Evaluation of selected aspects of the hygiene hypothesis and their effect on the incidence of allergy

Objectives The development of allergic conditions is largely dependent on the interactions between genetic (individual genetic predisposition) and environmental factors (exposure to risk factors). The aim of this study was an attempt to assess the influence of selected elements of the hygiene theory...

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Những tác giả chính: Edyta Krzych-Fałta, Oksana Wojas, Konrad Furmańczyk, Diana Dziewa-Dawidczyk, Barbara Piekarska, Bolesław Samoliński, Adam Sybilski
Định dạng: Bài viết
Ngôn ngữ:English
Được phát hành: Nofer Institute of Occupational Medicine 2023-02-01
Loạt:International Journal of Occupational Medicine and Environmental Health
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Truy cập trực tuyến:http://ijomeh.eu/Evaluation-of-selected-aspects-of-the-hygiene-hypothesis-and-their-effect-on-the,152680,0,2.html
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author Edyta Krzych-Fałta
Oksana Wojas
Konrad Furmańczyk
Diana Dziewa-Dawidczyk
Barbara Piekarska
Bolesław Samoliński
Adam Sybilski
author_facet Edyta Krzych-Fałta
Oksana Wojas
Konrad Furmańczyk
Diana Dziewa-Dawidczyk
Barbara Piekarska
Bolesław Samoliński
Adam Sybilski
author_sort Edyta Krzych-Fałta
collection DOAJ
description Objectives The development of allergic conditions is largely dependent on the interactions between genetic (individual genetic predisposition) and environmental factors (exposure to risk factors). The aim of this study was an attempt to assess the influence of selected elements of the hygiene theory in the development of allergic diseases such as allergic rhinitis and asthma. Material and Methods The study group consisted of 5518 women and 3868 men. The method that was used was the European Community Respiratory Health Survey II and International Study of Asthma and Allergies in Childhood questionnaire validated and adapted to Central and Eastern European conditions. The project was conducted in 8 urban areas (Gdańsk, Wrocław, Poznań, Katowice, Kraków, Lublin, Białystok, Warsaw) and 1 rural area (Krasnystaw county). This study had 2 stages; the first stage involved grouping the 22 500 respondents based on their questionnaire responses with the use of a Personal Digital Assistant (PDA); the second stage involved 7000 subjects, who underwent additional assessments: skin prick tests (birch, grasses/cereals, Dermatophagoides pteronyssinus and Dermatophagoides farinae , molds [set I: Botrytis cinerea , Cladosporium herbarum , Alternaria tenuis , Curvularia lunata , Fusarium moniliforme , Helminthosporium ], molds [set II: Aspergillus fumigatus , Mucor mucedo , Penicillium notatum , Pullularia pullulans , Rhizopus nigricans , Serpula lacrymans ], cat, dog, molds Cladosporium herbarum , Alternaria tenuis ) and spirometry tests. Results The age at which children attend the nursery school is critical to the development of allergic diseases; in allergic rhinitis, the risk of an IgE-dependent reaction is 2 times higher in the second than in the first year of life (p = 0.00147, p < 0.05), while in asthma, having a large number of siblings increases the risk of developing obstructive disease by almost 6 times (p = 0.00316, p < 0.05).The age at which children attend the nursery school is critical to the development of allergic diseases; in allergic rhinitis, the risk of an IgE-dependent reaction is 2 times higher in the second than in the first year of life (p = 0.00147, p < 0.05), while in asthma, having a large number of siblings increases the risk of developing obstructive disease by almost 6 times (p = 0.00316, p < 0.05). Conclusions The hygiene theory is particularly applicable and can explain the relationship of selected habits in the development of allergic diseases. Int J Occup Med Environ Health. 2023;36(1):69–83
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spelling doaj.art-db41e6d6d97c417b9a5993ab5ea28e8c2023-03-24T13:12:35ZengNofer Institute of Occupational MedicineInternational Journal of Occupational Medicine and Environmental Health1232-10871896-494X2023-02-01361698310.13075/ijomeh.1896.01880152680Evaluation of selected aspects of the hygiene hypothesis and their effect on the incidence of allergyEdyta Krzych-Fałta0https://orcid.org/0000-0002-9857-7136Oksana Wojas1https://orcid.org/0000-0003-1653-9388Konrad Furmańczyk2https://orcid.org/0000-0002-7683-4787Diana Dziewa-Dawidczyk3https://orcid.org/0000-0001-9486-1685Barbara Piekarska4https://orcid.org/0000-0002-6800-7781Bolesław Samoliński5https://orcid.org/0000-0002-4043-7747Adam Sybilski6https://orcid.org/0000-0003-2389-277XMedical University of Warsaw, Warsaw, Poland (Department of Basic Nursing, Faculty of Health Sciences)Medical University of Warsaw, Warsaw, Poland (Department of Environmental Hazards Prevention, Allergy and Immunology, Faculty of Health