Abstract
Prevalence of allergic rhinitis has rapidly increased among Chinese children, but the reasons are unclear. Recent findings have suggested that exposure to outdoor air pollutants may increase the risk of allergic rhinitis, but the results were inconsistent. This study further investigated the effect of outdoor air pollutants on allergic rhinitis among preschool children. A standardized questionnaire on health, home and environmental factors was conducted for 4988 children aged 1–8 in the city of Changsha, and the concentrations of PM10 (particle diameter ⩽10 μm), sulfur dioxide (SO2) and nitrogen dioxide (NO2) during 2006–2011 were acquired from the official web of Changsha Environmental Protection Agency. Results showed that the prevalence of children’s doctor diagnosed rhinitis was 8.4% (95% confidence interval [CI] 7.0%–10.0%). It was found that the prevalence of rhinitis was not associated with site-specific background concentrations of air pollutants, but significantly positively correlated with age-related accumulative personal exposure of PM10, SO2 and NO2. We conclude that age-related accumulative personal exposure to ambient air pollution may play an important role in the development of rhinitis.
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References
Bousquet J, Khaltaev N, Cruz A A, et al. Allergic rhinitis and its impact on asthma (ARIA) 2008. Allergy, 2008, 63(Suppl 86): 8–160
Katelaris C H, Lee B W, Potter P C, et al. Prevalence and diversity of allergic rhinitis in regions of the world beyond Europe and North America. Clin Exp Allergy, 2012, 42: 186–207
Lee S L, Wong W, Lau Y L. Increasing prevalence of allergic rhinitis but not asthma among children in Hong Kong from 1995 to 2001 (Phase 3 International Study of Asthma and Allergies in Childhood). Pediatr Allergy Immunol, 2004, 15: 72–78
Asher M I, Montefort S, Björkstén B, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases one and three repeat multicountry cross-sectional surveys. Lancet, 2006, 368: 733–743
Kong W J, Chen J J, Zheng Z Y, et al. Prevalence of allergic rhinitis in 3–6-year-old children in Wuhan of China. Clin Exp Allergy, 2009, 39: 869–874
Krämer U, Koch T, Ranft U, et al. Traffic-related air pollution is associated with atopy in children living in urban areas. Epidemiology, 2000, 11: 64–70
Lee Y L, Shaw C K, Su H J, et al. Climate, traffic-related air pollutants and allergic rhinitis prevalence in middle-school children in Taiwan. Eur Respir J, 2003, 21: 964–970
Hwang B F, Jaakkola J J K, Lee Y L, et al. Relation between air pollution and allergic rhinitis in Taiwanese schoolchildren. Respir Res, 2006, 7: 23–29
Hajat S, Haines A, Atkinson R W, et al. Association between air pollution and daily consultations with general practitioners for allergic rhinitis in London, United Kingdom. Am J Epidemiol, 2001, 153: 704–714
Ramadour M, Burel C, Lanteaume A, et al. Prevalence of asthma and rhinitis in relation to long-term exposure to gaseous air pollutants. Allergy, 2000, 55: 1163–1169
Morgenstern V, Zutavern A, Cyrys J, et al. Atopic diseases, allergic sensitization, and exposure to traffic-related air pollution in children. Am J Respir Crit Care Med, 2008, 177: 1331–1337
Charpin D, Pascal L, Birnbaum J, et al. Gaseous air pollution and atopy. Clin Exp Allergy, 1999, 29: 1474–1480
von Mutius E, Sherrill D L, Fritzsch C, et al. Air pollution and upper respiratory symptom in children from East Germany. Eur Respir J, 1995, 8: 723–728
Chitano P, Hosselet J J, Mapp C E, et al. Effect of oxidant air pollutants on the respiratory system: insights from experimental animal research. Eur Respir J, 1995, 8: 1357–1371
Kampa M, Castanas E. Human health effects of air pollution. Environ Pollut, 2008, 151: 362–367
Pope III C A, Dockery D W, Spengler J D, et al. Respiratory health and PM10 pollution: A daily time series analysis. Am J Respir Crit Care Med, 1991, 144: 668–674
Chauhan A J, Krishna M T, Frew A J, et al. Exposure to nitrogen dioxide (NO2) and respiratory disease risk. Rev Environ Health, 1998, 13: 73–90
Studnicka M, Hackl E, Pischinger J, et al. Traffic-related NO2 and the prevalence of asthma and respiratory symptoms in seven year olds. Eur Respir J, 1997, 10: 2275–2278
Brauer M, Hoek G, van Vliet P, et al. Air pollution from traffic and the development of respiratory infections and asthmatic and allergic symptoms in children. Am J Respir Crit Care Med, 2002, 166: 1092–1098
Zhang Q, Geng G N, Wang S W, et al. Satellite remote sensing of changes in NOx emissions over China during 1996–2010. Chin Sci Bull, 2012, 57: 2857–2864
Yang T, Wang Z F, Zhang B, et al. Evaluation of the effect of air pollution control during the Beijing 2008 Olympic Games using Lidar data. Chin Sci Bull, 2010, 55: 1311–1316
Naydenov K, Melikov A, Markov D, et al. A comparison between occupants’ and inspectors’ reports on home dampness and their association with the health of children: The ALLHOME study. Build Environ, 2008, 43: 1840–1849
Tham K W, Zuraimi M S, Koh D, et al. Associations between home dampness and presence of molds with asthma and allergic symptoms among young children in the tropics. Pediatr Allergy Immunol, 2007, 18: 418–424
Down S H, Schindler C, Liu L J S, et al. Reduced exposure to PM10 and attenuated age-related decline in lung function. N Engl J Med, 2007, 357: 2338–2347
Åberg N, Sundell J, Eriksson B, et al. Prevalence of allergic diseases in schoolchildren in relation to family history, upper respiratory infections, and residential characteristics. Allergy, 1996, 51: 232–237
Peters J M, Avol E, Navidi W, et al. A study of twelve southern California communities with differing levels and types of air pollution I. Prevalence of respiratory morbidity. Am J Respir Crit Care Med, 1999, 159: 760–767
Guo Y L, Lin Y C, Sung F C, et al. Climate, traffic-related air pollutants, and asthma prevalence in middle-school children in Taiwan. Environ Health Perspect, 1999, 107: 1001–1006
Duhme H, Weiland S K, Keil U, et al. The association between self-reported symptoms of asthma and allergic rhinitis and self-reported traffic density on street of residence in adolescents. Epidemiology, 1996, 7: 578–582
Ciccone G, Forastiere F, Agabiti N, et al. Road traffic and adverse respiratory effects in children. Occup Environ Med, 1998, 55: 771–778
Weiland S K, Mundt K A, Rückmann A, et al. Self-reported wheezing and allergic rhinitis in children and traffic density on street of residence. Ann Epidemiol, 1994, 4: 243–247
McConnell R, Islam T, Shankardass K, et al. Childhood incident asthma and traffic-related air pollution at home and school. Environ Health Perspect, 2010, 118: 1021–1026
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Lu, C., Deng, Q., Ou, C. et al. Effects of ambient air pollution on allergic rhinitis among preschool children in Changsha, China. Chin. Sci. Bull. 58, 4252–4258 (2013). https://doi.org/10.1007/s11434-013-5725-2
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DOI: https://doi.org/10.1007/s11434-013-5725-2