Prevalence and Regional Factors in the Development and Course of Allergic Diseases in Children in Southern Kyrgyzstan

Authors

  • Maksudakan Jumanalieva Department of Clinical Disciplines, Central Asian International Medical University, Jalal-Abad, Kyrgyz Republic

DOI:

https://doi.org/10.6000/1929-4247.2024.13.03.2

Keywords:

Asthma, allergic rhinitis, atopic dermatitis, allergy treatment

Abstract

Background: The prevalence of allergic diseases in children worldwide has increased rapidly over the past 30 years. This study aimed to identify regional factors influencing the development and course of allergic diseases for further prevention, control, and reduction of the risk and frequency of complications.

Methods: To investigate the issue, 104 studies by different authors and countries, as well as topics related to allergy in children, air pollution, and regional factors of detection and prevalence of this disease in Kyrgyzstan, were selected. Of these, 52 studies were noted and analysed, which met the selection criteria and were of direct importance in this topic.

Results: This study of allergic diseases in children found that more than 35% of children worldwide suffer from allergic diseases. Of these, allergic rhinitis occurs in 12% of children, atopic dermatitis is less common, but its incidence is 10-20%, and bronchial asthma, according to statistics, covers more than 14% of children.

Conclusion: The results of the study helped to investigate the prevalence of allergic diseases relative to the region of residence, the impact of environmental pollution, geographical significance, and the effect of smoking on the development of allergies in children.

References

Fang X, Huang S, Zhu Y, Lei J, Xu Y, Niu Y, et al. Short-term exposure to ozone and asthma exacerbation in adults: A longitudinal study in China. Front Public Health 2023; 10: 1070231. https://doi.org/10.3389/fpubh.2022.1070231

Brożek JL, Bousquet J, Agache I, Agarwal A, Bachert C, Bosnic-Anticevich S, et al. Allergic rhinitis and its impact on asthma (ARIA) guidelines - 2016 revision. J Allergy Clin Immunol 2017; 140(4): 950-8. https://doi.org/10.1016/j.jaci.2017.03.050

Antypkin JG, Umanets TR, Lapshin VF, Nakonechna AA, Matveeva SU, Pustovalova OI. Bronchial asthma along with allergic rhinitis in children: Value antihistamines in treatment. Asthma Allergy Expert Opin 2014; 4: 60-5. http://www.ifp.kiev.ua/doc/journals/aa/14/pdf14-4/60.pdf

Chen Y, Kong D, Fu J, Zhang Y, Zhao Y, Liu Y, et al. Associations between ambient temperature and adult asthma hospitalisations in Beijing, China: a time-stratified case-crossover study. Respir Res 2022; 23: 38. https://doi.org/10.1186/s12931-022-01960-8

Naclerio R, Ansotegui IJ, Bousquet J, Canonica GW, D’Amato G, Rosario N, et al. International expert consensus on the management of allergic rhinitis (AR) aggravated by air pollutants: Impact of air pollution on patients with AR: Current knowledge and future strategies. World Allergy Organ J 2020; 13(3): 100106. https://doi.org/10.1016/j.waojou.2020.100106

Volosovets OP, Bolbot YuK, Beketova GV, Berezenko VS, Umanets TR, Rechkina OO, et al. Allergic march in children of Ukraine. Med Perspekt 2021; 26(4): 181-8. https://doi.org/10.26641/2307-0404.2021.4.248227

Lee H, Kim GS. Geographical and sociodemographic risk factors for allergic diseases in Korean children. Asian Nurs Res 2011; 5(1): 1-10. https://doi.org/10.1016/S1976-1317(11)60008-X

Kurt E, Metintas S, Basyigit I, Bulut I, Coskun E, Dabak S, et al. Prevalence and risk factors of allergies in Turkey: Results of a multicentric cross-sectional study in children. Pediatr Allergy Immunol 2007; 18(7): 566-74. https://doi.org/10.1111/j.1399-3038.2007.00551.x

Chad Z. Allergies in children. Paediatr Child Health 2001; 6(8): 555-66. https://doi.org/10.1093/pch/6.8.555

Kjærgaard J, Nissen TN, Isaeva E, Quynh NN, Reventlow S, Lund S, et al. No time for change? Impact of contextual factors on the effect of training primary care healthcare workers in Kyrgyzstan and Vietnam on how to manage asthma in children - A FRESH AIR implementation study. BMC Health Serv Res 2020; 20: 1137. https://doi.org/10.1186/s12913-020-05984-y

