History of allergic rhinitis and risk of asthma; a systematic review and meta-analysis
Background: Allergic rhinitis has been suspected to be a risk factor for asthma in several studies but this association is not firmly established. The objective of this study was to synthesize the evidence of the association between allergic rhinitis and the risk of asthma through a systematic revie...
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| Format: | Article |
| Language: | English |
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Elsevier
2019-10-01
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| Series: | World Allergy Organization Journal |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1939455119312232 |
| _version_ | 1818385249969635328 |
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| author | Hamid Reza Tohidinik Narmeen Mallah Bahi Takkouche |
| author_facet | Hamid Reza Tohidinik Narmeen Mallah Bahi Takkouche |
| author_sort | Hamid Reza Tohidinik |
| collection | DOAJ |
| description | Background: Allergic rhinitis has been suspected to be a risk factor for asthma in several studies but this association is not firmly established. The objective of this study was to synthesize the evidence of the association between allergic rhinitis and the risk of asthma through a systematic review and meta-analysis. Methods: We performed a search in Medline, Scopus, ISI Proceedings databases and other databases from inception until February 2019, followed by manual search to identify potentially relevant case-control and cohort studies that reported relative risk estimates and confidence intervals of the association between allergic rhinitis and asthma. Cross-sectional studies were excluded. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using fixed and random effects models and quality of studies was assessed through a modified version of the Newcastle-Ottawa scale. Results: Twenty-nine eligible studies, 22 cohort and 7 case-control studies, with a total of 274489 subjects, were included in the meta-analysis. The results show that history of allergic rhinitis is significantly associated with the occurrence of asthma (OR = 3.82; 95% CI: 2.92–4.99). European studies showed a stronger association (OR = 4.35; (95% CI: 3.12–6.06) than non-European studies (OR = 2.75; 95% CI: 2.16–3.50), and case-control studies showed a stronger association (OR = 4.71; 95% CI: 3.58–6.17) than cohort studies (OR = 3.42; 95% CI: 2.60–4.50). Conclusions: This meta-analysis shows that allergic rhinitis is strongly associated with asthma. Further prospective studies on the effect of treatment of allergic rhinitis on the development of asthma are needed. Relief of airway allergic manifestations may need dual control of allergic rhinitis and asthma. Registration: PROSPERO database with registration number CRD42017055156. Keywords: Allergic rhinitis, Asthma, Meta-analysis |
| first_indexed | 2024-12-14T03:35:10Z |
| format | Article |
| id | doaj.art-6c9c74dcd4134da9a7069968e85d5b55 |
| institution | Directory Open Access Journal |
| issn | 1939-4551 |
| language | English |
| last_indexed | 2024-12-14T03:35:10Z |
| publishDate | 2019-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | World Allergy Organization Journal |
| spelling | doaj.art-6c9c74dcd4134da9a7069968e85d5b552022-12-21T23:18:38ZengElsevierWorld Allergy Organization Journal1939-45512019-10-011210History of allergic rhinitis and risk of asthma; a systematic review and meta-analysisHamid Reza Tohidinik0Narmeen Mallah1Bahi Takkouche2HIV/STI Surveillance Research Center, WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran; Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Department of Preventive Medicine, University of Santiago de Compostela, Santiago de Compostela, SpainDepartment of Preventive Medicine, University of Santiago de Compostela, Santiago de Compostela, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBER-ESP), Madrid, SpainDepartment of Preventive Medicine, University of Santiago de Compostela, Santiago de Compostela, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBER-ESP), Madrid, Spain; Corresponding author. Department of Preventive Medicine. Faculty of Medicine University of Santiago de Compostela 15782 Santiago de Compostela, Spain.Background: Allergic rhinitis has been suspected to be a risk factor for asthma in several studies but this association is not firmly established. The objective of this study was to synthesize the evidence of the association between allergic rhinitis and the risk of asthma through a systematic review and meta-analysis. Methods: We performed a search in Medline, Scopus, ISI Proceedings databases and other databases from inception until February 2019, followed by manual search to identify potentially relevant case-control and cohort studies that reported relative risk estimates and confidence intervals of the association between allergic rhinitis and asthma. Cross-sectional studies were excluded. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using fixed and random effects models and quality of studies was assessed through a modified version of the Newcastle-Ottawa scale. Results: Twenty-nine eligible studies, 22 cohort and 7 case-control studies, with a total of 274489 subjects, were included in the meta-analysis. The results show that history of allergic rhinitis is significantly associated with the occurrence of asthma (OR = 3.82; 95% CI: 2.92–4.99). European studies showed a stronger association (OR = 4.35; (95% CI: 3.12–6.06) than non-European studies (OR = 2.75; 95% CI: 2.16–3.50), and case-control studies showed a stronger association (OR = 4.71; 95% CI: 3.58–6.17) than cohort studies (OR = 3.42; 95% CI: 2.60–4.50). Conclusions: This meta-analysis shows that allergic rhinitis is strongly associated with asthma. Further prospective studies on the effect of treatment of allergic rhinitis on the development of asthma are needed. Relief of airway allergic manifestations may need dual control of allergic rhinitis and asthma. Registration: PROSPERO database with registration number CRD42017055156. Keywords: Allergic rhinitis, Asthma, Meta-analysishttp://www.sciencedirect.com/science/article/pii/S1939455119312232 |
| spellingShingle | Hamid Reza Tohidinik Narmeen Mallah Bahi Takkouche History of allergic rhinitis and risk of asthma; a systematic review and meta-analysis World Allergy Organization Journal |
| title | History of allergic rhinitis and risk of asthma; a systematic review and meta-analysis |
| title_full | History of allergic rhinitis and risk of asthma; a systematic review and meta-analysis |
| title_fullStr | History of allergic rhinitis and risk of asthma; a systematic review and meta-analysis |
| title_full_unstemmed | History of allergic rhinitis and risk of asthma; a systematic review and meta-analysis |
| title_short | History of allergic rhinitis and risk of asthma; a systematic review and meta-analysis |
| title_sort | history of allergic rhinitis and risk of asthma a systematic review and meta analysis |
| url | http://www.sciencedirect.com/science/article/pii/S1939455119312232 |
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