Evaluation of the prevalence of atopic diseases by ISAAC surveys in the primary school children of Sivas
Öz
Abstract
Aim. During the past few decades, The International Study of Asthma and Allergies in Childhood (ISAAC) questionnaires have shown that the prevalence of childhood asthma and allergy is increasing worldwide. The aim of this cross-sectional study was to determine the change in prevalence and risk factors of asthma, allergic rhinitis, and eczema from two ISAAC questionnaire based surveys conducted on two groups of schoolchildren in Sivas, a central Anatolian city, during the years 1997 and 2005. Methods. The study populations of the two comparable cross-sectional surveys were comprised of schoolchildren aged 6-14. The sample size in 1997 and 2005 were 569 and 2978 children, respectively. Results. This study showed that the prevalence of asthma, allergic rhinitis and atopic eczema increased significantly from 9.7 % to 11.8%, 5.4% to 10.2%, and 3% to 10.1%, respectively. Risk factor analysis revealed that living with a dog or cat, body mass index (BMI), and family history of atopy were associated with higher risk of asthma (p<0.05). Conclusion. In the 8-year period from 1997 to 2005, the prevalence of asthma, allergic rhinitis, and eczema has increased significantly in our region. Further studies with larger number of patients are required to investigate the factors causing this increased local rate.
Keywords: Asthma, allergic rhinitis, eczema, children, ISAAC, prevalence, risk factor
Özet
Amaç. Son yılarda yapılan The International Study of Asthma and Allergies in Childhood (ISAAC) anket çalışmaları ile tüm dünyada çocukluk çağı astım ve allerjik hastalıklarında artış olduğu gösterilmiştir. Bu kesitsel çalışmanın amacı ISAAC anket çalışması ile Sivas ili ilköğretim çağı çocuklarında 1997 ve 2005 yıllarında allerjik hastalık sıklığındaki değişimi araştırmak ve risk faktörlerini saptamaktır. Yöntem. Çalışma 1997 ve 2005 yıllarında 6-14 yaş arası ilköğretim çağı çocuklarında yapılmış olup örneklem büyüklüğü sırası ile 569 ve 2978’dir. Bulgular. Bu çalışmada 8 yıllık sürede astım (%9,7 den %11,8’e), allerjik rinit (%5,4’ten %10,2’ye) ve atopik egzema (%3’ten %10,1’e) sıklığında önemli artış olduğu tespit edilmiştir, Kedi yada köpek ile yaşamak, artmış vücut kitle indeksi (VKİ) ve ailede atopi öyküsü astım için yüksek risk faktörleri olarak saptandı (p<0,05). Sonuç. Sivas ilinde ilköğretim çağı çocuklarında 8 yıllık periyotta allerjik hastalık sıklığında ciddi artış vardır. Bu artışa neden olan faktörlerin araştırılması için çok daha geniş kapsamlı araştırmalara ihtiyaç vardır
Anahtar sözcükler: Astım, Allerjik rinit, egzema, ISAAC, çocuk, prevalans, risk factor
Anahtar Kelimeler
Kaynakça
- Pless-Mulloli T, Howel D, Prince H. Prevalence of asthma and other respiratory symptoms in children living near and away from opencast coal mining sites. Int J Epidemiol 2001; 30: 556-63.
- Wong GW, Leung TF, Ko FW, Lee KK, Lam P, Hui DS, Fok TF, Lai CK. Declining asthma prevalence in Hong Kong Chinese schoolchildren. Clin Exp Allergy 2004; 34: 1550-5.
- Asher MI, Weiland SK. The International Study of Asthma and Allergies in Childhood (ISAAC). ISAAC Steering Committee. Clin Exp Allergy 1998; 28: 52-66.
- Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee. Lancet 1998; 351: 1225-32.
- Chatkin MN, Menezes AM. Prevalence and risk factors for asthma in schoolchildren in southern Brazil. J Pediatr (Rio J) 2005; 81: 411-6.
- Karaman O, Turgut CS, Uzuner N, Olmez D, Babayigit A, Kose S, Tezcan D. The determination of asthma, rhinitis, eczema, and atopy prevalence in 9- to 11- year-old children in the city of Izmir. Allergy Asthma Proc 2006; 27: 319-24.
