Association between prenatal or postpartum exposure to tobacco smoking and allergic rhinitis in the offspring: An updated meta-analysis of nine cohort studies

Introduction Previous studies have suggested an association between tobacco smoke exposure and allergic rhinitis. This study aimed to investigate if prenatal or postpartum smoke exposure will increase the risk of allergic rhinitis in offspring. Methods PubMed, EMBASE, and the Cochrane library were...

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Main Authors: Xinrong Li, Ran Jing, Shenglan Feng, Hui Zhang, Jianfeng Zhang, Jiulin Li, Wencan Cao, Mingjun Jiang, Yang Liu
Format: Article
Language:English
Published: European Publishing 2022-04-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.tobaccoinduceddiseases.org/Association-between-prenatal-or-postpartum-exposure-to-ntobacco-smoking-and-allergic,146905,0,2.html
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author Xinrong Li
Ran Jing
Shenglan Feng
Hui Zhang
Jianfeng Zhang
Jiulin Li
Wencan Cao
Mingjun Jiang
Yang Liu
author_facet Xinrong Li
Ran Jing
Shenglan Feng
Hui Zhang
Jianfeng Zhang
Jiulin Li
Wencan Cao
Mingjun Jiang
Yang Liu
author_sort Xinrong Li
collection DOAJ
description Introduction Previous studies have suggested an association between tobacco smoke exposure and allergic rhinitis. This study aimed to investigate if prenatal or postpartum smoke exposure will increase the risk of allergic rhinitis in offspring. Methods PubMed, EMBASE, and the Cochrane library were searched from inception to July 2020 for eligible studies investigating the association between smoking exposure and allergic rhinitis. The random-effects model was adopted for the metaanalysis to obtain the summary odds ratio (OR) with a 95% confidence interval (CI). Subgroup analysis based on the age of children was performed. Sensitivity analysis was carried out to check the robustness of the results. Publication bias of included studies was assessed. Results This meta-analysis included nine studies, in which six studies suggested that children exposed to prenatal smoking were more likely to develop allergic rhinitis compared with children who were never exposed (OR=1.12; 95% CI: 1.04–1.21). The subgroup analysis divided children those aged 10 years (OR=0.99; 95% CI: 0.82–1.20). This metaanalysis revealed a positive relationship between postpartum smoke exposure and the development of allergic rhinitis in offspring (OR=1.19; 95% CI: 1.03–1.39) with marked heterogeneity. The subgroup analysis of age in the postnatal group showed similar results in children aged >10 years (OR=1.17; 95% CI: 1.05–1.30) and children aged <10 years (OR=1.21; 95% CI: 0.91–1.60). Conclusions This meta-analysis observed an association between parental smoking exposure and allergic rhinitis in offspring. Our findings indicated that both prenatal and postnatal smoke exposure might be risk factors for allergic rhinitis in the offspring.
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spelling doaj.art-b24ba6caa63742d39ffff75767b3ebf82022-12-22T03:26:25ZengEuropean PublishingTobacco Induced Diseases1617-96252022-04-0120April11010.18332/tid/146905146905Association between prenatal or postpartum exposure to tobacco smoking and allergic rhinitis in the offspring: An updated meta-analysis of nine cohort studiesXinrong Li0Ran Jing1Shenglan Feng2Hui Zhang3Jianfeng Zhang4Jiulin Li5Wencan Cao6Mingjun Jiang7Yang Liu8Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaHospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaHospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaHospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaHospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaHospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaHospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaHospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaHospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaIntroduction Previous studies have suggested an association between tobacco smoke exposure and allergic rhinitis. This study aimed to investigate if prenatal or postpartum smoke exposure will increase the risk of allergic rhinitis in offspring. Methods PubMed, EMBASE, and the Cochrane library were searched from inception to July 2020 for eligible studies investigating the association between smoking exposure and allergic rhinitis. The random-effects model was adopted for the metaanalysis to obtain the summary odds ratio (OR) with a 95% confidence interval (CI). Subgroup analysis based on the age of children was performed. Sensitivity analysis was carried out to check the robustness of the results. Publication bias of included studies was assessed. Results This meta-analysis included nine studies, in which six studies suggested that children exposed to prenatal smoking were more likely to develop allergic rhinitis compared with children who were never exposed (OR=1.12; 95% CI: 1.04–1.21). The subgroup analysis divided children those aged 10 years (OR=0.99; 95% CI: 0.82–1.20). This metaanalysis revealed a positive relationship between postpartum smoke exposure and the development of allergic rhinitis in offspring (OR=1.19; 95% CI: 1.03–1.39) with marked heterogeneity. The subgroup analysis of age in the postnatal group showed similar results in children aged >10 years (OR=1.17; 95% CI: 1.05–1.30) and children aged <10 years (OR=1.21; 95% CI: 0.91–1.60). Conclusions This meta-analysis observed an association between parental smoking exposure and allergic rhinitis in offspring. Our findings indicated that both prenatal and postnatal smoke exposure might be risk factors for allergic rhinitis in the offspring.http://www.tobaccoinduceddiseases.org/Association-between-prenatal-or-postpartum-exposure-to-ntobacco-smoking-and-allergic,146905,0,2.htmltobaccoallergic rhinitisprenatalpostnatalmeta-analysis
spellingShingle Xinrong Li
Ran Jing
Shenglan Feng
Hui Zhang
Jianfeng Zhang
Jiulin Li
Wencan Cao
Mingjun Jiang
Yang Liu
Association between prenatal or postpartum exposure to tobacco smoking and allergic rhinitis in the offspring: An updated meta-analysis of nine cohort studies
Tobacco Induced Diseases
tobacco
allergic rhinitis
prenatal
postnatal
meta-analysis
title Association between prenatal or postpartum exposure to tobacco smoking and allergic rhinitis in the offspring: An updated meta-analysis of nine cohort studies
title_full Association between prenatal or postpartum exposure to tobacco smoking and allergic rhinitis in the offspring: An updated meta-analysis of nine cohort studies
title_fullStr Association between prenatal or postpartum exposure to tobacco smoking and allergic rhinitis in the offspring: An updated meta-analysis of nine cohort studies
title_full_unstemmed Association between prenatal or postpartum exposure to tobacco smoking and allergic rhinitis in the offspring: An updated meta-analysis of nine cohort studies
title_short Association between prenatal or postpartum exposure to tobacco smoking and allergic rhinitis in the offspring: An updated meta-analysis of nine cohort studies
title_sort association between prenatal or postpartum exposure to tobacco smoking and allergic rhinitis in the offspring an updated meta analysis of nine cohort studies
topic tobacco
allergic rhinitis
prenatal
postnatal
meta-analysis
url http://www.tobaccoinduceddiseases.org/Association-between-prenatal-or-postpartum-exposure-to-ntobacco-smoking-and-allergic,146905,0,2.html
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