Clinical response to varying pollen exposure in allergic rhinitis in children in The Netherlands
Background Allergic rhinitis (AR) affects 10–15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout the pollen season and therefore, symptom severity fluctuates. This study investigates the correlation between pollen concentration and symptom load i...
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| Published in: | BMC pediatrics Vol. 23; no. 1; pp. 258 - 8 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
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London
BioMed Central
24.05.2023
BioMed Central Ltd Springer Nature B.V BMC |
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| ISSN: | 1471-2431, 1471-2431 |
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| Abstract | Background
Allergic rhinitis (AR) affects 10–15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout the pollen season and therefore, symptom severity fluctuates. This study investigates the correlation between pollen concentration and symptom load in children with AR in The Netherlands.
Methods
A secondary analysis was performed in a study determining the most effective treatment for children with seasonal AR. Symptoms were measured during three months in 2013 and 2014 using a daily symptom diary. The pollen concentration was measured with a Hirst type volumetric spore trap sampler. A correlation coefficient was calculated for the correlation between the pollen concentration and the mean daily symptom score. The study protocol was approved by the medical ethical review committee of the Erasmus MC and is incorporated in the International Clinical Trials Registry Platform (EUCTR2012-001,591–11-NL).
Results
In 2014, the correlation coefficient for birch pollen concentration and symptom score was 0.423 (
p
= 0.000). The correlation coefficient for grass pollen concentration and symptom score was 0.413 (
p
= 0.000) and 0.655 (
p
= 0.000) in 2013 and 2014, respectively. A delayed correlation between the birch pollen concentration and the symptom scores was seen up to two days after the pollen measurement (0.151,
p
= 0.031). For grass pollen this effect lasted up to three days after the pollen measurement (0.194,
p
= 0.000).
Conclusion
We found comparable correlations between symptom score and pollen concentration as found by EAACI. Birch and grass pollen have an elongated influence on symptom score of several days. This implies patients need to continue on demand medication longer after a measured pollen peak. |
|---|---|
| AbstractList | Allergic rhinitis (AR) affects 10-15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout the pollen season and therefore, symptom severity fluctuates. This study investigates the correlation between pollen concentration and symptom load in children with AR in The Netherlands.BACKGROUNDAllergic rhinitis (AR) affects 10-15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout the pollen season and therefore, symptom severity fluctuates. This study investigates the correlation between pollen concentration and symptom load in children with AR in The Netherlands.A secondary analysis was performed in a study determining the most effective treatment for children with seasonal AR. Symptoms were measured during three months in 2013 and 2014 using a daily symptom diary. The pollen concentration was measured with a Hirst type volumetric spore trap sampler. A correlation coefficient was calculated for the correlation between the pollen concentration and the mean daily symptom score. The study protocol was approved by the medical ethical review committee of the Erasmus MC and is incorporated in the International Clinical Trials Registry Platform (EUCTR2012-001,591-11-NL).METHODSA secondary analysis was performed in a study determining the most effective treatment for children with seasonal AR. Symptoms were measured during three months in 2013 and 2014 using a daily symptom diary. The pollen concentration was measured with a Hirst type volumetric spore trap sampler. A correlation coefficient was calculated for the correlation between the pollen concentration and the mean daily symptom score. The study protocol was approved by the medical ethical review committee of the Erasmus MC and is incorporated in the International Clinical Trials Registry Platform (EUCTR2012-001,591-11-NL).In 2014, the correlation coefficient for birch pollen concentration and symptom score was 0.423 (p = 0.000). The correlation coefficient for grass pollen concentration and symptom score was 0.413 (p = 0.000) and 0.655 (p = 0.000) in 2013 and 2014, respectively. A delayed correlation between the birch pollen concentration and the symptom scores was seen up to two days after the pollen measurement (0.151, p = 0.031). For grass pollen this effect lasted up to three days after the pollen measurement (0.194, p = 0.000).RESULTSIn 2014, the correlation coefficient for birch pollen concentration and symptom score was 0.423 (p = 0.000). The correlation coefficient for grass pollen concentration and symptom score was 0.413 (p = 0.000) and 0.655 (p = 0.000) in 2013 and 2014, respectively. A delayed correlation between the birch pollen concentration and the symptom scores was seen up to two days