Asthma, rhinitis and atopy in schoolchildren from two environmentally distinct cities: industrialized metropolis and agricultural region
DOI:
https://doi.org/10.15448/1980-6108.2019.4.34336Keywords:
Asthma, prevalence, child, rhinitis, allergy.Abstract
AIM: To analyze the characteristics of asthma among students from metropolitan and agricultural regions.
METHODS: Students from both locations answered a questionnaire for epidemiological diagnosis of asthma and clinical characteristics of asthma, rhinitis and atopy according to ISAAC. They were also evaluated by the Asthma Control Test and measure of physical activity.
RESULTS: Among the 290 and 123 asthmatics evaluated in the metropolitan region and agricultural region, respectively, the prevalence of asthma was 20.4% and 19.2%. Asthmatics in the agricultural region had a higher frequency of rhinitis (87% vs. 48.8%, p < 0.001) and atopy (81.4% vs. 63.5%, p = 0.005) No difference was observed in disease control measures (51.9% vs. 47.2%, p = 0.378). The combination asthma with Rhinitis or atopy presented significant risk for disease control in schoolchildren in the agricultural region (OR: 2,300; 95% CI: 1,867-2,833).
CONCLUSION: There was no difference in asthma frequency and disease control among the students studied. However, the students of agricultural region have higher rates of rhinitis and atopy which negatively interfered with asthma control. These findings suggest that Asthma in populations with different environments have different clinical characteristics, which should be taken into account when defining prevention strategies and clinical management.
Downloads
References
GINA. Global Strategy for Asthma Management and Prevention. Fontana: GINA; 2017.
Castro-Rodriguez JA. The Asthma Predictive Index: a very useful tool for predicting asthma in young children. J Allergy Clin Immunol. 2010;126(2):212-6. https://doi.org/10.1016/j.jaci.2010.06.032
Pearce N, Aït-Khaled N, Beasley R, Mallol J, Keil U, Mitchell E, Robertson C; ISAAC Phase Three Study Group. Worldwide trends in the prevalence of asthma symptoms: phase III of the International Study of Asthma and Allergies in Childhood (ISAAC). Thorax. 2007;62(9):758-66. https://doi.org/10.1136/thx.2006.070169
Solé D, Aranda CS, Wandalsen GF. Asthma: epidemiology of disease control in Latin America–short review. Asthma Res Pract. 2017;3(1):4. https://doi.org/10.1186/s40733-017-0032-3
Solé D, Camelo-Nunes IC, Wandalsen GF, Mallozi MC. Asthma in children and adolescents in Brazil: contribution of the International Study of Asthma and Allergies in Childhood (ISAAC). Rev Paul Pediat. 2014;32(1):114-25. https://doi.org/10.1590/s0103-05822014000100018
Roncada C, de Oliveira SG, Cidade SF, Sarria EE, Mattiello R, Ojeda BS, Dos Santos BR, Gustavo Ada S, Pinto LA, Jones MH1, Stein RT, Pitrez PM. Burden of asthma among inner-city children from Southern Brazil. J Asthma. 2016;53(5):498-504. https://doi.org/10.3109/02770903.2015.1108438
Ocampo J, Gaviria R, Sánchez J. Prevalence of asthma in Latin America. Critical look at ISAAC and other studies. Rev Alerg Mex (Tecamachalco, Puebla, Mexico: 1993). 2017;64(2):188-97.
de Valois Correia Junior MA, Sávio Cavalcanti Sarinho E, Rizzo JA, Wanick Sarinho S. Menor prevalência e maior gravidade da asma em clima quente e seco. J Pediatr. 2017;93(2).
Schröder PC, Li J, Wong GW, Schaub B. The rural–urban enigma of allergy: What can we learn from studies around the world? Pediatr Allergy Immunol. 2015;26(2):95-102. https://doi.org/10.1111/pai.12341
Kliś K, Żurawiecka M, Suder A, Teul I, Borowska-Strugińska B, Suliga E, Wronka I. Influence of Socioeconomic Factors on Self-Reported Prevalence of Allergic Diseases Among Female University Students. Adv Exp Med Biol. 2017;1020:17-24. https://doi.org/10.1007/5584_2017_14
Rodriguez A, Vaca MG, Chico ME, Rodrigues LC, Barreto ML, Cooper PJ. Rural to urban migration is associated with increased prevalence of childhood wheeze in a Latin-American city. BMJ Open Respir Res. 2017;4(1):e000205. https://doi.org/10.1136/bmjresp-2017-000205
Brasil CdC. Critério de classificação econômica Brasil: Associação Brasileira de Empresas de Pesquisa (ABEP); 2008.
Committee IS. Worldwide variations in the prevalence of asthma symptoms: ISAAC. Eur Respir J. 1998;12:315-35.
Solé D, Yamada E, Vana AT, Werneck G, Solano de Freitas L, Sologuren MJ, Brito M, Rosário Filho NA, Stein RT, Mallol J. International Study of Asthma and Allergies in Childhood (ISAAC): prevalence of asthma and asthmarelated symptoms among Brazilian schoolchildren. J Investig Allergol Clin Immunol. 2001;11(2):123-8. https://doi.org/10.1157/13057763
Roxo JPF, Ponte EV, Ramos DCB, Pimentel L, D’Oliveira Junior A, Cruz Filho ÁASd. Validação do Teste de Controle da Asma em português para uso no Brasil. J. bras. pneumol. 2010 Apr;36(2):159-66, https://doi.org/10.1590/s1806-37132010000200002
Hallal PC, Bertoldi AD, Gonçalves H, Victora CG. [Prevalence of sedentary lifestyle and associated factors in adolescents 10 to 12 years of age]. Cad Saude Publica. 2006;22(6):1277-87. https://doi.org/10.1590/s0102-311x2006000600017
Maspero JF, Jardim JR, Aranda A, Tassinari P, Gonzalez-Diaz SN, Sansores RH, Moreno-Cantu JJ, Fish JE. Insights, attitudes, and perceptions about asthma and its treatment: findings from a multinational survey of patients from Latin America. World Allergy Organ J. 2013 Nov 4;6(1):19. https://doi.org/10.1186/1939-4551-6-19
Brożek JL, Bousquet J, Agache I, Agarwal A, Bachert C, Bosnic-Anticevich S, Brignardello-Petersen R, Canonica GW, Casale T, Chavannes NH, Correia de Sousa J, Cruz AA, Cuello-Garcia CA, Demoly P, Dykewicz M, Etxeandia-Ikobaltzeta I, Florez ID, Fokkens W, Fonseca J, Hellings PW, Klimek L, Kowalski S, Kuna P, Laisaar KT, Larenas-Linnemann DE, Lødrup Carlsen KC, Manning PJ, Meltzer E, Mullol J, Muraro A, O’Hehir R, Ohta K, Panzner P, Papadopoulos N, Park HS, Passalacqua G, Pawankar R, Price D, Riva JJ, Roldán Y, Ryan D, Sadeghirad B, Samolinski B, Schmid-Grendelmeier P, Sheikh A, Togias A, Valero A, Valiulis A, Valovirta E, Ventresca M, Wallace D, Waserman S, Wickman M, Wiercioch W, Yepes-Nuñez JJ, Zhang L, Zhang Y, Zidarn M, Zuberbier T, Schünemann HJ. J Allergy Clin Immunol. 2017;140(4):950-8. https://doi.org/10.1016/j.jaci.2017.03.050
Camelo-Nunes IC, Solé D. Rinite alérgica: indicadores de qualidade de vida. J Bras Pneumol. 2010;36(1):124-33. https://doi.org/10.1590/s1806-37132010000100017
Dal Bello MS, Schneider ML, Doring M, Gomes LM, Mistura TC. Sensibilização a aeroalérgenos em adultos jovens vivendo na região sul do Brasil. Braz J Allergy Immunol. 2013;1(4):223-8.
Zdraveska M, Dimitrievska D, Todevski D, Gjorcev A, Janeva E, Pavlovska I, Zafirova-Ivanovska B2. Joint incidence of asthma and rhinitis in macedonia. Open Respir Med J. 2015;9:52-8. https://doi.org/10.2174/1874306401509010052
Soto-Martínez ME, Yock-Corrales A, Camacho-Badilla K, Abdallah S, Duggan N, Avila-Benedictis L, et al. The current prevalence of asthma, allergic rhinitis, and eczema related symptoms in school-aged children in Costa Rica. J Asthma. 2018:1-9. https://doi.org/10.1080/02770903.2018.1455860
Petry C, Pereira MU, Pitrez PM, Jones MH, Stein RT. The prevalence of symptoms of sleep-disordered breathing in Brazilian schoolchildren. J Pediatr (Rio J). 2008;84(2):123-9. https://doi.org/10.2223/jped.1770
Montoro J, Del Cuvillo A, Mullol J, Molina X, Bartra J, Dávila I, Ferrer M, Jáuregui I, Sastre J, Valero A. Validation of the modified allergic rhinitis and its impact on asthma (ARIA) severity classification in allergic rhinitis children: the PEDRIAL study. Allergy. 2012;67(11):1437-42. https://doi.org/10.1111/all.12011
Lövström L, Emtner M, Alving K, Nordvall L, Borres MP, Janson C, Malinovschi A. High levels of physical activity are associated with poorer asthma control in young females but not in males. Respirol. 2016;21(1):79-87. https://doi.org/10.1111/resp.12671
Eijkemans M, Mommers M, Draaisma JM, Thijs C, Prins MH. Physical activity and asthma: a systematic review and meta-analysis. PLoS One. 2012;7(12):e50775. https://doi.org/10.1371/journal.pone.0050775
Carson KV, Chandratilleke MG, Picot J, Brinn MP, Esterman AJ, Smith BJ. Physical training for asthma. Cochrane Database Syst Rev. 2013(9):CD001116. https://doi.org/10.1002/14651858.cd001116.pub4
Neffen H, Fritscher C, Cuevas Schacht F, Levy G, Chiarella P, Soriano JB, Mechali D; AIRLA Survey Group. Asthma control in Latin America: the asthma insights and reality in Latin America (AIRLA) survey. Rev Panam Salud Publica 2005;17(3):191-7. https://doi.org/10.1590/s1020-49892005000300007
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Scientia Medica
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright
The submission of originals to Scientia Medica implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Scientia Medica as the site of original publication.
Creative Commons License
Except where otherwise specified, material published in this journal is licensed under a Creative Commons Attribution 4.0 International license, which allows unrestricted use, distribution and reproduction in any medium, provided the original publication is correctly cited.
