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M Wjst

Publications and source records attributed to M Wjst.

7 recordsLinked to original sources
PubMed1992

Month of birth and allergic disease at the age of 10.

The relationship between month of birth and asthma, hay fever and skin sensitization to mixed grass pollen was analysed in a population-based cross-sectional study in Munich and Bavaria 1989-1990 of 6535 10-year-old children. The relative risk of developing atopic disease is calculated by comparing the prevalence in a single month with the prevalence of all other months. A slightly increased risk of developing allergic skin sensitization for grass pollen (n = 1128) was found for February (odds ratio, 1.3, 95% confidence interval 1.0-1.6), May (1.4, 1.1-1.8) and June (1.3, 1.0-1.6). For hay fever (n = 379) an increase was found for May (1.5, 1.0-2.1) and for allergic asthma (n = 277) for August (1.4, 1.0-2.1). A protective effect was observed for certain months of birth; September for allergic sensitization (0.8, 0.6-1.0), October for and November for hay fever (0.6, 0.3-0.9). The occurrence of hay fever and positive prick test is explained by the seasonal variation of atmospheric grass pollen and the peak in August of asthmatic patients by house dust. Date of birth appears therefore to slightly influence the risk of developing an allergic sensitization and allergic diseases.

Child↗
PubMed1992

Genetic risk for asthma, allergic rhinitis, and atopic dermatitis.

In order to explore the genetic risk of a child with a family history of allergies developing asthma, allergic rhinitis, or atopic dermatitis, questionnaires filled in by 6665 families were analysed. The data were collected in a population based cross sectional survey of 9-11 year old schoolchildren living in Munich and southern Bavaria. The relation between asthma, allergic rhinitis, and atopic dermatitis and the number of allergic first degree relatives, and the type of allergic disease was examined. Analyses were done separately for families with single or multiple allergic diseases. In families with one allergic parent the risk of the child developing asthma was increased by asthma in a parent, with an odds ratio (OR) of 2.6 (95% confidence interval 1.7 to 4.0) but not by parental allergic rhinitis with OR 1.0 (0.7 to 1.5) or atopic dermatitis, OR 1.0 (0.6 to 1.6). For allergic rhinitis the highest risk with OR 3.6 (2.9 to 4.6) was observed with allergic rhinitis of one parent, apparently lower for asthma of one parent, OR 2.5 (1.6 to 4.0) or atopic dermatitis, OR 1.7 (1.1 to 2.5). Children with parental atopic dermatitis had a high risk for atopic dermatitis, OR 3.4 (2.6 to 4.4), compared with children with parental asthma, OR 1.5 (1.0 to 2.2), or parental allergic rhinitis, OR 1.4 (1.1 to 1.8). Risk factors in families with combined allergies of two relatives (parents and siblings) were analysed separately for the different combinations. These results support the hypothesis that asthma, allergic rhinitis, and atopic dermatitis are multifactorial diseases brought about by various familial and environmental influences.

Asthma↗
PubMed1992

[Effects of passive smoking on the pediatric respiratory tract].

OBJECTIVE: To explore the risk of parental smoking to the respiratory health of their children data of a cross sectional study on fourth-grade schoolchildren in Munich and Southern Bavaria were analysed. METHODS: Allergic and asthmatic diseases and symptoms, risk factors like family history, indoor pollution and parental smoking were evaluated by a questionnaire. Pulmonary function tests were performed in 7284 school children aged (9-11 years). Lung function values were adjusted for height, weight, sex and other confounders. RESULTS: The children, whose parents smoke at home, had significantly lower levels of peak flow, MEF75, MEF50 and MEF25 compared to children from non-smoking families, with a dose-response relationship. Smoking of more than 20 cigarettes at home is associated with a mean decrease in MEF75 of 5.7%, in MEF50 of 4.9% and in Peak Flow of 4.9% (p < 0.001). The prevalence of cough and wheezing increased with increasing smoking rates of the parents. CONCLUSIONS: Passive exposure to smoke has direct measurable dose-dependent effects on the respiratory system of children.

Asthma↗
PubMed1992

[Does breast feeding prevent asthma and allergies? Results of the Munich asthma and allergy study].

The relationship of breast feeding to atopic diseases is studied in a population-based cross sectional study in Munich and Bavaria 1989/1990 in 6,535 german ten year old children. According to the questionnaire answers 1914 (29.3%) children were not breast fed, 2,368 (36.2%) shorter than 2 months, 1,744 (26.7%) 2 to 6 months and 509 (7.8%) more than 6 months. Compared to controls without any allergic disease the relative risk of later asthma, hayfever, atopic dermatitis and of allergic skin sensitization was not diminished by breast feeding. The same result pertained to high risk subgroups defined by positive family history of asthma or hayfever. It is concluded that breast feeding alone has no long term protective effect against atopic diseases.

Asthma↗
PubMed1992

[Prevalence of asthma in 6,000 10-year-old children in Munich and Upper Bavaria based on physicians' diagnoses and a symptom score].

In the Munich Survey on Asthma and Allergy the parents of 9,349 fourth-class schoolchildren (mean age 9.8 years) in Munich and Southern Bavaria were addressed by a questionnaire to which 8,204 responded (87%). In 7,192 children (76%) a skin prick test was performed and 7,284 (77%) had pulmonary function tests with maximum expiratory flow-volume loops before and after cold air challenge. Of the 6,083 children of German nationality, 160 children (2.6%) had physician-diagnosed asthma, 79 (1.3%) so called asthmoid bronchitis and 373 children (6.1%) spastic bronchitis. Since physician-diagnosed diseases does not reflect all children with respiratory disease, symptoms reported in the questionnaire, results of skin prick and pulmonary function tests were combined to a score of probable asthma (VSA) with 9 items. Of the group with physician-diagnosed asthma, 79.4% of the children (127) have an elevated VSA, of 68.4% (54) of asthmoid bronchitis, 35.9% (134) of spastic bronchitis, 11.4% (192) of simple bronchitis and 3% of (114) never-diagnosed bronchial disease. The cumulative prevalence of asthma in ten-year-old children is therefore estimated at 10.2%. Only half of these children have been diagnosed with asthmatic disease.

Asthma↗