- Kuyucu S, Saraçlar Y, Tuncer A, Geyik PO, Adalioğlu G, Akpinarli A, Sekerel BE, Sümbüloğlu V. Epidemiologic characteristics of rhinitis in Turkish children: the International Study of Asthma and Allergies in Childhood (ISAAC) phase 2. Pediatr Allergy Immunol 2006; 17: 269-77.
- Saraçlar Y, Sekerel BE, Kalayci O, Cetinkaya F, Adalioğlu G, Tuncer A, Tezcan S. Prevalence of asthma symptoms in school children in Ankara, Turkey. Respir Med 1998; 92: 203-7.
- Carvajal-Urueña I, García-Marcos L, Busquets-Monge R, Morales Suárez-Varela M, García de Andoin N, Batlles-Garrido J, Blanco-Quirós A, López-Silvarrey A, García-Hernández G, Guillén-Grimaj F, González-Díaz C, Bellido-Blasco J. Geographic variation in the prevalence of asthma symptoms in Spanish children and adolescents. International Study of Asthma and Allergies in Childhood (ISAAC) Phase 3, Spain. Arch Broncopneumol 2005; 41: 659-66.
- El-Sharif N, Abdeen Z, Qasrawi R, Moens G, Nemery B. Asthma prevalence in children living in villages, cities and refugee camps in Palestine. Eur Respir J 2002; 19: 1026-34.
- Asthma and respiratory symptoms in 6-7 yr old Italian children: gender, latitude, urbanization and socioeconomic factors. SIDRIA (Italian Studies on Respiratory Disorders in Childhood and the Environment). Eur Respir J 1997; 10: 1780-6.
- Austin JB, Kaur B, Anderson HR, Burr M, Harkins LS, Strachan DP, Warner JO. Hay fever, eczema, and wheeze: a nationwide UK study (ISAAC, international study of asthma and allergies in childhood). Arch Dis Child 1999; 81: 225-30.
- Demir AU, Karakaya G, Bozkurt B, Sekerel BE, Kalyoncu AF. Asthma and allergic diseases in schoolchildren: third cross-sectional survey in the same primary school in Ankara, Turkey. Pediatr Allergy Immunol 2004; 15: 531-8.
- Mallol J, Solé D, Asher I, Clayton T, Stein R, Soto-Quiroz M. Prevalence of asthma symptoms in Latin America: The International Study of Asthma and Allergies in Childhood (ISAAC). Pediatric Pulmonol 2000; 30: 439-44.
- Toelle BG, Ng K, Belousova E, Salome CM, Peat JK, Marks GB. Prevalence of asthma and allergy in schoolchildren in Belmont, Australia: three cross sectional surveys over 20 years. BMJ 2004; 328: 386-7.
- Kao CC, Huang JL, Ou LS, See LC. The prevalence, severity and seasonal variations of asthma, rhinitis and eczema in Taiwanese schoolchildren. Pediatr Allergy Immunol 2005; 16: 408-15.
- Montefort S, Muscat HA, Caruana S, Lenicker H. Allergic conditions in 5-8- year-old Maltese schoolchildren: prevalence, severity, and associated risk factors [ISAAC]. Pediatr Allergy Immunol 2002; 13: 98-104.
- Sly RM. Changing prevalence of allergic rhinitis and asthma. Ann Allergy Asthma Immunol 1999; 82: 233-48.
- Chatkin MN, Menezes AM, Victora CG, Barros FC. High prevalence of asthma in preschool children in Southern Brazil: a population-based study. Pediatr Pulmonol 2003; 35: 296-301.
- Selnes A, Nystad W, Bolle R, Lund E. Diverging prevalence trends of atopic disorders in Norwegian children. Results from three cross-sectional studies. Allergy 2005; 60: 894-9.
- Hong SJ, Lee MS, Sohn MH, Shim JY, Han YS, Park KS, Ahn YM, Son BK, Lee HB; Korean ISAAC Study Group. Self-reported prevalence and risk factors of asthma among Korean adolescents: 5-year follow-up study, 1995-2000. Exp Allergy 2004; 34: 1556-62.
- Shore SA, Johnston RA. Obesity and asthma. Pharmacology & Therapeutics 2006; 110: 83-102.
- Chinn S, Rona RJ. Can the increase in body mass index explain the rising trend in asthma in children? Thorax 2001; 56: 845-50.
- Wang XS, Tan TN, Shek LP, Chng SY, Hia CP, Ong NB, Ma S, Lee BW, Goh DY. The Prevalence of asthma and allergies in Singapore; data from two ISAAC surveys seven years apart. Arch Dis Child 2004; 89: 423-6.