Priftis KN, Anthracopoulos MB, Nikolaou-Papanagiotou A, Matziou V, Paliatsos AG, Tzavelas G, et al. Increased sensitisation in urban vs. rural environment - Rural protection or an urban living effect? Pediatric Allergy and Immunology 2007; 18(3): 209-16. https://doi.org/10.1111/j.1399-3038.2006.00514.x

Khaltaev N. GARD, a new way to battle with chronic respiratory diseases, from disease-oriented programmes to global partnership. Journal of Thoracic Disease 2017; 9(11): 4676-89. https://doi.org/10.21037/jtd.2017.11.91

Hamelin N, Bhatti IM. Energy usage, health issues, and pro-environmental behaviour: Exploring the link and promoting energy change in Kyrgyzstan. Energies 2023; 16(19): 6858. https://doi.org/10.3390/en16196858

About the Kyrgyz Republic 2019. https://invest.gov.kg/about-kyrgyz-republic/general-information/

Osh forestry 2024. https://forest.gov.kg/en/forestries/31/ geography

Kara-Alma-Urumbash forestry 2024. https://forest.gov.kg/en/ forestries/19/geography

Sooronbaev T, Ghezai B, Williams S, Almatalieva M, Mademilov M, Chavannes N. Indoor pollutions and the prevalence of respiratory symptoms among highlanders in Kyrgyzstan. European Respiratory Journal 2015; 46(59): PA4094. https://doi.org/10.1183/13993003.congress-2015.PA4094

Tabyshova A, Emilov B, Seiitov M, Beyshenbekova A, Osmonov B, Estebesova B, et al. Indoor air pollution and, respiratory symptoms, and pneumonia in highland children in Kyrgyzstan. European Respiratory Journal 2017; 50(61): PA1859. https://doi.org/10.1183/1393003.congress-2017.PA1859

Brakema EA, Tabyshova A, Kasteleyn MJ, Molendijk E, van der Kleij RMJJ, van Boven JFM, et al. High COPD prevalence at high altitude: Does household air pollution play a role? European Respiratory Journal 2019; 53(2): 1801193. https://doi.org/10.1183/13993003.01193-2018

Tabyshova A, Estebesova B, Beishenbekova A, Sooronbaev T, Brakema EA, Chavannes NH, et al. Clinical characteristics, treatment patterns and economic burden of COPD in Kyrgyzstan: A FRESH AIR study. International Journal of Chronic Obstructive Pulmonary Disease 2021; 16: 2833-43. https://doi.org/10.2147/COPD.S322778

van Gemert F, de Jong C, Kirenga B, Musinguzi P, Buteme S, Sooronbaev T, et al. Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: A FRESH AIR study. NPJ Prim Care Respir Med 2019; 29: 32. https://doi.org/10.1038/s41533-019-0144-8

Wang X, Zhao Q, Wang Y. A distributed optimisation method for energy saving of parallel-connected pumps in HVAC systems. Energies 2020; 13(15): 3927. https://doi.org/10.3390/en13153927

Climate risk country profile: Kyrgyz Republic 2021. https://www.adb.org/publications/climate-risk-country-profile-kyrgyz-republic

Azhgaliyeva D, Mishra R, Karymshakov K, Kerimray A, Kapsalyamova Z. What determines coal consumption for residential heating in Kazakhstan and the Kyrgyz Republic? Australas J Environ Manag 2021; 28(4): 410-32. https://doi.org/10.1080/14486563.2021.1989328

World Health Organization. Prevention of allergy and allergic asthma 2003. https://iris.who.int/handle/10665/68361

Gibson GJ, Loddenkemper R, Lundbäck B, Sibille Y. Respiratory health and disease in Europe: The new European Lung White Book. Eur Respir J 2013; 42: 559-63. https://doi.org/10.1183/09031936.00105513

World Health Organization. WHO report on the global tobacco epidemic, 2017: Monitoring tobacco use and prevention policies 2017. https://www.who.int/ publications/i/item/9789241512824

World Health Organization. Air pollution and child health: Prescribing clean air: Summary 2018. https://iris.who.int/handle/10665/275545

Norbäck D, Lu C, Zhang Y, Li B, Zhao Z, Huang C, et al. Onset and remission of childhood wheeze and rhinitis across China - Associations with early life indoor and outdoor air pollution. Environment International 2019; 123: 61-9. https://doi.org/10.1016/j.envint.2018.11.033

Ballardini N, Kull I, Lind T, Hallner E, Almqvist C, Östblom E, et al. Development and comorbidity of eczema, asthma and rhinitis to age 12 - Data from the BAMSE birth cohort. Allergy 2012; 67(4): 537-44. https://doi.org/10.1111/j.1398-9995.2012.02786.x

Avena-Woods C. Overview of atopic dermatitis. American Journal of Managed Care 2017; 23(8). https://www.ajmc. com/view/overview-of-atopic-dermatitis-article

Eichenfield LF, Tom WL, Chamlin SL, Feldman SR, Hanifin JM, Simpson EL, et al. Guidelines of care for the management of atopic dermatitis: Diagnosis and assessment of atopic dermatitis. Journal of the American Academy of Dermatology 2013; 70(2): 338-51. https://doi.org/10.1016/j.jaad.2013.10.010

Wen HJ, Chen PC, Chiang TL, Lin SJ, Chuang YL, Guo YL. Predicting risk for early infantile atopic dermatitis by hereditary and environmental factors. Br J Dermatol 2009; 161(5): 1166-72. https://doi.org/10.1111/j.1365-2133.2009.09412.x

Illi S, von Mutius E, Lau S, Nickel R, Grüber C, Niggemann B, et al. The natural course of atopic dermatitis from birth to age 7 years and the association with asthma. J Allergy Clin Immunol 2004; 113(5): 925-31. https://doi.org/10.1016/j.jaci.2004.01.778

Seidman MD, Gurgel RK, Lin SY, Schwartz SR, Baroody FM, Bonner JR, et al. Clinical practice guideline: Allergic rhinitis. Otolaryngology-Head and Neck Surgery 2015; 152(1 Suppl): S1-43. https://doi.org/10.1177/0194599814561600

Guo S, Wang Y, Chen H, Huang N, Li W, Ma D, et al. A questionnaire survey on the prevalence and parents’ perceptions of respiratory allergies in a 3- to 16-year-old population in Wuhan, China. Journal of Clinical Medicine 2022; 11(16): 4864. https://doi.org/10.3390/jcm11164864

Skoner DP. Allergic rhinitis: Definition, epidemiology, pathophysiology, detection, and diagnosis. J Allergy Clin Immunol 2001; 108(1 Suppl): S2-8. https://doi.org/10.1067/mai.2001.115569

Huang Z, Li A, Zhu H, Pan J, Xiao J, Wu J, et al. Multicenter study of seasonal and regional airborne allergens in Chinese preschoolers with allergic rhinitis. Scientific Reports 2024; 14: 4754. https://doi.org/10.1038/s41598-024-54574-z

Siddique AE, Rahman M, Hossain I, Karim Y, Hasibuzzaman MM, Biswas S, et al. Association between chronic arsenic exposure and the characteristic features of asthma. Chemosphere 2020; 246: 125790. https://doi.org/10.1016/j.chemosphere.2019.125790

Naing C, Ni H. Statins for asthma. Cochrane Database Syst Rev 2020; 7: CD013268. https://doi.org/10.1002/14651858.CD013268.pub2

Cheng SL, Chiu KC, Ko HK, Perng DW, Wang HC, Yu CJ, et al. Comparing patient characteristics, clinical outcomes, and biomarkers of severe asthma patients in Taiwan. Biomedicines 2021; 9(7): 764. https://doi.org/10.3390/biomedicines9070764

Rathod A, Zhang H, Arshad SH, Ewart S, Relton CL, Karmaus W, et al. DNA methylation and asthma acquisition during adolescence and post-adolescence, an epigenome-wide longitudinal study. J Pers Med 2022; 12(2): 202. https://doi.org/10.3390/jpm12020202

Lu C, Liu Z, Liao H, Yang W, Li Q, Liu Q. Effects of early life exposure to home environmental factors on childhood allergic rhinitis: Modifications by outdoor air pollution and temperature. Ecotoxicol Environ Saf 2022; 244: 114076. https://doi.org/10.1016/j.ecoenv.2022.114076

Lu C, Zhang Y, Li B, Zhao Z, Huang C, Zhang X, et al. Interaction effect of prenatal and postnatal exposure to ambient air pollution and temperature on childhood asthma. Environ Int 2022; 167: 107456. https://doi.org/10.1016/j.envint.2022.107456

Timm S, Frydenberg M, Janson C, Campbell B, Forsberg B, Gislason T, et al. The urban-rural gradient in asthma: A population-based study in Northern Europe. Int J Environ Res Public Health 2016; 13(1): 93. https://doi.org/10.3390/ijerph13010093

Dutmer CM, McGraw MD, Liu AH. Inner-city asthma: Special considerations for management. Curr Opin Allergy Clin Immunol 2016; 16(2): 148-56. https://doi.org/10.1097/ACI.0000000000000254

The climate in Kyrgyz Republic 2024. https://www.worlddata.info/asia/kyrgyzstan/climate.php

Parisi GF, Leonardi S, Ciprandi G, Corsico A, Licari A, Miraglia Del Giudice M, Peroni D, Salpietro C, Marseglia GL. Cetirizine use in childhood: An update of a friendly 30-year drug. Clinical and Molecular Allergy 2020; 18(1): 2. https://doi.org/10.1186/s12948-020-00118-5

Pappalardo MG, Parisi GF, Tardino L, Savasta S, Brambilla I, Marseglia GL, Licari A, Leonardi S. Measurement of nitric oxide and assessment of airway diseases in children: An update. Minerva Pediatrica 2019; 71(6): 524-32. https://doi.org/10.23736/S0026-4946.19.05513-0

Pētersone M, Ketners K, Krieviņš D, Erins I, Rakauskiene OG, Eriņa I. Network for Disease-Specific Networking Strategy to Increasing of Public Value: Latvia’s Approach. Lecture Notes in Networks and Systems 2021; 267: 363-70. https://doi.org/10.1007/978-3-030-80876-1_46

Bocheliuk VY, Spytska LV, Mamicheva OV, Panov MS, Kordonets VV. Psychological Features of Post-COVID Syndrome Course. International Journal of Health Sciences 2021: 5(3)276-5. https://doi.org/10.53730/ijhs.v5n3.1503

Spytska L. Global practice of reducing the level of tobacco consumption through legislative regulation. Medicine and Law 2023; 42(2): 407-22.

Ekom Nsed EN, Boichuk OH, Heryak SM, Nikitina IM, Khmil SV, Myhovych VV. Condition of fetuses and newborns from women with infertility treated with assisted reproductive technologies and with concomitant intrahepatic cholestasis. Wiadomosci lekarskie (Warsaw, Poland: 1960) 2021; 74(7): 1713-7. https://doi.org/10.36740/wlek202107127

Elholm G, Linneberg A, Husemoen LLN, Omland Ø, Grønager PM, Sigsgaard T, et al. The Danish urban-rural gradient of allergic sensitisation and disease in adults. Clinical & Experimental Allergy 2016; 46(1): 103-11. https://doi.org/10.1111/cea.12583

Fu W, Zheng Z, Zhao J, Feng M, Xian M, Wei N, et al. Allergic disease and sensitisation disparity in urban and rural China: A EuroPrevall-INCO study. Pediatric Allergy and Immunology 2022; 33(12): e13903. https://doi.org/10.1111/pai.13903

Mittermann I, Dzoro S, Gattinger P, Botha M, Basera W, Facey-Thomas HE, et al. Molecular IgE sensitisation profiles of urban and rural children in South Africa. Pediatric Allergy and Immunology 2020; 32(2): 234-41. https://doi.org/10.1111/pai.13377

Slivkina N, Abduldayeva A, Tardjibayeva S, Doszhanova G, Kuanyshbayeva G. The health of the population, according to prenosological diagnostics. Georgian Medical News 2020; 303: 188-93. https://pubmed.ncbi.nlm.nih.gov/32841204/

Doszhanova GN, Abduldayeva AA. Hygienic assessment of the nutrition status of the population of the gerontological group. Gigiena i Sanitariya 2017; 96(11): 1084-7. https://doi.org/10.18821/0016-9900-2017-96-11-1084-1087

Imashev M, Fursov A, Imasheva B, Fursov R, Kuspaev Y, Kovalenko T, Ismailov A, Abduldayeva A, Volchkova I. Gastroduodenal bleeding and perforation in diabetic patients with metabolic syndrome (The results of a 15-year observation of city residents with intensive urbanisation). Iran J Publ Health 2019; 48(10): 1786-93.

Giallongo A, Parisi GF, Licari A, Pulvirenti G, Cuppari C, Salpietro C, Marseglia GL, Leonardi S. Novel therapeutic targets for allergic airway disease in children. Drugs in Context 2019; 8: 212590. https://doi.org/10.7573/dic.212590

Published

2024-08-19

How to Cite

Jumanalieva, M. . (2024). Prevalence and Regional Factors in the Development and Course of Allergic Diseases in Children in Southern Kyrgyzstan. International Journal of Child Health and Nutrition, 13(3), 134–144. https://doi.org/10.6000/1929-4247.2024.13.03.2

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Section

General Articles