Sciences)Medical University of Warsaw, Warsaw, Poland (Department of Environmental Hazards Prevention, Allergy and Immunology, Faculty of Health Sciences)Warsaw University of Life Sciences, Warsaw, Poland (Institute of Information Technology, Department of Applied Mathematics)Medical University of Warsaw, Warsaw, Poland (Department of Environmental Hazards Prevention, Allergy and Immunology, Faculty of Health Sciences)Medical University of Warsaw, Warsaw, Poland (Department of Environmental Hazards Prevention, Allergy and Immunology, Faculty of Health Sciences)Medical Center of Postgraduate Education, Warsaw, Poland (2nd Clinic Pediatric)Objectives The development of allergic conditions is largely dependent on the interactions between genetic (individual genetic predisposition) and environmental factors (exposure to risk factors). The aim of this study was an attempt to assess the influence of selected elements of the hygiene theory in the development of allergic diseases such as allergic rhinitis and asthma. Material and Methods The study group consisted of 5518 women and 3868 men. The method that was used was the European Community Respiratory Health Survey II and International Study of Asthma and Allergies in Childhood questionnaire validated and adapted to Central and Eastern European conditions. The project was conducted in 8 urban areas (Gdańsk, Wrocław, Poznań, Katowice, Kraków, Lublin, Białystok, Warsaw) and 1 rural area (Krasnystaw county). This study had 2 stages; the first stage involved grouping the 22 500 respondents based on their questionnaire responses with the use of a Personal Digital Assistant (PDA); the second stage involved 7000 subjects, who underwent additional assessments: skin prick tests (birch, grasses/cereals, Dermatophagoides pteronyssinus and Dermatophagoides farinae , molds [set I: Botrytis cinerea , Cladosporium herbarum , Alternaria tenuis , Curvularia lunata , Fusarium moniliforme , Helminthosporium ], molds [set II: Aspergillus fumigatus , Mucor mucedo , Penicillium notatum , Pullularia pullulans , Rhizopus nigricans , Serpula lacrymans ], cat, dog, molds Cladosporium herbarum , Alternaria tenuis ) and spirometry tests. Results The age at which children attend the nursery school is critical to the development of allergic diseases; in allergic rhinitis, the risk of an IgE-dependent reaction is 2 times higher in the second than in the first year of life (p = 0.00147, p < 0.05), while in asthma, having a large number of siblings increases the risk of developing obstructive disease by almost 6 times (p = 0.00316, p < 0.05).The age at which children attend the nursery school is critical to the development of allergic diseases; in allergic rhinitis, the risk of an IgE-dependent reaction is 2 times higher in the second than in the first year of life (p = 0.00147, p < 0.05), while in asthma, having a large number of siblings increases the risk of developing obstructive disease by almost 6 times (p = 0.00316, p < 0.05). Conclusions The hygiene theory is particularly applicable and can explain the relationship of selected habits in the development of allergic diseases. Int J Occup Med Environ Health. 2023;36(1):69–83http://ijomeh.eu/Evaluation-of-selected-aspects-of-the-hygiene-hypothesis-and-their-effect-on-the,152680,0,2.htmlasthmaallergyallergic rhinitishygiene hypothesiseuropean community respiratory health survey iiinternational study of asthma and allergies in childhood
spellingShingle Edyta Krzych-Fałta
Oksana Wojas
Konrad Furmańczyk
Diana Dziewa-Dawidczyk
Barbara Piekarska
Bolesław Samoliński
Adam Sybilski
Evaluation of selected aspects of the hygiene hypothesis and their effect on the incidence of allergy
International Journal of Occupational Medicine and Environmental Health
asthma
allergy
allergic rhinitis
hygiene hypothesis
european community respiratory health survey ii
international study of asthma and allergies in childhood
title Evaluation of selected aspects of the hygiene hypothesis and their effect on the incidence of allergy
title_full Evaluation of selected aspects of the hygiene hypothesis and their effect on the incidence of allergy
title_fullStr Evaluation of selected aspects of the hygiene hypothesis and their effect on the incidence of allergy
title_full_unstemmed Evaluation of selected aspects of the hygiene hypothesis and their effect on the incidence of allergy
title_short Evaluation of selected aspects of the hygiene hypothesis and their effect on the incidence of allergy
title_sort evaluation of selected aspects of the hygiene hypothesis and their effect on the incidence of allergy
topic asthma
allergy
allergic rhinitis
hygiene hypothesis
european community respiratory health survey ii
international study of asthma and allergies in childhood
url http://ijomeh.eu/Evaluation-of-selected-aspects-of-the-hygiene-hypothesis-and-their-effect-on-the,152680,0,2.html
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