- Leung R, Wong G, Lau J, Ho A, Chan JK, Choy D, Douglass C, Lai CK.. Prevalence of asthma and allergy in Hong Kong schoolchildren: an ISAAC study. Eur Respir J 1997; 10: 354-60.
- Shamssain MH, Shamsian N. Prevalence and severity of asthma, rhinitis, and atopic eczema: the North east study. Arch Dis Child 1999; 81: 313-7.
- Kalyoncu AF, Selçuk ZT, Enünlü T, Demir AU, Cöplü L, Sahin AA, Artvinli M. Prevalence of asthma and allergic diseases in primary school children in Ankara, Turkey: Two cross-sectional studies, five years apart. Pediatr Allergy Immunol 1999; 10: 261-5.
Öz
Amaç. Son yılarda yapılan The International Study of Asthma and Allergies in Childhood (ISAAC) anket çalışmaları ile tüm dünyada çocukluk çağı astım ve allerjik hastalıklarında artış olduğu gösterilmiştir. Bu kesitsel çalışmanın amacı ISAAC anket çalışması ile Sivas ili ilköğretim çağı çocuklarında 1997 ve 2005 yıllarında allerjik hastalık sıklığındaki değişimi araştırmak ve risk faktörlerini saptamaktır. Yöntem. Çalışma 1997 ve 2005 yıllarında 6-14 yaş arası ilköğretim çağı çocuklarında yapılmış olup örneklem büyüklüğü sırası ile 569 ve 2978’dir. Bulgular. Bu çalışmada 8 yıllık sürede astım (%9,7 den %11,8’e), allerjik rinit (%5,4’ten %10,2’ye) ve atopik egzema (%3’ten %10,1’e) sıklığında önemli artış olduğu tespit edilmiştir, Kedi yada köpek ile yaşamak, artmış vücut kitle indeksi (VKİ) ve ailede atopi öyküsü astım için yüksek risk faktörleri olarak saptandı (p
Anahtar Kelimeler
Astım Allerjik rinit egzema ISAAC çocuk prevalans risk factor
Kaynakça
- Pless-Mulloli T, Howel D, Prince H. Prevalence of asthma and other respiratory symptoms in children living near and away from opencast coal mining sites. Int J Epidemiol 2001; 30: 556-63.
- Wong GW, Leung TF, Ko FW, Lee KK, Lam P, Hui DS, Fok TF, Lai CK. Declining asthma prevalence in Hong Kong Chinese schoolchildren. Clin Exp Allergy 2004; 34: 1550-5.
- Asher MI, Weiland SK. The International Study of Asthma and Allergies in Childhood (ISAAC). ISAAC Steering Committee. Clin Exp Allergy 1998; 28: 52-66.
- Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee. Lancet 1998; 351: 1225-32.
- Chatkin MN, Menezes AM. Prevalence and risk factors for asthma in schoolchildren in southern Brazil. J Pediatr (Rio J) 2005; 81: 411-6.
- Karaman O, Turgut CS, Uzuner N, Olmez D, Babayigit A, Kose S, Tezcan D. The determination of asthma, rhinitis, eczema, and atopy prevalence in 9- to 11- year-old children in the city of Izmir. Allergy Asthma Proc 2006; 27: 319-24.
- Kuyucu S, Saraçlar Y, Tuncer A, Geyik PO, Adalioğlu G, Akpinarli A, Sekerel BE, Sümbüloğlu V. Epidemiologic characteristics of rhinitis in Turkish children: the International Study of Asthma and Allergies in Childhood (ISAAC) phase 2. Pediatr Allergy Immunol 2006; 17: 269-77.
- Saraçlar Y, Sekerel BE, Kalayci O, Cetinkaya F, Adalioğlu G, Tuncer A, Tezcan S. Prevalence of asthma symptoms in school children in Ankara, Turkey. Respir Med 1998; 92: 203-7.
- Carvajal-Urueña I, García-Marcos L, Busquets-Monge R, Morales Suárez-Varela M, García de Andoin N, Batlles-Garrido J, Blanco-Quirós A, López-Silvarrey A, García-Hernández G, Guillén-Grimaj F, González-Díaz C, Bellido-Blasco J. Geographic variation in the prevalence of asthma symptoms in Spanish children and adolescents. International Study of Asthma and Allergies in Childhood (ISAAC) Phase 3, Spain. Arch Broncopneumol 2005; 41: 659-66.
