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Please use this identifier to cite or link to this item: http://hdl.handle.net/1956/1994

Title: Latitude, Birth Date, and Allergy
Authors: Wjst, Matthias
Dharmage, Shyamali
André, Elisabeth
Norback, Dan
Raherison, Chantal
Villani, Simona
Manfreda, Jure
Sunyer, Jordi
Jarvis, Deborah
Burney, Peter
Svanes, Cecilie
Issue Date: 4-Oct-2005
Publisher: Public Library of Science
Series/Report no.: PLoS Med 2(10): e294
Abstract: Background: The space and time distribution of risk factors for allergic diseases may provide insights into disease mechanisms. Allergy is believed to vary by month of birth, but multinational studies taking into account latitude have not been conducted. Methods and Findings: A questionnaire was distributed in 54 centres to a representative sample of 20- to 44-y-old men and women mainly in Europe but also including regions in North Africa, India, North America, Australia, and New Zealand. Data from 200,682 participants were analyzed. The median prevalence of allergic rhinitis was 22%, with a substantial variation across centres. Overall, allergic rhinitis decreased with geographical latitude, but there were many exceptions. No increase in prevalence during certain winters could be observed. Also, no altered risk by birth month was found, except borderline reduced risks in September and October. Effect estimates obtained by a multivariate analysis of total and specific IgE values in 18,085 individuals also excluded major birth month effects and confirmed the independent effect of language grouping. Conclusion: Neither time point of first exposure to certain allergens nor early infections during winter months seems to be a major factor for adult allergy. Although there might be effects of climate or environmental UV exposure by latitude, influences within language groups seem to be more important, reflecting so far unknown genetic or cultural risk factors.
URI: http://dx.doi.org/10.1371/journal.pmed.0020294
http://hdl.handle.net/1956/1994
Appears in Collections:Section for Thoracic Medicine

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