Number of siblings and allergic rhinitis in children
Journal Title: Paediatrica Indonesiana - Year 2016, Vol 56, Issue 1
Abstract
Background Allergic rhinitis is one of the most common chronic diseases of childhood. Recent studies have suggested that having fewer siblings was associated with allergic rhinitis and atopic diseases in children. Previous studies also indicated that older siblings was associated with higher incidence of allergic rhinitis.Objectives To assess for a possible association between number of siblings and allergic rhinitis and to assess for an effect of birth order on allergic rhinitis in children.Methods We performed a cross-sectional study among school children aged 7 to 15 years, in the West Medan District from July to August 2011. Children with moderate or high risk of allergy were included. Subjects were divided into two groups, those with <3 siblings or ≥3 siblings. Children with acute respiratory tract infections, septal deviation, choanal atresia, nasal polyps, nasal tumors, or nasal foreign body were excluded. Risk of allergy was determined using the Indonesian Pediatrics Allergy Immunology Working Group trace card scoring system. Identification of allergic rhinitis and evaluation of its severity were done by use of the International Study of Asthma and Allergies in Childhood (ISAAC) core questionnaire. Allergic rhinitis was diagnosed based on history, physical examination, and anterior rhinoscopy.Results A total of 78 subjects were enrolled. Allergic rhinitis was significantly higher in children with <3 siblings than those with ≥3 siblings (OR 10.33; 95%CI 3.569 to 29.916). Furthermore, allergic rhinitis was significantly higher in first-born children than in their younger siblings (P=0.0001).Conclusion Larger number of siblings and non-first-born children are associated with lower incidence of allergic rhinitis in children.
Authors and Affiliations
Soewira Sastra, Lily Irsa, Muhammad Loebis, Rita Evalina
Keywords
Related Articles
- EP ID EP446100
- DOI 10.14238/pi56.1.2016.1-7
- Views 79
- Downloads 0
Prevalence and risk factors of hearing loss in children with solid tumors treated with platinum-based chemotherapy
Background The platinum-based chemotherapy drugs, cisplatin and carboplatin, are widely used in the treatment of several types of solid tumors. However, the treatment has side effects including hearing loss.Objective To...
Physical activity, eating patterns, and insulin resistance in obesity
Background Unhealthy eating patterns and physical inactivityare associated with obesity. Insulin resistance, an early sign of type2 diabetes mellitus, is common in obese individuals.Objective To assess for an association...
Hepatitis B seroprotection in children aged 10-15 years after completion of basic hepatitis B immunizations
Background The prevalence of hepatitis B viral (HBV) infection in Indonesia is high. The most effective way to control HBV infection is by hepatitis B (HB) immunization. Many studies reported that hepatitis B surface ant...
Prognostic factors for success in the Kangaroo Mother Care method for low birth weight babies
Background Low birth weight (LBW) is closely related to neonatal morbidity and mortality. Management of LBW infants in developing countries remains limited, due to the low availability of incubators. The Kangaroo Mother...
Hypertension, high-dose corticosteroids, and renal infiltration in children with acute lymphoblastic leukemia
Background Hypertension is a rarely recognized complication of acute lymphoblastic leukemia (ALL). The incidence of hypertension in ALL patients in Indonesia remains unknown, but the most common risk factors are corticos...