Risk factors analysis of attention deficit/hyperactivity disorder and allergic rhinitis in children: a cross-sectional study

Ital J Pediatr. 2019 Aug 13;45(1):99. doi: 10.1186/s13052-019-0703-1.

Abstract

Background: To investigate the relationship between symptom of attention-deficit/hyperactivity disorder (ADHD) and allergic rhinitis (AR) in AR children of different genders and ages.

Methods: Four hundred and sixty-five allergic rhinitis children aged 6-12 years old were recruited in this study. Skin-prick test, Pediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ), Total Nasal Symptoms Score (TNSS) and the Swanson, Nolan, and Pelham version IV scale (SNAP-IV) were recorded. Patients were divided into AR with ADHD and AR without ADHD, according to the SNAP-IV scale results.

Results: Children with the inattention/hyperactivity scale (IHS) > 1.25 accounted for 26.4% of all children with AR. The TNSS with IHS > 1.25 group were significantly higher than the IHS ≤ 1.25 group. Univariate analysis showed that age, gender, duration of AR symptoms, skin index, and PRQLQ subscales were associated with symptoms of hyperactivity and attention deficit (IHS > 1.25). After normalizing the age and gender factors, duration of AR symptoms and skin index correlated with IHS > 1.25. After stratifying age and gender, the correlation between IHS > 1.25 and skin index and PRQLQ subscales was mainly found in male children, and the association between the duration of AR symptoms and IHS > 1.25 was reflected in each group.

Conclusions: ADHD in children with AR is associated with severity, duration, and skin index of AR, and this association is more pronounced in male children.

Keywords: Allergic; Attention-deficit/hyperactivity disorder; Pediatric; Rhinitis.

MeSH terms

  • Attention Deficit Disorder with Hyperactivity / complications*
  • Child
  • China
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Quality of Life
  • Rhinitis, Allergic / complications*
  • Risk Factors
  • Skin Tests
  • Surveys and Questionnaires