Changing Prevalence and Severity of Childhood Allergic Diseases in Kyoto, Japan, from 1996 to 2006

Background: Published data regarding changes in the prevalence of childhood allergic diseases in Japan have been limited. Methods: To observe changes in the recent trends of the childhood allergy epidemic in Japan, a population- based questionnaire survey of allergic diseases was conducted among 13,...

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Main Authors: Takashi Kusunoki, Takeshi Morimoto, Ryuta Nishikomori, Takahiro Yasumi, Toshio Heike, Tatsuya Fujii, Tatsutoshi Nakahata
Format: Article
Language:English
Published: Elsevier 2009-01-01
Series:Allergology International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1323893015307395
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author Takashi Kusunoki
Takeshi Morimoto
Ryuta Nishikomori
Takahiro Yasumi
Toshio Heike
Tatsuya Fujii
Tatsutoshi Nakahata
author_facet Takashi Kusunoki
Takeshi Morimoto
Ryuta Nishikomori
Takahiro Yasumi
Toshio Heike
Tatsuya Fujii
Tatsutoshi Nakahata
author_sort Takashi Kusunoki
collection DOAJ
description Background: Published data regarding changes in the prevalence of childhood allergic diseases in Japan have been limited. Methods: To observe changes in the recent trends of the childhood allergy epidemic in Japan, a population- based questionnaire survey of allergic diseases was conducted among 13,215 schoolchildren, aged 7 to 15 years, in Kyoto, Japan in 2006. The results were compared with those obtained in the 1996 survey using the same scale and methods in the same region. Results: The prevalences of bronchial asthma (BA), atopic dermatitis (AD), allergic rhinitis (AR), and allergic conjunctivitis (AC) in 1996 and 2006 were 5.1% and 5.0% (p = 0.58), 4.2% and 5.6% (p < 0.0001), 20.3% and 27.4% (p < 0.0001), and 13.3% and 25.2% (p < 0.0001), respectively. Although the distribution of BA severity improved, the severity distribution of AD, AR, and AC all deteriorated. The lifetime prevalence (present prevalence and past history combined) of BA increased from 6.5% to 7.6% (p < 0.0001). The sex ratio analysis showed that the female predominance in the prevalence of AD observed in 1996 disappeared in 2006, indicating a particular rise in AD prevalence among boys. Conclusions: Overall, the results indicate that the rising trend of allergic diseases, especially in AD, AR, and AC, continues among schoolchildren living in Kyoto, Japan. Special attention should be paid to skin and naso- ocular symptoms.
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spelling doaj.art-bfc23f9a367048118d240a58861b2d642022-12-22T01:45:58ZengElsevierAllergology International1323-89302009-01-0158454354810.2332/allergolint.09-OA-0085Changing Prevalence and Severity of Childhood Allergic Diseases in Kyoto, Japan, from 1996 to 2006Takashi Kusunoki0Takeshi Morimoto1Ryuta Nishikomori2Takahiro Yasumi3Toshio Heike4Tatsuya Fujii5Tatsutoshi Nakahata6Department of Pediatrics, Shiga Medical Center for Children, Shiga, Kyoto, Japan.Center for Medical Education, Graduate School of Medicine, Kyoto University, Kyoto, Japan.Department of Pediatrics, Kyoto, Japan.Department of Pediatrics, Kyoto, Japan.Department of Pediatrics, Kyoto, Japan.Department of Pediatrics, Shiga Medical Center for Children, Shiga, Kyoto, Japan.Department of Pediatrics, Kyoto, Japan.Background: Published data regarding changes in the prevalence of childhood allergic diseases in Japan have been limited. Methods: To observe changes in the recent trends of the childhood allergy epidemic in Japan, a population- based questionnaire survey of allergic diseases was conducted among 13,215 schoolchildren, aged 7 to 15 years, in Kyoto, Japan in 2006. The results were compared with those obtained in the 1996 survey using the same scale and methods in the same region. Results: The prevalences of bronchial asthma (BA), atopic dermatitis (AD), allergic rhinitis (AR), and allergic conjunctivitis (AC) in 1996 and 2006 were 5.1% and 5.0% (p = 0.58), 4.2% and 5.6% (p < 0.0001), 20.3% and 27.4% (p < 0.0001), and 13.3% and 25.2% (p < 0.0001), respectively. Although the distribution of BA severity improved, the severity distribution of AD, AR, and AC all deteriorated. The lifetime prevalence (present prevalence and past history combined) of BA increased from 6.5% to 7.6% (p < 0.0001). The sex ratio analysis showed that the female predominance in the prevalence of AD observed in 1996 disappeared in 2006, indicating a particular rise in AD prevalence among boys. Conclusions: Overall, the results indicate that the rising trend of allergic diseases, especially in AD, AR, and AC, continues among schoolchildren living in Kyoto, Japan. Special attention should be paid to skin and naso- ocular symptoms.http://www.sciencedirect.com/science/article/pii/S1323893015307395allergic diseaseepidemiologyprevalencequestionnaireschoolchildren
spellingShingle Takashi Kusunoki
Takeshi Morimoto
Ryuta Nishikomori
Takahiro Yasumi
Toshio Heike
Tatsuya Fujii
Tatsutoshi Nakahata
Changing Prevalence and Severity of Childhood Allergic Diseases in Kyoto, Japan, from 1996 to 2006
Allergology International
allergic disease
epidemiology
prevalence
questionnaire
schoolchildren
title Changing Prevalence and Severity of Childhood Allergic Diseases in Kyoto, Japan, from 1996 to 2006
title_full Changing Prevalence and Severity of Childhood Allergic Diseases in Kyoto, Japan, from 1996 to 2006
title_fullStr Changing Prevalence and Severity of Childhood Allergic Diseases in Kyoto, Japan, from 1996 to 2006
title_full_unstemmed Changing Prevalence and Severity of Childhood Allergic Diseases in Kyoto, Japan, from 1996 to 2006
title_short Changing Prevalence and Severity of Childhood Allergic Diseases in Kyoto, Japan, from 1996 to 2006
title_sort changing prevalence and severity of childhood allergic diseases in kyoto japan from 1996 to 2006
topic allergic disease
epidemiology
prevalence
questionnaire
schoolchildren
url http://www.sciencedirect.com/science/article/pii/S1323893015307395
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