알레르기비염과 형제자매와의 연관성
The association between sibling and allergic rhinitis in adolescents
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Purpose: We investigated the effect of siblings on the development of allergic rhinitis (AR) in Korean adolescents. Methods: A cross-sectional study of adolescents (n=3,271) aged 12 to 15 years was conducted at three middle schools in Seoul. Demographic and disease-related information was obtained through a questionnaire. Results: The mean age of the subjects was 13.9±0.8 years comprising 48.7% males and 51.3% females. The percentage of the subjects who had ever been diagnosed with AR by physician was 30.7%. Subjects who had older sibling and who had younger sibling were 45.3% and 44.2% respectively. Subjects with older sibling were less likely to diagnose AR than subjects without older sibling (adjusted odds ratio [aOR], 0.69; 95% confidence interval [CI], 0.57 to 0.84). Subjects with older sibling, even though with family history of allergic disease had protective effect compared to subjects without older sibling (aOR, 0.62; 95% CI, 0.45 to 0.84). Subjects with younger sibling were more likely to diagnose AR than subjects without younger sibling (aOR, 1.23; 95% CI, 1.02 to 1.49). Conclusion: These findings suggest that having older sibling is one of the important protective factor for the development of allergic rhinitis and having younger sibling is risk factor for allergic rhinitis in adolescents.
Abstract
Purpose: We investigated the effect of siblings on the development of allergic rhinitis (AR) in Korean adolescents. Methods: A cross-sectional study of adolescents (n=3,271) aged 12 to 15 years was conducted at three middle schools in Seoul. Demographic and disease-related information was obtained through a questionnaire. Results: The mean age of the subjects was 13.9±0.8 years comprising 48.7% males and 51.3% females. The percentage of the subjects who had ever been diagnosed with AR by physician was 30.7%. Subjects who had older sibling and who had younger sibling were 45.3% and 44.2% respectively. Subjects with older sibling were less likely to diagnose AR than subjects without older sibling (adjusted odds ratio [aOR], 0.69; 95% confidence interval [CI], 0.57 to 0.84). Subjects with older sibling, even though with family history of allergic disease had protective effect compared to subjects without older sibling (aOR, 0.62; 95% CI, 0.45 to 0.84). Subjects with younger sibling were more likely to diagnose AR than subjects without younger sibling (aOR, 1.23; 95% CI, 1.02 to 1.49). Conclusion: These findings suggest that having older sibling is one of the important protective factor for the development of allergic rhinitis and having younger sibling is risk factor for allergic rhinitis in adolescents.
참고문헌 (30)
- Bousquet J, "Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen)", Allergy, 63, pp.8~160 (2008)
- 홍수종, "한국 소아알레르기 질환의 유병률", Korean Journal of Pediatrics, 51(4), pp.343~350 (2008), 대한소아과학회
- 안강모, "2010년 한국 어린이·청소년의 천식, 알레르기 비결막염, 아토피피부염 증상 유병률 조사: 복합표본설계를 이용한 전국 서베이", 대한의사협회지, 54(7), pp.769~778 (2011), 대한의사협회
- Strachan DP, "Hay fever, hygiene, and household size", BMJ, 299, pp.1259~1260 (1989)
- Gibbs S, "Atopic dermatitis and the hygiene hypothesis: a case-control study", Int J Epidemiol, 33, pp.199~207 (2004)
- Strachan DP, "Sibship size and self-reported inhalant allergy among adult women. ALSPAC Study Team", Clin Exp Allergy, 27, pp.151~155 (1997)
- Ohfuji S, "Sibship size and prevalence of allergic disorders in Japan: the Ryukyus Child Health Study", Pediatr Allergy Immunol, 20, pp.377~384 (2009)
- Bernsen RM, "Birth order and sibship size as independent risk factors for asthma, allergy, and eczema", Pediatr Allergy Immunol, 14, pp.464~469 (2003)
- Goldberg S, "Asthma prevalence, family size, and birth order", Chest, 131, pp.1747~1752 (2007)
- Ponsonby AL, "Cross sectional study of the relation between sibling number and asthma, hay fever, and eczema", Arch Dis Child, 79, pp.328~333 (1998)
- Lee SL, "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, 15, pp.72~78 (2004)
- Midodzi WK, "Early life factors associated with incidence of physician-diagnosed asthma in preschool children: results from the Canadian Early Childhood Development cohort study", J Asthma, 47, pp.7~13 (2010)
- von Mutius E, "The environmental predictors of allergic disease", J Allergy Clin Immunol, 105(1 Pt 1), pp.9~19 (2000)
- 앙현종, "반복적인 영아 천명에서 지속성 천명으로의 진행에관여하는 위험 인자", Allergy Asthma & Respiratory Diseases, 17(1), pp.17~26 (2007), 대한 소아알레르기 호흡기학회
- Lee SY, "Prevalence of atopy and allergic diseases in Korean children: associations with a farming environment and rural lifestyle", Int Arch Allergy Immunol, 158, pp.168~164 (2012)
- Zekveld C, "The effects of farming and birth order on asthma and allergies", Eur Respir J, 28, pp.82~88 (2006)
- Schmitz R, "Prevalence and risk factors of atopic diseases in German children and adolescents", Pediatr Allergy Immunol, 23, pp.716~723 (2012)
- Westergaard T, "Sibship characteristics and risk of allergic rhinitis and asthma", Am J Epidemiol, 162, pp.125~132 (2005)
- Matricardi PM, "Sibship size, birth order, and atopy in 11,371 Italian young men", J Allergy Clin Immunol, 101(4 Pt 1), pp.439~444 (1998)
- Miyake Y, "Sibling number and prevalence of allergic disorders in pregnant Japanese women: baseline data from the Kyushu Okinawa Maternal and Child Health Study", BMC Public Health, 11, pp.561~ (2011)
- Mattes J, "Accumulation of atopic disorders within families: a sibling effect only in the offspring of atopic fathers", Clin Exp Allergy, 28, pp.1480~1486 (1998)
- Karmaus W, "Does a higher number of siblings protect against the development of allergy and asthma? A review", J Epidemiol Community Health, 56, pp.209~217 (2002)
- Karmaus W, "Does the sibling effect have its origin in utero? Investigating birth order, cord blood immunoglobulin E concentration, and allergic sensitization at age 4 years", Am J Epidemiol, 154, pp.909~915 (2001)
- Piccinni MP, "Progesterone favors the development of human T helper cells producing Th2-type cytokines and promotes both IL-4 production and membrane CD30 expression in established Th1 cell clones", J Immunol, 155, pp.128~133 (1995)
- Piccinni MP, "Relaxin favors the development of activated human T cells into Th1-like effectors", Eur J Immunol, 29, pp.2241~2247 (1999)
- Vaz R, "Organochlorine contaminants in Swedish human milk: studies conducted at the National Food Administration 1981-1990", Food Addit Contam, 10, pp.407~418 (1993)
- Reichrtova E, "Cord serum immunoglobulin E related to the environmental contamination of human placentas with organochlorine compounds", Environ Health Perspect, 107, pp.895~899 (1999)
- Zutavern A, "Pre-natal and post-natal exposure to respiratory infection and atopic diseases development: a historical cohort study", Respir Res, 7, pp.81~ (2006)
- Ponsonby AL, "Relationship between early life respiratory illness, family size over time, and the development of asthma and hay fever: a seven year follow up study", Thorax, 54, pp.664~669 (1999)
- Matheson MC, "Relevance of the hygiene hypothesis to early vs. late onset allergic rhinitis", Clin Exp Allergy, 39, pp.370~378 (2009)
