Abstract
Background
A growing number of epidemiological studies have shown that daily temperatures are associated with urticaria. However, the relationship between daily changes in temperature and urticaria is unclear.
Objectives
To assess the diurnal temperature difference (DTR) effects on urticaria outpatient visits in Lanzhou, China.
Methods
Urticaria outpatient visits data during 2011–2019 were collected from three major tertiary hospitals in Lanzhou. Daily temperature data from the official website of China Meteorological Administration. Assessment of the relationship between urticaria outpatient volume and DTR in Lanzhou City using a distributed lag nonlinear model.
Results
A total of 83,022 urticaria visits were enrolled. There was a nonlinear relationship between DTR and urticaria outpatient visits and a lagged effect of DTR impact. The effects of high DTR on urticaria visits were not seen in all populations but in the male population and in the 15–59 age group. High DTR (P95: 18.2 °C) was associated with a 27% (95% CI: 0.01, 60.53%) and 31% (95% CI: 1.60, 68.99%) increase in the number of urticaria visits in the 21-day lag effect for the male cohort and the 15–59 year old cohort, respectively, compared with 11.5 °C, respectively.
Conclusions
Our study suggests that DTR is a potential risk factor for urticaria. The results of this study may provide a scientific basis for local governments to improve preventive measures in the health care system.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Data availability
Availability of data and materials: Weather data are available from: http://data.cma.cn/site/index.html. Outpatient data were obtained from the three major tertiary hospitals through the Health Information System, which has not deposited in publicly available repositories. Therefore, it is available from the corresponding author on reasonable request. Air quality data are obtained from four monitoring stations interspersed in study areas.
References
Antia C, Baquerizo K, Korman A et al (2018) Urticaria: a comprehensive review: epidemiology, diagnosis, and work-up. J Am Acad Dermatol 79(4):599–614. https://doi.org/10.1016/j.jaad.2018.01.020
Banerjee S, Gangopadhyay DN, Jana S et al (2010) Seasonal variation in pediatric dermatoses. Indian J Dermatol 55(1):44–46. https://doi.org/10.4103/0019-5154.60351
Borkar NA, Combs CK, Sathish V (2022) Sex steroids effects on asthma: a network perspective of immune and airway cells. Cells 11(14):2238. https://doi.org/10.3390/cells11142238
Brito LAR, Nascimento ACMD, Marque C et al (2018) Seasonality of the hospitalizations at a dermatologic ward (2007–2017). An Bras Dermatol 93(5):755–758. https://doi.org/10.1590/abd1806-4841.20187309
Cheng J, Xu Z, Zhu R et al (2014) Impact of diurnal temperature range on human health: a systematic review. Int J Biometeorol 58(9):2011–2024. https://doi.org/10.1007/s00484-014-0797-5
Davis RE, Hondula DM, Sharif H (2020) Examining the diurnal temperature range enigma: why is human health related to the daily change in temperature? Int J Biometeorol 64(3):397–407. https://doi.org/10.1007/s00484-019-01825-8
Dilley M, Geng B (2022) Immediate and delayed hypersensitivity reactions to antibiotics: aminoglycosides, clindamycin, linezolid, and metronidazole. Clin Rev Allergy Immunol 62(3):463–475. https://doi.org/10.1007/s12016-021-08878-x
Dong W, Li X, Yang P et al (2016) The effects of weather factors on hand, foot and mouth disease in Beijing. Sci Rep 6:19247. https://doi.org/10.1038/srep19247
Elser H, Rowland ST, Tartof SY et al (2022) Ambient temperature and risk of urinary tract infection in California: A time-stratified case-crossover study using electronic health records. Environ Int 165:107303. https://doi.org/10.1016/j.envint.2022.107303
Gasparrini A, Armstrong B, Kenward MG (2010) Distributed lag non-linear models. Stat Med 29(21):2224–2234. https://doi.org/10.1002/sim.3940
Konstantinou GN, Papadopoulos NG, Tavladaki T et al (2011) Childhood acute urticaria in northern and southern Europe shows a similar epidemiological pattern and significant meteorological influences. Pediatr Allergy Immunol 22(1 Pt 1):36–42. https://doi.org/10.1111/j.1399-3038.2010.01093.x
LaVoy EC, McFarlin BK, Simpson RJ (2011) Immune responses to exercising in a cold environment. Wilderness Environ Med 22(4):343–351. https://doi.org/10.1016/j.wem.2011.08.005
