pattern of controller prescription in Korean children.MethodsTwelve pediatric allergists from tertiary medical centers reviewed medical records of all asthmatic children who visited their clinics between September 1 and November 30 of 2013. Controller prescriptions were re-classified into 4 categories, then the prevalence of each asthma severity category and the controller prescription patterns according to asthma severity assessed by a Western (Global Initiative for Asthma, GINA) and an Asia-Pacific (Japanese Pediatric GuideLine, JPGL) guideline were evaluated.ResultsA total of 840 cases were reviewed. Both GINA and JPGL revealed that 328 (39.0%) and 249 (29.6%) subjects had intermittent asthma whereas 24 (2.9%) and 21 (2.5%) subjects had severe persistent asthma, respectively. Although higher category controllers tended to be prescribed to those who had more severe asthma, there was much overlap in categories of prescribed controllers between groups with regard to asthma severities. Leukotriene receptor antagonists (LTRA) was the most frequently prescribed as a single controller (40%) or as an add-on medication (19%) in the group of asthmatic children <6 years.ConclusionsKorean children have distinctive patterns of asthma severity and management strategies with a lower prevalence of severe asthma and a preference toward LTRA rather than low dose inhaled corticosteroids (ICS) alone or add-on long-acting beta-agonist (LABA) in the group of <6 year-old asthmatics that has not been predicted in Western countries. Thus, strategies tailored to regional situations need to be developed and recommended.

show abstract

“…Sleep disturbance is a comorbidity that often results in impaired school performance and has negative effects on the quality of life of adolescents 310. Moreover, some of the principal allergic diseases in children often coexist with rhinitis 611…”

Section: Introductionmentioning

confidence: 99%

Comorbidities and Phenotypes of Rhinitis in Korean Children and Adolescents: A Cross-sectional, Multicenter Study

Lee

Yum

Sheen

et al. 2017

Allergy Asthma Immunol Res

Self Cite

View full text Add to dashboard Cite

PurposeRhinitis is a nasal inflammatory disease in children and adolescents. However, little is known about the phenotypes and characteristics of allergic rhinitis (AR) in Korean children and adolescents. The objective of this study was to analyze the symptoms and comorbidities of rhinitis, to compare AR to non-allergic rhinitis (NAR), and to reveal the phenotypes and features of AR in a Korean pediatric population.MethodsPatients under 18 years of age with rhinitis symptoms were recruited from January 2013 to January 2015 by pediatric allergists. We analyzed symptoms, phenotypes, comorbidities, and allergen sensitization in this cross-sectional, multicenter study.ResultsMedical records were collected from 11 hospitals. The AR group has 641 (68.3%) patients, with 63.2% of boys and 7.5 (±3.4) years of mean age. The NAR group has 136 (14.5%) patients, with 55.1% of boys and 5.5 (±2.9) years of mean age. Moderate-severe persistent AR affected 41.2% of AR patients. Nasal obstruction was more common in NAR patients (P<0.050), whereas AR patients sneezed more (P<0.050) and more commonly had conjunctivitis, asthma, and otitis media (P<0.050). Sinusitis was the most common comorbidity in both groups. Allergen sensitization was caused by house dust mites (HDMs) (90.2%), pollen (38.7%), and animal dander (24.8%) in AR patients. Pollen and animal dander sensitization significantly increased age-dependently (P<0.050), but 91.9% of AR patients were already sensitized to HDMs before 5 years old.ConclusionsOur study revealed that AR was more prevalent than NAR and that 41.2% of AR presented with moderate-severe disease in Korean pediatric populations. Sinusitis was the most common comorbidity, and sleep disturbance was associated with the severity of rhinitis. The majority of AR patients were sensitized to HDMs in preschool ages. Further studies, including nationwide and longitudinal data, will help understand the relationship between these diseases.

show abstract

Prevalence and comorbidity of allergic diseases in preschool children

Cited by 51 publications

References 24 publications

Asthma and Food Allergy Management in Chicago Public Schools

Asthma and Food Allergy Management in Chicago Public Schools

Asthma Severity and the Controller Prescription in Children at 12 Tertiary Hospitals

Comorbidities and Phenotypes of Rhinitis in Korean Children and Adolescents: A Cross-sectional, Multicenter Study

Contact Info

Product

Resources

About