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dc.contributor.author
Marfortt, Daniel A.
dc.contributor.author
Josviack, Dario
dc.contributor.author
Lozano, Alejandro
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Cuestas, Eduardo
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Aguero, Luis
dc.contributor.author
Castro-Rodriguez, Jose A.
dc.date.available
2018-11-06T15:49:29Z
dc.date.issued
2017-06
dc.identifier.citation
Marfortt, Daniel A.; Josviack, Dario; Lozano, Alejandro; Cuestas, Eduardo; Aguero, Luis; et al.; Differences between preschoolers with asthma and allergies in urban and rural environments; Taylor; Journal Of Asthma; 55; 5; 6-2017; 470-476
dc.identifier.issn
0277-0903
dc.identifier.uri
http://hdl.handle.net/11336/63747
dc.description.abstract
Objective: Previous studies have provided conflicting results about how living in a rural or urban environment influences schoolchildren with asthma and allergic diseases in different ways. The aim of the present study was to evaluate if recurrent wheezing preschoolers from rural or urban areas differ in asthma, allergic diseases, and atopy. Methods: A cross-sectional-study in Rafaela, Argentina, on 143 preschoolers with recurrent wheezing from rural and urban settings was performed (2010–2012). Diagnosis of asthma (by positive asthma predictive index [API]), allergic diseases (rhinitis, dermatitis), and atopy (by skin prick test [SPT], peripheral blood eosinophils, and serum total IgE) were assessed. Results: Preschoolers from rural settings had significantly higher prevalence of vaginal delivery, longer breastfeeding, earlier onset of wheezing, more parental smoking, siblings, shared a bedroom, and more exposure to chemicals used in plant fumigation or farm animals, and unpasteurized milk consumption, in comparison to preschoolers living in urban setting. In contrast, preschoolers from urban areas had significantly higher prevalence of parental history of allergy, positive skin prick test, and positive API. After multivariate analysis adjusting for covariates, maternal smoking [odds ratio (OR) = 3.44] and positive SPT (OR = 5.57) significantly increase the risk of asthma diagnosis (positive API); in contrast, living in rural setting (OR = 0.04), and having more siblings (OR = 0.51) decrease their risk. Conclusions: Recurrent wheezing preschoolers from rural areas had a significant inverse odds of being diagnosed with asthma (type-2 inflammation) when compared to those from urban areas. Exposure to farm animals and consumption of unpasteurized milk might have a role.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Taylor
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Asthma Predictive Index
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Atopy
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Dairy Farm
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Dermatitis
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Preschoolers
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Rhinitis
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Rural And Urban Residence
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Unpasteurized Milk
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Wheeze
dc.subject.classification
Medicina Critica y de Emergencia
dc.subject.classification
Medicina Clínica
dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Differences between preschoolers with asthma and allergies in urban and rural environments
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2018-10-22T18:20:21Z
dc.identifier.eissn
1532-4303
dc.journal.volume
55
dc.journal.number
5
dc.journal.pagination
470-476
dc.journal.pais
Reino Unido
dc.journal.ciudad
Londres
dc.description.fil
Fil: Marfortt, Daniel A.. Universidad Católica de Córdoba. Facultad de Medicina. Clínica Universitaria Reina Fabiola; Argentina
dc.description.fil
Fil: Josviack, Dario. Universidad Católica de Córdoba. Facultad de Medicina. Clínica Universitaria Reina Fabiola; Argentina
dc.description.fil
Fil: Lozano, Alejandro. Universidad Católica de Córdoba. Facultad de Medicina. Clínica Universitaria Reina Fabiola; Argentina
dc.description.fil
Fil: Cuestas, Eduardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; Argentina
dc.description.fil
Fil: Aguero, Luis. Universidad Católica de Córdoba. Facultad de Medicina. Clínica Universitaria Reina Fabiola; Argentina
dc.description.fil
Fil: Castro-Rodriguez, Jose A.. Pontificia Universidad Católica de Chile; Chile
dc.journal.title
Journal Of Asthma
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1080/02770903.2017.1339800
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.tandfonline.com/doi/abs/10.1080/02770903.2017.1339800
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