Ma Y, Yang S, Yu Z et al (2020) Effect of diurnal temperature range on outpatient visits for common cold in Shanghai. China Environ Sci Pollut Res Int 27(2):1436–1448. https://doi.org/10.1007/s11356-019-06805-4
Ministry of Environmental Protection (2013) Exposure factors handbook of Chinese population. China environment press, Beijing, pp 1–899
Ministry of Environmental Protection (2016) Exposure factors handbook of Chinese population: children. China environment press, Beijing, pp 1–1107
Peck G, Hashim MJ, Shaughnessy C et al (2021) (2021) Global epidemiology of urticaria: increasing burden among children, females and low-income regions. Acta Derm Venereol 101(4):adv00433. https://doi.org/10.2340/00015555-3796
Schramm PJ, Brown CL, Saha S et al (2021) A systematic review of the effects of temperature and precipitation on pollen concentrations and season timing, and implications for human health. Int J Biometeorol 65(10):1615–1628. https://doi.org/10.1007/s00484-021-02128-7
Tian Z, Li S, Zhang J, Guo Y (2013) The characteristic of heat wave effects on coronary heart disease mortality in Beijing, China: a time series study. PLoS ONE 8(9):e77321. https://doi.org/10.1371/journal.pone.0077321
Wang X, Cheng J, Ling L et al (2020) Impact of temperature variability on childhood allergic rhinitis in a subtropical city of China. BMC Public Health 20(1):1418. https://doi.org/10.1186/s12889-020-09531-6
Wei Q, Zhong L, Gao J et al (2020) Diurnal temperature range and childhood asthma in Hefei, China: Does temperature modify the association? Sci Total Environ 724:138206
Wu M, Song L, Zheng X et al (2019) Prenatal exposure of diurnal temperature range and preterm birth: Findings from a birth cohort study in China. Sci Total Environ 656:1102–1107. https://doi.org/10.1016/j.scitotenv.2018.11.305
Wu T, Yang X, Chu A et al (2022) Acute effects of fine particulate matter (PM2.5) on hospital admissions for cardiovascular diseases in Lanzhou, China: a time-series study. Environ Sci Eur 34:55. https://doi.org/10.1186/s12302-022-00634-y
Xu Z, Huang C, Su H et al (2013) Diurnal temperature range and childhood asthma: a time-series study. Environ Health. https://doi.org/10.1186/1476-069X-12-12
Yang RQ, Wang YR, Dong JY et al (2022) Association between ambient temperature and cause-specific respiratory outpatient visits: A case-crossover design with a distributed lag nonlinear model in Lanzhou. China Urban Climate 46(2022):101303. https://doi.org/10.1016/j.uclim.2022.101303
Zhai G, Zhang K, Zhou W, et al (2021) Impact of diurnal temperature range on hospital admissions for cardiovascular disease in Jiuquan, China. Urban Climate, doi: https://doi.org/10.1016/j.uclim.2021.100915
Zhang W, Du G, Xiong L et al (2021) Extreme temperatures and cardiovascular mortality: assessing effect modification by subgroups in Ganzhou China. Glob Health Action 14(1):1965305. https://doi.org/10.1080/16549716.2021.1965305
Zuberbier T, Aberer W, Asero R et al (2018) The EAACI/GA2LEN/EDF/WAO guideline for the definition, classification, diagnosis and management of urticaria. Allergy 73(7):1393–1414. https://doi.org/10.1111/all.13397
Acknowledgements
This work was supported by Science and Technology Department of Gansu Province, Natural Science Foundation (NO. 22JR11RA030).
Author information
Authors and Affiliations
Contributions
CS designed and guided the project. YW and JZ jointly led in writing the paper. GL contributed to the manuscript revision and data curation. BL and YH together helped data curation. BL: Data curation. YH: Data curation.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no competing interests.
Ethical approval
This study involves human participants but is not a survey or observation of human behavior. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required. This study complies with the current laws in China.
Consent for publication
All authors consent to publish this article in Air Quality Atmosphere and Health.
Consent to participate
Not applicable.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Wu, Y., Zhang, J., Luo, G. et al. Association between diurnal temperature range and outpatient visits for urticaria disease in Lanzhou, China: a distributed lag nonlinear analysis. Int Arch Occup Environ Health 97, 1–8 (2024). https://doi.org/10.1007/s00420-023-02019-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00420-023-02019-x