after the pollen measurement (0.151, p = 0.031). For grass pollen this effect lasted up to three days after the pollen measurement (0.194, p = 0.000).We found comparable correlations between symptom score and pollen concentration as found by EAACI. Birch and grass pollen have an elongated influence on symptom score of several days. This implies patients need to continue on demand medication longer after a measured pollen peak.CONCLUSIONWe found comparable correlations between symptom score and pollen concentration as found by EAACI. Birch and grass pollen have an elongated influence on symptom score of several days. This implies patients need to continue on demand medication longer after a measured pollen peak. Background Allergic rhinitis (AR) affects 10–15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout the pollen season and therefore, symptom severity fluctuates. This study investigates the correlation between pollen concentration and symptom load in children with AR in The Netherlands. Methods A secondary analysis was performed in a study determining the most effective treatment for children with seasonal AR. Symptoms were measured during three months in 2013 and 2014 using a daily symptom diary. The pollen concentration was measured with a Hirst type volumetric spore trap sampler. A correlation coefficient was calculated for the correlation between the pollen concentration and the mean daily symptom score. The study protocol was approved by the medical ethical review committee of the Erasmus MC and is incorporated in the International Clinical Trials Registry Platform (EUCTR2012-001,591–11-NL). Results In 2014, the correlation coefficient for birch pollen concentration and symptom score was 0.423 ( p = 0.000). The correlation coefficient for grass pollen concentration and symptom score was 0.413 ( p = 0.000) and 0.655 ( p = 0.000) in 2013 and 2014, respectively. A delayed correlation between the birch pollen concentration and the symptom scores was seen up to two days after the pollen measurement (0.151, p = 0.031). For grass pollen this effect lasted up to three days after the pollen measurement (0.194, p = 0.000). Conclusion We found comparable correlations between symptom score and pollen concentration as found by EAACI. Birch and grass pollen have an elongated influence on symptom score of several days. This implies patients need to continue on demand medication longer after a measured pollen peak. Allergic rhinitis (AR) affects 10-15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout the pollen season and therefore, symptom severity fluctuates. This study investigates the correlation between pollen concentration and symptom load in children with AR in The Netherlands. A secondary analysis was performed in a study determining the most effective treatment for children with seasonal AR. Symptoms were measured during three months in 2013 and 2014 using a daily symptom diary. The pollen concentration was measured with a Hirst type volumetric spore trap sampler. A correlation coefficient was calculated for the correlation between the pollen concentration and the mean daily symptom score. The study protocol was approved by the medical ethical review committee of the Erasmus MC and is incorporated in the International Clinical Trials Registry Platform (EUCTR2012-001,591-11-NL). In 2014, the correlation coefficient for birch pollen concentration and symptom score was 0.423 (p = 0.000). The correlation coefficient for grass pollen concentration and symptom score was 0.413 (p = 0.000) and 0.655 (p = 0.000) in 2013 and 2014, respectively. A delayed correlation between the birch pollen concentration and the symptom scores was seen up to two days after the pollen measurement (0.151, p = 0.031). For grass pollen this effect lasted up to three days after the pollen measurement (0.194, p = 0.000). We found comparable correlations between symptom score and pollen concentration as found by EAACI. Birch and grass pollen have an elongated influence on symptom score of several days. This implies patients need to continue on demand medication longer after a measured pollen peak. Background Allergic rhinitis (AR) affects 10-15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout the pollen season and therefore, symptom severity fluctuates. This study investigates the correlation between pollen concentration and symptom load in children with AR in The Netherlands. Methods A secondary analysis was performed in a study determining the most effective treatment for children with seasonal AR. Symptoms were measured during three months in 2013 and 2014 using a daily symptom diary. The pollen concentration was measured with a Hirst type volumetric spore trap sampler. A correlation coefficient was calculated for the correlation between the pollen concentration and the mean daily symptom score. The study protocol was approved by the medical ethical review committee of the Erasmus MC and is incorporated in the International Clinical Trials Registry Platform (EUCTR2012-001,591-11-NL). Results In 2014, the correlation coefficient for birch pollen concentration and symptom score was 0.423 (p = 0.000). The correlation coefficient for grass pollen concentration and symptom score was 0.413 (p = 0.000) and 0.655 (p = 0.000) in 2013 and 2014, respectively. A delayed correlation between the birch pollen concentration and the symptom scores was seen up to two days after the pollen measurement (0.151, p = 0.031). For grass pollen this effect lasted up to three days after the pollen measurement (0.194, p = 0.000). Conclusion We found comparable correlations between symptom score and pollen concentration as found by EAACI. Birch and grass pollen have an elongated influence on symptom score of several days. This implies patients need to continue on demand medication longer after a measured pollen peak. Keywords: Allergic Rhinitis, Pollen counts, Pollen season definition, Symptom variation, Children BackgroundAllergic rhinitis (AR) affects 10–15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout the pollen season and therefore, symptom severity fluctuates. This study investigates the correlation between pollen concentration and symptom load in children with AR in The Netherlands.MethodsA secondary analysis was performed in a study determining the most effective treatment for children with seasonal AR. Symptoms were measured during three months in 2013 and 2014 using a daily symptom diary. The pollen concentration was measured with a Hirst type volumetric spore trap sampler. A correlation coefficient was calculated for the correlation between the pollen concentration and the mean daily symptom score. The study protocol was approved by the medical ethical review committee of the Erasmus MC and is incorporated in the International Clinical Trials Registry Platform (EUCTR2012-001,591–11-NL).ResultsIn 2014, the correlation coefficient for birch pollen concentration and symptom score was 0.423 (p = 0.000). The correlation coefficient for grass pollen concentration and symptom score was 0.413 (p = 0.000) and 0.655 (p = 0.000) in 2013 and 2014, respectively. A delayed correlation between the birch pollen concentration and the symptom scores was seen up to two days after the pollen measurement (0.151, p = 0.031). For grass pollen this effect lasted up to three days after the pollen measurement (0.194, p = 0.000).ConclusionWe found comparable correlations between symptom score and pollen concentration as found by EAACI. Birch and grass pollen have an elongated influence on symptom score of several days. This implies patients need to continue on demand medication longer after a measured pollen peak. Allergic rhinitis (AR) affects 10-15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout the pollen season and therefore, symptom severity fluctuates. This study investigates the correlation between pollen concentration and symptom load in children with AR in The Netherlands. A secondary analysis was performed in a study determining the most effective treatment for children with seasonal AR. Symptoms were measured during three months in 2013 and 2014 using a daily symptom diary. The pollen concentration was measured with a Hirst type volumetric spore trap sampler. A correlation coefficient was calculated for the correlation between the pollen concentration and the mean daily symptom score. The study protocol was approved by the medical ethical review committee of the Erasmus MC and is incorporated in the International Clinical Trials Registry Platform (EUCTR2012-001,591-11-NL). In 2014, the correlation coefficient for birch pollen concentration and symptom score was 0.423 (p = 0.000). The correlation coefficient for grass pollen concentration and symptom score was 0.413 (p = 0.000) and 0.655 (p = 0.000) in 2013 and 2014, respectively. A delayed correlation between the birch pollen concentration and the symptom scores was seen up to two days after the pollen measurement (0.151, p = 0.031). For grass pollen this effect lasted up to three days after the pollen measurement (0.194, p = 0.000). We found comparable correlations between symptom score and pollen concentration as found by EAACI. Birch and grass pollen have an elongated influence on symptom score of several days. This implies patients need to continue on demand medication longer after a measured pollen peak. Abstract Background Allergic rhinitis (AR) affects 10–15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout the pollen season and therefore, symptom severity fluctuates. This study investigates the correlation between pollen concentration and symptom load in children with AR in The Netherlands. Methods A secondary analysis was performed in a study determining the most effective treatment for children with seasonal AR. Symptoms were measured during three months in 2013 and 2014 using a daily symptom diary. The pollen concentration was measured with a Hirst type volumetric spore trap sampler. A correlation coefficient was calculated for the correlation between the pollen concentration and the mean daily symptom score. The study protocol was approved by the medical ethical review committee of the Erasmus MC and is incorporated in the International Clinical Trials Registry Platform (EUCTR2012-001,591–11-NL). Results In 2014, the correlation coefficient for birch pollen concentration and symptom score was 0.423 (p = 0.000). The correlation coefficient for grass pollen concentration and symptom score was 0.413 (p = 0.000) and 0.655 (p = 0.000) in 2013 and 2014, respectively. A delayed correlation between the birch pollen concentration and the symptom scores was seen up to two days after the pollen measurement (0.151, p = 0.031). For grass pollen this effect lasted up to three days after the pollen measurement (0.194, p = 0.000). Conclusion We found comparable correlations between symptom score and pollen concentration as found by EAACI. Birch and grass pollen have an elongated influence on symptom score of several days. This implies patients need to continue on demand medication longer after a measured pollen peak. |
| ArticleNumber | 258 |
| Audience | Academic |
| Author | Tameeris, Ellen Bohnen, Arthur M. Bindels, Patrick J. E. Elshout, Gijs |
| Author_xml | – sequence: 1 givenname: Ellen surname: Tameeris fullname: Tameeris, Ellen email: e.tameeris@erasmusmc.nl organization: Department of General Practice, Erasmus Medical Center Rotterdam – sequence: 2 givenname: Arthur M. surname: Bohnen fullname: Bohnen, Arthur M. organization: Department of General Practice, Erasmus Medical Center Rotterdam – sequence: 3 givenname: Patrick J. E. surname: Bindels fullname: Bindels, Patrick J. E. organization: Department of General Practice, Erasmus Medical Center Rotterdam – sequence: 4 givenname: Gijs surname: Elshout fullname: Elshout, Gijs organization: Department of General Practice, Erasmus Medical Center Rotterdam |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37226154$$D View this record in MEDLINE/PubMed |
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| Keywords | Allergic Rhinitis Pollen season definition Children Symptom variation Pollen counts |
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| References_xml | – volume: 140 start-page: 950 issue: 4 year: 2017 ident: 4021_CR4 publication-title: J Allergy Clin Immunol doi: 10.1016/j.jaci.2017.03.050 – volume: 9 start-page: 1365 issue: 3 year: 2021 ident: 4021_CR6 publication-title: J Allergy Clin Immunol Pract doi: 10.1016/j.jaip.2020.09.057 – ident: 4021_CR14 doi: 10.54724/lc.2022.e1 – volume: 75 start-page: 1099 issue: 5 year: 2020 ident: 4021_CR10 publication-title: Allergy doi: 10.1111/all.14111 – volume: 27 start-page: 539 issue: 3 year: 2017 ident: 4021_CR16 publication-title: Indoor Air doi: 10.1111/ina.12351 – volume: 93 start-page: 131 issue: 2 year: 2004 ident: 4021_CR19 publication-title: Ann Allergy Asthma Immunol doi: 10.1016/S1081-1206(10)61464-0 – volume: 106 start-page: 278 issue: 3 year: 1995 ident: 4021_CR17 publication-title: Int Arch Allergy Immunol doi: 10.1159/000236855 – volume: 163 start-page: 51 issue: 1 year: 2014 ident: 4021_CR5 publication-title: Int Arch Allergy Immunol doi: 10.1159/000356317 – volume: 22 start-page: 155 issue: 2 year: 2013 ident: 4021_CR15 publication-title: Prim Care Respir J doi: 10.4104/pcrj.2013.00015 – volume: 73 start-page: 1851 issue: 9 year: 2018 ident: 4021_CR18 publication-title: Allergy doi: 10.1111/all.13487 – ident: 4021_CR1 doi: 10.1007/978-90-313-6614-9_61 – volume: 41 start-page: 208 issue: 3–4 year: 2017 ident: 4021_CR8 publication-title: Epidemiol Prev – volume: 69 start-page: 617 issue: 5 year: 2014 ident: 4021_CR7 publication-title: Allergy doi: 10.1111/all.12373 – ident: 4021_CR13 doi: 10.54724/lc.2022.e3 – volume: 119 start-page: 892 issue: 4 year: 2007 ident: 4021_CR11 publication-title: J Allergy Clin Immunol doi: 10.1016/j.jaci.2006.12.651 – volume: 72 start-page: 713 issue: 5 year: 2017 ident: 4021_CR9 publication-title: Allergy doi: 10.1111/all.13092 – volume: 13 start-page: 53 issue: 1 year: 2019 ident: 4021_CR20 publication-title: Expert Rev Respir Med doi: 10.1080/17476348.2019.1554438 – volume: 58 start-page: 1047 issue: 6 year: 2014 ident: 4021_CR12 publication-title: Int J Biometeorol – volume: 47 start-page: 856 issue: 7 year: 2017 ident: 4021_CR2 publication-title: Clin Exp Allergy doi: 10.1111/cea.12953 – volume: 72 start-page: 636 issue: 4 year: 2017 ident: 4021_CR3 publication-title: Allergy doi: 10.1111/all.13056 |
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Allergic rhinitis (AR) affects 10–15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout the... Allergic rhinitis (AR) affects 10-15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout the pollen season... Background Allergic rhinitis (AR) affects 10-15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout the... BackgroundAllergic rhinitis (AR) affects 10–15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout the... Abstract Background Allergic rhinitis (AR) affects 10–15% of children. Symptoms in seasonal AR are influenced by pollen exposure. Pollen counts vary throughout... |
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| SubjectTerms | Allergic Rhinitis Care and treatment Child Children Diagnosis Hay fever Health aspects Humans Internal Medicine Medicine Medicine & Public Health Netherlands Pediatrics Pollen Pollen counts Pollen season definition Rhinitis Rhinitis, Allergic - diagnosis Seasons Steroids Symptom variation Teenagers |
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| Title | Clinical response to varying pollen exposure in allergic rhinitis in children in The Netherlands |
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