- El-Sharif N, Abdeen Z, Qasrawi R, Moens G, Nemery B. Asthma prevalence in children living in villages, cities and refugee camps in Palestine. Eur Respir J 2002; 19: 1026-34.
- Asthma and respiratory symptoms in 6-7 yr old Italian children: gender, latitude, urbanization and socioeconomic factors. SIDRIA (Italian Studies on Respiratory Disorders in Childhood and the Environment). Eur Respir J 1997; 10: 1780-6.
- Austin JB, Kaur B, Anderson HR, Burr M, Harkins LS, Strachan DP, Warner JO. Hay fever, eczema, and wheeze: a nationwide UK study (ISAAC, international study of asthma and allergies in childhood). Arch Dis Child 1999; 81: 225-30.
- Demir AU, Karakaya G, Bozkurt B, Sekerel BE, Kalyoncu AF. Asthma and allergic diseases in schoolchildren: third cross-sectional survey in the same primary school in Ankara, Turkey. Pediatr Allergy Immunol 2004; 15: 531-8.
- Mallol J, Solé D, Asher I, Clayton T, Stein R, Soto-Quiroz M. Prevalence of asthma symptoms in Latin America: The International Study of Asthma and Allergies in Childhood (ISAAC). Pediatric Pulmonol 2000; 30: 439-44.
- Toelle BG, Ng K, Belousova E, Salome CM, Peat JK, Marks GB. Prevalence of asthma and allergy in schoolchildren in Belmont, Australia: three cross sectional surveys over 20 years. BMJ 2004; 328: 386-7.
- Kao CC, Huang JL, Ou LS, See LC. The prevalence, severity and seasonal variations of asthma, rhinitis and eczema in Taiwanese schoolchildren. Pediatr Allergy Immunol 2005; 16: 408-15.
- Montefort S, Muscat HA, Caruana S, Lenicker H. Allergic conditions in 5-8- year-old Maltese schoolchildren: prevalence, severity, and associated risk factors [ISAAC]. Pediatr Allergy Immunol 2002; 13: 98-104.
- Sly RM. Changing prevalence of allergic rhinitis and asthma. Ann Allergy Asthma Immunol 1999; 82: 233-48.
- Chatkin MN, Menezes AM, Victora CG, Barros FC. High prevalence of asthma in preschool children in Southern Brazil: a population-based study. Pediatr Pulmonol 2003; 35: 296-301.
- Selnes A, Nystad W, Bolle R, Lund E. Diverging prevalence trends of atopic disorders in Norwegian children. Results from three cross-sectional studies. Allergy 2005; 60: 894-9.
- Hong SJ, Lee MS, Sohn MH, Shim JY, Han YS, Park KS, Ahn YM, Son BK, Lee HB; Korean ISAAC Study Group. Self-reported prevalence and risk factors of asthma among Korean adolescents: 5-year follow-up study, 1995-2000. Exp Allergy 2004; 34: 1556-62.
- Shore SA, Johnston RA. Obesity and asthma. Pharmacology & Therapeutics 2006; 110: 83-102.
- Chinn S, Rona RJ. Can the increase in body mass index explain the rising trend in asthma in children? Thorax 2001; 56: 845-50.
- Wang XS, Tan TN, Shek LP, Chng SY, Hia CP, Ong NB, Ma S, Lee BW, Goh DY. The Prevalence of asthma and allergies in Singapore; data from two ISAAC surveys seven years apart. Arch Dis Child 2004; 89: 423-6.
- Leung R, Wong G, Lau J, Ho A, Chan JK, Choy D, Douglass C, Lai CK.. Prevalence of asthma and allergy in Hong Kong schoolchildren: an ISAAC study. Eur Respir J 1997; 10: 354-60.
- Shamssain MH, Shamsian N. Prevalence and severity of asthma, rhinitis, and atopic eczema: the North east study. Arch Dis Child 1999; 81: 313-7.
- Kalyoncu AF, Selçuk ZT, Enünlü T, Demir AU, Cöplü L, Sahin AA, Artvinli M. Prevalence of asthma and allergic diseases in primary school children in Ankara, Turkey: Two cross-sectional studies, five years apart. Pediatr Allergy Immunol 1999; 10: 261-5.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Dahili Tıp Bilimleri Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 27 Mart 2012 |
| Yayımlandığı Sayı | Yıl 2012Cilt: 34 Sayı: 1 |