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

Data for trends in prevalence of asthma, allergic rhinoconjunctivitis, and eczema over time are scarce. We repeated the International Study of Asthma and Allergies in Childhood (ISAAC) at least 5 years after Phase One, to examine changes in the prevalence of symptoms of these disorders. For the ISAA...

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Published in:	The Lancet (British edition) Vol. 368; no. 9537; pp. 733 - 743
Main Authors:	Asher, M Innes, Montefort, Stephen, Björkstén, Bengt, Lai, Christopher KW, Strachan, David P, Weiland, Stephan K, Williams, Hywel
Format:	Journal Article
Language:	English
Published:	London Elsevier Ltd 26.08.2006 Lancet Elsevier Limited
Subjects:	Adolescent Allergies Asthma Asthma - epidemiology Asthma - physiopathology Biological and medical sciences Child Children & youth Chronic obstructive pulmonary disease, asthma Cross-Sectional Studies Eczema Eczema - epidemiology Eczema - physiopathology General aspects Global Health Humans International studies Medical sciences Miscellaneous Pneumology Prevalence Public health. Hygiene Public health. Hygiene-occupational medicine Rhinitis - epidemiology Rhinitis - physiopathology Schools Skin diseases Surveys and Questionnaires World Allergy Nose disease Skin disease Phase Prevalence Rhinitis Conjunctiva disease Conjunctivitis Epidemiology Cross sectional study Eczema Bronchus disease ENT disease Obstructive pulmonary disease Child Public health Human Immunopathology Lung disease Respiratory disease Trend Asthma Medicine Symptomatology Eye disease Survey Surveillance
ISSN:	0140-6736, 1474-547X, 1474-547X
Online Access:	Get full text
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Abstract	Data for trends in prevalence of asthma, allergic rhinoconjunctivitis, and eczema over time are scarce. We repeated the International Study of Asthma and Allergies in Childhood (ISAAC) at least 5 years after Phase One, to examine changes in the prevalence of symptoms of these disorders. For the ISAAC Phase Three study, between 2002 and 2003, we did a cross-sectional questionnaire survey of 193 404 children aged 6–7 years from 66 centres in 37 countries, and 304 679 children aged 13–14 years from 106 centres in 56 countries, chosen from a random sample of schools in a defined geographical area. Phase Three was completed a mean of 7 years after Phase One. Most centres showed a change in prevalence of 1 or more SE for at least one disorder, with increases being twice as common as decreases, and increases being more common in the 6–7 year age-group than in the 13–14 year age-group, and at most levels of mean prevalence. An exception was asthma symptoms in the older age-group, in which decreases were more common at high prevalence. For both age-groups, more centres showed increases in all three disorders more often than showing decreases, but most centres had mixed changes. The rise in prevalence of symptoms in many centres is concerning, but the absence of increases in prevalence of asthma symptoms for centres with existing high prevalence in the older age-group is reassuring. The divergent trends in prevalence of symptoms of allergic diseases form the basis for further research into the causes of such disorders.
AbstractList	Data for trends in prevalence of asthma, allergic rhinoconjunctivitis, and eczema over time are scarce. We repeated the International Study of Asthma and Allergies in Childhood (ISAAC) at least 5 years after Phase One, to examine changes in the prevalence of symptoms of these disorders. For the ISAAC Phase Three study, between 2002 and 2003, we did a cross-sectional questionnaire survey of 193 404 children aged 6–7 years from 66 centres in 37 countries, and 304 679 children aged 13–14 years from 106 centres in 56 countries, chosen from a random sample of schools in a defined geographical area. Phase Three was completed a mean of 7 years after Phase One. Most centres showed a change in prevalence of 1 or more SE for at least one disorder, with increases being twice as common as decreases, and increases being more common in the 6–7 year age-group than in the 13–14 year age-group, and at most levels of mean prevalence. An exception was asthma symptoms in the older age-group, in which decreases were more common at high prevalence. For both age-groups, more centres showed increases in all three disorders more often than showing decreases, but most centres had mixed changes. The rise in prevalence of symptoms in many centres is concerning, but the absence of increases in prevalence of asthma symptoms for centres with existing high prevalence in the older age-group is reassuring. The divergent trends in prevalence of symptoms of allergic diseases form the basis for further research into the causes of such disorders. Data for trends in prevalence of asthma, allergic rhinoconjunctivitis, and eczema over time are scarce. We repeated the International Study of Asthma and Allergies in Childhood (ISAAC) at least 5 years after Phase One, to examine changes in the prevalence of symptoms of these disorders.BACKGROUNDData for trends in prevalence of asthma, allergic rhinoconjunctivitis, and eczema over time are scarce. We repeated the International Study of Asthma and Allergies in Childhood (ISAAC) at least 5 years after Phase One, to examine changes in the prevalence of symptoms of these disorders.For the ISAAC Phase Three study, between 2002 and 2003, we did a cross-sectional questionnaire survey of 193,404 children aged 6-7 years from 66 centres in 37 countries, and 304,679 children aged 13-14 years from 106 centres in 56 countries, chosen from a random sample of schools in a defined geographical area.METHODSFor the ISAAC Phase Three study, between 2002 and 2003, we did a cross-sectional questionnaire survey of 193,404 children aged 6-7 years from 66 centres in 37 countries, and 304,679 children aged 13-14 years from 106 centres in 56 countries, chosen from a random sample of schools in a defined geographical area.Phase Three was completed a mean of 7 years after Phase One. Most centres showed a change in prevalence of 1 or more SE for at least one disorder, with increases being twice as common as decreases, and increases being more common in the 6-7 year age-group than in the 13-14 year age-group, and