eISSN: 2299-0046
ISSN: 1642-395X
Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii
Current issue Archive Manuscripts accepted About the journal Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
5/2016
vol. 33
 
Share:
Share:
more
 
 
abstract:
Original paper

Allergies in urban versus countryside settings in Poland as part of the Epidemiology of the Allergic Diseases in Poland (ECAP) study – challenge the early differential diagnosis

Edyta Krzych-Fałta, Konrad Furmańczyk, Barbara Piekarska, Aneta Tomaszewska, Adam Sybilski, Bolesław K. Samoliński

Adv Dermatol Allergol 2016; XXXIII (5): 359-368
Online publish date: 2016/10/21
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Introduction: The incidence of allergies depends on a number of factors, including adopting an urban “western” lifestyle, genetic predispositions, and different regions of residence.

Aim: To compare the prevalence of allergic conditions (seasonal allergic rhinitis (SAR) and perennial allergic rhinitis (PAR), bronchial asthma (BA), atopic dermatitis (AD)) in a group of countryside versus urban residents in Poland.

Material and methods: The prevalence of allergic conditions in urban versus countryside settings was assessed using the translated and approved questionnaire developed for international ECRHS II and ISAAC studies. Respondents were selected via random multistage sampling, with proportionate stratified sampling, and the Polish Resident Identification Number (PESEL) as the basis. A total of 18,617 respondents took part in the study. Subsequently, approximately 25% of the subjects underwent outpatient assessments: skin-prick, lung function, peak nasal inspiratory flow (PNIF) tests, as well as history-taking.

Results: Allergic rhinitis (AR) proved to be the most common condition in the entire study population. Children residing in the countryside were twice more likely to be diagnosed with BA (8.33% vs. 4%; p < 0.05). Conversely, in the adult subgroup, BA was more commonly observed in urban areas. Whereas reported symptom rates were much higher in AR and AD patients, symptomatic BA was proportionately lower with respect to the official diagnoses (underdiagnosed BA phenomenon). Atopic dermatitis was considerably more common in the metropolitan population. One factor that significantly correlated with allergic diseases was a positive family history.

Conclusions: Inhabitants of metropolitan areas are to a greater extent predisposed to allergic conditions. One factor significantly contributing to allergies is genetic predisposition. Given the scale of the problem, there is an urgent need to implement measures for early prevention and diagnosis of allergies to minimize distant health effects.
keywords:

epidemiology of allergic diseases in Poland, environmental, allergy prevalence, urban versus countryside

