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Ann Allergy Asthma Immunol. 2014 Oct;113(4):386-92.e9. doi: 10.1016/j.anai.2014.06.021. Epub 2014 Jul 22.

Childhood intermittent and persistent rhinitis prevalence and climate and vegetation: a global ecologic analysis.

Collaborators (258)

Aït-Khaled N, Anderson HR, Asher MI, Beasley R, Björkstén B, Crane J, Ellwood P, Flohr C, Foliaki S, Forastiere F, Health E, García-Marcos L, Keil U, Lai CK, Mallol J, Mitchell EA, Montefort S, Odhiambo J, Pearce N, Robertson CF, Stewart AW, Strachan D, von Mutius E, Weiland SK, Weinmayr G, Williams H, Wong G, Asher MI, Clayton TO, Ellwood E, Ellwood P, Mitchell EA, Stewart AW, Priftanji A, Benhabylès B, Baena-Cagnani CE, Crisci CD, Gómez M, Zabert GE, Robertson CF, Haidinger G, Howitt ME, Weyler J, Pinto-Vargas R, Bernhardt CS, Borges WG, Camargos PA, Cardoso AM, da Cunha AJ, Fischer GB, Motta JM, Passos FJ, Pastorino AC, Porto Neto AC, Rosário N, Silva A, Solé D, Wandalsen N, de Britto M, de Freitas Souza L, Popov T, Kuaban C, Ferguson A, Rennie D, Goulding R, Standring P, Aguilar P, Amarales L, Benavides LA, Calvo MA, Contreras A, Chen YZ, Zhou T, Kunii O, Li Q, Aristizábal G, Cepeda AM, Ordoñez GA, M'Boussa J, Daniel R, Soto-Quirós ME, Lah Tomulic K, Varona Peréz P, Barba S, Bustos C, Naguib ML, Figueroa Colorado M, Riikjärv MA, Melaku K, Sa'aga-Banuve R, Pekkanen J, Vlaski E, Hypolite IE, Gotua M, Keil U, Tsanakas J, Bueso-Engelhardt A, Lau YL, Wong G, Novák Z, Zsigmond G, Awasthi S, Chhatwal J, Kumar L, Mantri SN, Rego S, Sabir M, Salvi S, Setty G, Sharma SK, Singh C, Suresh Babu PS, Kartasasmita CB, Konthen P, Suprihati W, Masjedi MR, Steriu A, Armenio L, Bisanti L, Bonci E, Chellini E, Ciccone G, Dell V, Forastiere F, Galassi C, Giannella G, La Grutta S, Petronio MG, Sestini P, Piffer S, Odajima H, Sohei M, Abu-Ekteish F, Esamai FO, Ng L, Foliaki S, al-Momen JA, Imanalieva C, Sulaimanov S, Svabe V, Bojarskas J, Kudzyte J, de Bruyne J, Quah BS, Teh KH, Montefort S, Baeza-Bacab M, Barragán-Meijueiro M, Del-Río-Navarro BE, García-Almaráz R, González-Díaz SN, Linares-Zapién FJ, Merida-Palacio JV, Ramírez-Chanona N, Romero-Tapia S, Romieu I, Bouayad Z, Engels R, Asher MI, Moyes C, MacKay R, Pattemore P, Pearce N, Sánchez JF, Onadeko BO, Annesi-Maesano I, Mahmood N, Sharif NE, Mortaja S, Cukier G, Guggiari-Chase JA, Chiarella P, Cua-Lim F, Brêborowicz A, Lis G, Francaise P, Annesi-Maesano I, Chiera ML, Câmara R, Lopes dos Santos JM, Nunes C, Rosado Pinto J, Clancy L, Kayembe JM, Annesi-Maesano I, Deleanu D, Kondiourina EG, Pisi PF, Adzovic O, Hadnadjev M, Panic E, Zivanovic S, Zivkovic Z, Voyi K, Zar HJ, Lee HB, Arnedo-Pena A, Batlles-Garrido J, Blanco-Quirós A, Busquets RM, Carvajal-Urueña I, García-Hernández G, García-Marcos L, González Díaz C, Guillén-Grima F, López-Silvarrey Varela A, Coruña A, Morales Suárez-Varela MM, Pérez-Yarza EG, Gunasekera KD, Musa OA, Al-Rawas O, Vogt H, Mohammad S, Mohammad Y, Tabbah K, Huang JL, Kongpanichkul A, Nettagul R, Prasarnphanich T, Teeratakulpisarn J, Vichyanond P, Tidjani O, Iosefa T, Monteil MA, Jerray M, Khald F, Redding GJ, Windom HH, Ognev V, Anderson HR, Austin JB, Burr M, Strachan D, Holgado D, Lapides MC, Aldrey O, Cam BV, Sears M, Anderson HR, Aguirre V, Mallol J, Ahel V, Waqatakirewa L, Shah J, Anderson HR, Fakakovi T, de Bruyne J, Otten R, Barny S, Chansin R, Manning P, Bahati E, Catteau C, Khaitov RM, Tuuau-Potai N, El Sony A, Nilsson L.

Author information

1
School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada; Institute of Epidemiology I, Helmholtz Zentrum München - German Research Centre for Environmental Health, Neuherberg, Germany. Electronic address: efuertes@interchange.ubc.ca.
2
MRC-PHE Centre for Environment and Health, St Georges, University of London, London, United Kingdom.
3
MRC-PHE Centre for Environment and Health, St Georges, University of London, London, United Kingdom; MRC-PHE Centre for Environment and Health, King's College London, London, United Kingdom.
4
School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada; Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Abstract

BACKGROUND:

The effect of climate change and its effects on vegetation growth, and consequently on rhinitis, are uncertain.

OBJECTIVE:

To examine between- and within-country associations of climate measures and the normalized difference vegetation index with intermittent and persistent rhinitis symptoms in a global context.

METHODS:

Questionnaire data from 6- to 7-year-olds and 13- to 14-year-olds were collected in phase 3 of the International Study of Asthma and Allergies in Childhood. Associations of intermittent (>1 symptom report but not for 2 consecutive months) and persistent (symptoms for ≥2 consecutive months) rhinitis symptom prevalences with temperature, precipitation, vapor pressure, and the normalized difference vegetation index were assessed in linear mixed-effects regression models adjusted for gross national income and population density. The mean difference in prevalence per 100 children (with 95% confidence intervals [CIs]) per interquartile range increase of exposure is reported.

RESULTS:

The country-level intermittent symptom prevalence was associated with several country-level climatic measures, including the country-level mean monthly temperature (6.09 °C; 95% CI, 2.06-10.11°C per 10.4 °C), precipitation (3.10 mm; 95% CI, 0.46-5.73 mm; per 67.0 mm), and vapor pressure (6.21 hPa; 95% CI, 2.17-10.24 hPa; per 10.4 hPa) among 13- to 14-year-olds (222 center in 94 countries). The center-level persistent symptom prevalence was positively associated with several center-level climatic measures. Associations with climate were also found for the 6- to 7-year-olds (132 center in 57 countries).

CONCLUSION:

Several between- and within-country spatial associations between climatic factors and intermittent and persistent rhinitis symptom prevalences were observed. These results provide suggestive evidence that climate (and future changes in climate) may influence rhinitis symptom prevalence.

PMID:
25065574
DOI:
10.1016/j.anai.2014.06.021
[Indexed for MEDLINE]

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