Sports activities enhance the prevalence of rhinitis symptoms in schoolchildren.

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Sports activities enhance the prevalence of rhinitis symptoms in schoolchildren.

Pediatr Allergy Immunol. 2015 Nov 27;

Authors: Kusunoki T, Takeuchi J, Morimoto T, Sakuma M, Mukaida K, Yasumi T, Nishikomori R, Heike T

Abstract
BACKGROUND: To evaluate the association between sports activities and allergic symptoms, especially rhinitis, among schoolchildren.
METHODS: This longitudinal survey of schoolchildren collected data from questionnaires regarding allergic symptoms based on the International Study of Asthma and Allergies in Childhood (ISAAC) program and sports participation that were distributed to the parents of children at all 12 public primary schools in Ohmi-Hachiman City, Shiga Prefecture, Japan. Data were collected annually from 2011 until 2014, when the children reached 10 years old. Blood samples were obtained in 2014, and levels of immunoglobulin (Ig) E specific to four inhalant allergens were measured.
RESULTS: Data from 558 children were analyzed. At 10 years old, prevalences of asthma and eczema did not differ significantly, while rhinitis was significantly higher (P=0.009) among children who participated in sports. Prevalence of rhinitis increased as the frequency or duration of sports participation increased (P<0.01). The prevalence of new-onset rhinitis increased significantly among 10-year-olds with increasing duration of participation in sports (P=0.03). Among those who participated in continuous sports activities, prevalence of rhinitis was significantly higher with prolonged eczema (P=0.006). Sports activities did not increase sensitization to inhalant allergens.
CONCLUSION: Sports activities enhance the prevalence of rhinitis in schoolchildren. Prolonged eczema, together with sports participation, further promotes the symptoms. The mechanisms of these novel findings warrant further investigation. This article is protected by copyright. All rights reserved.

PMID: 26613558 [PubMed – as supplied by publisher]

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Nationwide Children’s Hospital Working to Help Schoolchildren Suffering from … – 10TV

Nationwide Children's Hospital Working to Help Schoolchildren Suffering from
10TV
Doctors say fall allergens often trigger kids' asthma attacks and require emergency treatment. So doctors at Nationwide Children's Hospital have launched a program to help kids stay out of the hospital and breathe easier. At Parsons Elementary, the

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Validation Of A Questionnaire Against Clinical Assessment In The Diagnosis Of Asthma In Schoolchildren.

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Validation Of A Questionnaire Against Clinical Assessment In The Diagnosis Of Asthma In Schoolchildren.

J Asthma. 2014 Sep 18;:1-25

Authors: Hansen TE, Evjenth B, Holt J

Abstract
Abstract Aim: A questionnaire has been used repeatedly in cross sectional studies to determine the prevalence of asthma, allergic rhinoconjunctivitis (AR) and eczema among schoolchildren in Nordland County, Norway. The current study was designed to validate the questionnaire against clinical assessment as the diagnostic gold standard and to investigate the extent of possible misclassification. Methods: A subsample of 801 schoolchildren of 4150, whose parents had answered a questionnaire covering asthma and atopic diseases, underwent a detailed clinical evaluation including a standardized interview, a clinical examination, skin prick tests (SPT), blood samples, spirometry an exercise treadmill test (EIB test) and measurement of exhaled nitrogen oxide (FeNO). Results: The questionnaire had a sensitivity of 0.96 and a specificity of 0.87 for the diagnosis of asthma ever compared to clinical assessment. The overall agreement (kappa) was 0.80. After clinical assessment the prevalence of asthma ever was adjusted from 17.6 % to 16.9 % (95% CI: 15.8-18.0). The most sensitive and specific questions in identifying asthmatic children by the questionnaire were questions asking about diagnosis (‘Has the child ever had asthma?’) rather than those covering asthma symptoms such as wheeze, shortness of breath and/or cough. A positive exercise test increased the posttest probability for the asthma diagnosis only to a minimal degree. Conclusion: Based on the good agreement between the questionnaire responses and the clinical assessments, it is concluded that the questionnaire had good validity and served as a useful epidemiological tool. Detailed clinical testing added little additional information.

PMID: 25233047 [PubMed – as supplied by publisher]

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Fears asthmatic schoolchildren denied inhalers – Herald Scotland


Mirror.co.uk

Fears asthmatic schoolchildren denied inhalers
Herald Scotland
THOUSANDS of children with asthma in Scotland are struggling to access life-saving medicine in school emergencies because of needless red tape, a charity has warned. Asthma UK Scotland said a survey of youngsters aged five to 18 with the condition
Lives of pupils with asthma 'put at risk by inhaler rules'Scotsman
'Red tape' risk to asthma childrenThe Press Association

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