references:
Samoliński B, Raciborski F, Lipiec A, et al. Epidemiology of allergic diseases in Poland. Pol J Allergol 2014; 1: 10-8.
Bousquet J, Khalataev N, Alvaro A, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008. Alergia Astma Immunol Klin 2008; 13: 3-39.
Allergic Rhinitis and its Impact on Asthma (ARIA) Revision 2010-V. 9/8/2010 whiar.org/docs/ariareport_2010.pdf
Ogino S, Irifune M, Harada T, et al. Nasal allergy in medical students. Rhinology 1990; 28: 163-8.
Hagy GW, Settipane GA. Bronchial asthma, allergic rhinitis and allergy skin tests among college students. J Allergy 1996; 44: 323-32.
Richards S, Thornhill D, Roberts H, et al. How many people think they have hay fever, and what they do about it. Br J Gen Pract 1992; 42: 284-6.
Huang SK, Zhang Q, Qiu Z, Chung KF. Mechanistic impact of outdoor air pollution on asthma and allergic diseases. J Thorac Dis 2015; 7: 23-33.
Zhang Q, Qiu Z, Chung KF, Huang SK. Link between environmental air pollution and allergic asthma: East meets West. J Thorac Dis 2015; 7: 14-22.
Son JY, Lee JT, Park YH, Bell ML. Short-term effects of air pollution on hospital admissions in Korea. Epidemiology 2013; 24: 545-54.
D’Amato G, Baena-Cagnani CE, Cecchi L, et al. Climate change, air pollution and extreme events leading to increasing prevalence of allergic respiratory diseases. Multidiscip Respir Med 2013; 8: 12.
Kim HH, Lee CS, Jeon JM, et al. Analysis of the association between air pollution and allergic diseases exposure from nearby sources of ambient air pollution within elementary school zones in four Korean cities. Environ Sci Pollut Res Int 2013; 20: 4831-46.
D’Amato G, Cecchi L, D’Amato M, Liccardi G. Urban air pollution and climate change as environmental risk factors of respiratory allergy: an update. J Investig Allergol Clin Immunol 2010; 20: 95-102.
McCreanor J, Cullinan P, Nieuwenhuijsen MJ, et al. Respiratory effects of exposure to diesel traffic in persons with asthma. N Engl J Med 2007; 357: 2348-58.
Wojtyniak B, Piekarski T. 1996-Short term effect of air pollution on mortality in Polish urban population – what is different. J Epidemiol Commun Health 1996; 50 (Suppl. 1): 36-41.
Tomaszewska A, Raciborski F, Samel-Kowalik P, Samoliński B. Frequency of allergic rhinitis in selected regions of Poland. City vs countryside analysis. Otolaryngol Pol 2007; 61: 550-3.
Tomaszewska A. [The prevalence of allergic diseases in the urban and rural area – comparative analysis]. Doctorat thesis, Warsaw 2014; 75-80.
Komorowski J. [Epidemiology of asthma in Poland based on the ECAP study results]. Doctorat thesis, Warsaw 2012; 13-7.
Kupryś-Lipińska I, Elgalal, Kuna P. Urban-rural differences in the prevalances of atopic diseases in the general population in Lodz Province (Poland). Postep Derm Alergol 2009; 26: 249-56.
Blair H. Natural history of childhood asthma: 20-year follow-up. Arch Dis Child 1997; 52: 613-9.
Settipane GA. Allergic rhinitis-update. Otolaryngol Head Neck Surg 1986; 94: 470-5.
Leynaert B, Settipane GA. Long-term risk factors for developing asthma and allergic rhinitis: a 23-year follow-up study of college students. Allergy Proc 1994; 15: 21-8.
Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. The International Study of Asthma and Allergies in Childhood (ISAAC). Eur Respir J 1998; 12: 315-35.
Variations in the prevalence of respiratory symptoms, self-reported asthma attacks, and use of asthma medication in the European Respirtory Health Survey (ECRHS). Eur Respir J1996; 9: 687-95.
Samoliński B, Sybilski A, Raciborski F, et al. [Prevalence of rhinitis in Polish population according to the ECAP (Epidemiology of Allergic Disorders in Poland) study]. Otolaryngol Pol 2009; 63: 324-30.
Sybilski A, Raciborski F, Lipiec A, et al. Atopic dermatitis is a serious health problem in Poland. Epidemiology studies based on the ECAP study. Postep Derm Allergol 2015; 32: 1-10.
Bojarowicz H, Wnuk M, Buciński A. Efficacy and safety of paraben use. Probl Hig Epidemiol 2012; 93: 647-53.
Bousquet PJ, Chinn S, Janson C, et al. Geographical variation in the prevalence of positive skin tests to environmental aeroallergens in the European Community Respiratory Health Survey I. Allergy 2007; 62: 301-9.
Nicolai T, von Mutius E. Respiratory hypersensitivity and environmental factors: East and West Germany. Toxicol Lett 1996; 86: 105-13.
Sożańska B, MacNeill S J, Kajderowicz-Kowalik M, et al. Atopy and asthma in rural Poland: a paradigm for emergence of childhood respiratory allergies in Europe. Allergy 2007; 62: 394-400.
Kjellman NI. Atopic disease in seven-year-old children. Incidence in relation to family history. Acta Paediatr Scand 1977; 66: 465-71.
Ponińska J, Samoliński B, Tomaszewska A, et al. Filaggrin gene defects are independent risk factors for atopic asthma in a Polish population: a study in ECAP Cohort. PLoS One 2011; 6: e16933.
Quick links
© 2019 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe