Prevalence and risk factors of allergic rhinitis in pediatric population

Authors

  • Masroor Rahman Department of Otolaryngology-Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Farhana Rahman Department of Paediatrics, Bashundhara Ad-din Medical College and Hospital, Dhaka, Bangladesh
  • Arif Mahmud Jewel Department of Otolaryngology-Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Abdullah- Al-Mamun Department of Otolaryngology-Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20250110

Keywords:

Allergic rhinitis, Prevalence, Risk factors, Pediatric population, Atopic diseases

Abstract

Background: Allergic rhinitis (AR) significantly affects the pediatric population, with rising prevalence rates and substantial impacts on quality of life. The purpose of this study was to evaluate the prevalence of allergic rhinitis in children and identify key risk factors contributing to its development. The aim of the study was to evaluate the prevalence and identify the risk factors of allergic rhinitis in the pediatric population.

Methods: This retrospective observational study involved 150 pediatric patients with allergic rhinitis symptoms at the Department of Otolaryngology-Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, and the Department of Pediatric Medicine, Bashundhara Ad-din Medical College and Hospital, Dhaka, Bangladesh, from July 1, 2023 to June 30, 2024. Inclusion criteria comprised children aged 1 to 18 years with allergic rhinitis symptoms. Demographic data, risk factors, and comorbidities were collected and analyzed using SPSS 22.0.

Result: The study included 150 pediatric patients, predominantly male (64.00%), with the majority aged 6-12 years (46.67%) and residing in urban areas (69.33%). Allergic rhinitis was present in 70.00% of the patients, with a significant association to family history, high environmental exposure, and passive smoke exposure. Among those diagnosed with allergic rhinitis, comorbidities were common, with 45.71% having asthma, 50.00% having eczema or atopic dermatitis, and 24.29% having conjunctivitis.

Conclusion: This study shows that 70% of pediatric patients with allergic rhinitis are mainly males aged 2 to 12 years, with significant risk factors being family history and environmental exposure, alongside common comorbidities like asthma and eczema.

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References

Ng ML, Warlow RS, Chrishanthan N, Ellis C, Walls RS. Preliminary criteria for the definition of allergic rhinitis: a systematic evaluation of clinical parameters in a disease cohort (II). Clin Exp Allergy. 2000;30(10):1417–22. DOI: https://doi.org/10.1046/j.1365-2222.2000.00913.x

Chinratanapisit S, Suratannon N, Pacharn P, Sritipsukho P, Vichyanond P. Prevalence and risk factors of allergic rhinitis in children in Bangkok area. Asian Pac J Allergy Immunol. 2019;37(4):232–9.

Wallace DV, Dykewicz MS, Bernstein DI, Blessing-Moore J, Cox L, Khan DA, et al. The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol. 2008;122(2):1-84. DOI: https://doi.org/10.1016/j.jaci.2008.06.003

Pawankar R, Canonica GW, Holgate S, Lockey R, Blaiss M, eds. WAO White Book on Allergy. Update. Milwaukee: World Allergy Organization; 2013.

Sultész M, Horváth A, Molnár D, Katona G, Mezei G, Hirschberg A, et al. Prevalence of allergic rhinitis, related comorbidities and risk factors in schoolchildren. Allergy Asthma Clin Immunol. 2020;16(1):98. DOI: https://doi.org/10.1186/s13223-020-00495-1

Beasley R. Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. Lancet. 1998;351(9111):1225–32. DOI: https://doi.org/10.1016/S0140-6736(97)07302-9

MSD Manual: Professional Version. Overview of Allergic and Atopic Disorders. 2022.

Asher MI, Keil U, Anderson HR, Beasley R, Crane J, Martinez F, et al. International Study of Asthma and Allergies in Childhood (ISAAC): rationale and methods. Eur Respir J. 1995;8(3):483–91. DOI: https://doi.org/10.1183/09031936.95.08030483

Hunninghake GM, Weiss ST, Celedón JC. Asthma in Hispanics. Am J Respir Crit Care Med. 2006;173(2):143–63. DOI: https://doi.org/10.1164/rccm.200508-1232SO

Litonjua AA, Celedón JC, Hausmann J, Nikolov M, Sredl D, Ryan L, et al. Variation in total and specific IgE: effects of ethnicity and socioeconomic status. J Allergy Clin Immunol. 2005;115(4):751–7. DOI: https://doi.org/10.1016/j.jaci.2004.12.1138

Wills-Karp M, Santeliz J, Karp CL. The germless theory of allergic disease: revisiting the hygiene hypothesis. Nat Rev Immunol. 2001;1(1):69–75. DOI: https://doi.org/10.1038/35095579

Solis Soto MT, Patiño A, Nowak D, Radon K. Prevalence of asthma, rhinitis and eczema symptoms in rural and urban school-aged children from Oropeza Province-Bolivia: a cross-sectional study. BMC Pulm Med. 2014;14:1-6. DOI: https://doi.org/10.1186/1471-2466-14-40

Flohr C, Weiland SK, Weinmayr G, Björkstén B, Bråbäck L, Brunekreef B, Büchele G, Clausen M, Cookson WO, Von Mutius E, Strachan DP. The role of atopic sensitization in flexural eczema: findings from the international study of asthma and allergies in childhood phase two. J of All and Clinical Immunology. 2008;121(1):141-7. DOI: https://doi.org/10.1016/j.jaci.2007.08.066

Sears MR, Burrows B, Herbison GP, Holdaway MD, Flannery EM. Atopy in childhood. II. Relationship to airway responsiveness, hay fever and asthma. Clinical & Experimental Allergy. 1993;23(11):949-56. DOI: https://doi.org/10.1111/j.1365-2222.1993.tb00280.x

Asher MI, Montefort S, Björkstén B, Lai CK, Strachan DP, Weiland SK, Williams H. 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. The Lancet. 2006;368(9537):733-43. DOI: https://doi.org/10.1016/S0140-6736(06)69283-0

Chiang WC, Chen YM, Tan HKK, Balakrishnan A, Liew WK, Lim HH, et al. Allergic rhinitis and non-allergic rhinitis in children in the tropics: prevalence and risk associations. Pediatr Pulmonol. 2012;47(10):1026–33. DOI: https://doi.org/10.1002/ppul.22554

García-Almaraz R, Reyes-Noriega N, Del-Río-Navarro BE, Berber A, Navarrete-Rodríguez EM, Ellwood P, et al. Prevalence and risk factors associated with allergic rhinitis in Mexican school children: Global Asthma Network Phase I. World Allergy Organ J. 2021;14(1):100492. DOI: https://doi.org/10.1016/j.waojou.2020.100492

Cingi C, Topuz B, Songu M, Kara CO, Ural A, Yaz A, et al. Prevalence of allergic rhinitis among the adult population in Turkey. Acta Otolaryngol. 2010;130(5):600–6. DOI: https://doi.org/10.3109/00016480903311880

Alsowaidi S, Abdulle A, Shehab A, Zuberbier T, Bernsen R. Allergic rhinitis: prevalence and possible risk factors in a Gulf Arab population. Allergy. 2010;65(2):208–12. DOI: https://doi.org/10.1111/j.1398-9995.2009.02123.x

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Published

2025-01-27

How to Cite

Rahman, M., Rahman, F., Jewel, A. M., & Al-Mamun, A.-. (2025). Prevalence and risk factors of allergic rhinitis in pediatric population. International Journal of Otorhinolaryngology and Head and Neck Surgery, 11(1), 1–5. https://doi.org/10.18203/issn.2454-5929.ijohns20250110

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Original Research Articles