at most levels of mean prevalence. An exception was asthma symptoms in the older age-group, in which decreases were more common at high prevalence. For both age-groups, more centres showed increases in all three disorders more often than showing decreases, but most centres had mixed changes.FINDINGSPhase Three was completed a mean of 7 years after Phase One. Most centres showed a change in prevalence of 1 or more SE for at least one disorder, with increases being twice as common as decreases, and increases being more common in the 6-7 year age-group than in the 13-14 year age-group, and at most levels of mean prevalence. An exception was asthma symptoms in the older age-group, in which decreases were more common at high prevalence. For both age-groups, more centres showed increases in all three disorders more often than showing decreases, but most centres had mixed changes.The rise in prevalence of symptoms in many centres is concerning, but the absence of increases in prevalence of asthma symptoms for centres with existing high prevalence in the older age-group is reassuring. The divergent trends in prevalence of symptoms of allergic diseases form the basis for further research into the causes of such disorders.INTERPRETATIONThe rise in prevalence of symptoms in many centres is concerning, but the absence of increases in prevalence of asthma symptoms for centres with existing high prevalence in the older age-group is reassuring. The divergent trends in prevalence of symptoms of allergic diseases form the basis for further research into the causes of such disorders. Data for trends in prevalence of asthma, allergic rhinoconjunctivitis, and eczema over time are scarce. We repeated the International Study of Asthma and Allergies in Childhood (ISAAC) at least 5 years after Phase One, to examine changes in the prevalence of symptoms of these disorders. For the ISAAC Phase Three study, between 2002 and 2003, we did a cross-sectional questionnaire survey of 193 404 children aged 6-7 years from 66 centres in 37 countries, and 304 679 children aged 13-14 years from 106 centres in 56 countries, chosen from a random sample of schools in a defined geographical area. Phase Three was completed a mean of 7 years after Phase One. Most centres showed a change in prevalence of 1 or more SE for at least one disorder, with increases being twice as common as decreases, and increases being more common in the 6-7 year age-group than in the 13-14 year age-group, and at most levels of mean prevalence. An exception was asthma symptoms in the older age-group, in which decreases were more common at high prevalence. For both age-groups, more centres showed increases in all three disorders more often than showing decreases, but most centres had mixed changes. The rise in prevalence of symptoms in many centres is concerning, but the absence of increases in prevalence of asthma symptoms for centres with existing high prevalence in the older age-group is reassuring. The divergent trends in prevalence of symptoms of allergic diseases form the basis for further research into the causes of such disorders.
Author	Williams, Hywel Weiland, Stephan K Lai, Christopher KW Strachan, David P Montefort, Stephen Björkstén, Bengt Asher, M Innes
Author_xml	– sequence: 1 givenname: M Innes surname: Asher fullname: Asher, M Innes email: mi.asher@auckland.ac.nz organization: Department of Paediatrics, Faculty of Medical and Health Sciences, University of Auckland, Auckland 1010, New Zealand – sequence: 2 givenname: Stephen surname: Montefort fullname: Montefort, Stephen organization: Department of Medicine, University of Malta, Malta – sequence: 3 givenname: Bengt surname: Björkstén fullname: Björkstén, Bengt organization: Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden – sequence: 4 givenname: Christopher KW surname: Lai fullname: Lai, Christopher KW organization: Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong, SAR China – sequence: 5 givenname: David P surname: Strachan fullname: Strachan, David P organization: Division of Community Health Sciences, St Georges, University of London, UK – sequence: 6 givenname: Stephan K surname: Weiland fullname: Weiland, Stephan K organization: Department of Epidemiology, University of Ulm, Ulm, Germany – sequence: 7 givenname: Hywel surname: Williams fullname: Williams, Hywel organization: Centre for Evidence Based Dermatology, Queen's Medical Centre University Hospital, Nottingham, UK
BackLink	http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18053859$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/16935684$$D View this record in MEDLINE/PubMed
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ContentType	Journal Article
Copyright	2006 Elsevier Ltd 2006 INIST-CNRS Copyright Lancet Ltd. Aug 26-Sep 1, 2006
Copyright_xml	– notice: 2006 Elsevier Ltd – notice: 2006 INIST-CNRS – notice: Copyright Lancet Ltd. Aug 26-Sep 1, 2006
CorporateAuthor	the ISAAC Phase Three Study Group ISAAC Phase Three Study Group
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Keywords	Allergy Nose disease Skin disease Phase Prevalence Rhinitis Conjunctiva disease Conjunctivitis Epidemiology Cross sectional study Eczema Bronchus disease ENT disease Obstructive pulmonary disease Child Public health Human Immunopathology Lung disease Respiratory disease Trend Asthma Medicine Symptomatology Eye disease Survey Surveillance
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Snippet	Data for trends in prevalence of asthma, allergic rhinoconjunctivitis, and eczema over time are scarce. We repeated the International Study of Asthma and...
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SubjectTerms	Adolescent Allergies Asthma Asthma - epidemiology Asthma - physiopathology Biological and medical sciences Child Children & youth Chronic obstructive pulmonary disease, asthma Cross-Sectional Studies Eczema Eczema - epidemiology Eczema - physiopathology General aspects Global Health Humans International studies Medical sciences Miscellaneous Pneumology Prevalence Public health. Hygiene Public health. Hygiene-occupational medicine Rhinitis - epidemiology Rhinitis - physiopathology Schools Skin diseases Surveys and Questionnaires
Title	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
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