Prevalence of allergic rhinitis in patients with attention-deficit/ hyperactivity disorder: A population-based study

Po Han Chou, Chih Chien Lin, Ching Heng Lin, El Wui Loh, Chin Hong Chan, Tsuo Hung Lan

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Allergic rhinitis (AR) is common in children. Characteristic symptoms of AR may result in daytime inattention, irritability, and hyperactivity, which are also components of ADHD. Conflicting data in previous studies exist regarding the relationship between ADHD and AR. The aim of this study was to examine the prevalence and risk of AR in ADHD patients in Taiwan. We conducted a cross-sectional study using the National Health Insurance Research Database in Taiwan. The study subjects included 469 patients who received psychiatric care for ADHD in 2005 and the general population (n = 220,599). Distributions of age, gender, and living areas as well as allergic diseases in the general population and in the ADHD group were examined by v2 tests. Multivariate logistic regression models were used to analyze the risk factors of AR. The prevalence of AR in ADHD group and the general population was 28.4 and 15.2 %, respectively. The prevalence of asthma was 9.6 % in ADHD group and 6.4 % in the general population. Both the prevalence of AR (p\0.001) and asthma (p = 0.008) was significantly higher in ADHD group than the general population. The multivariate logistic regression analysis showed that ADHD patients had an increased rate of AR than general population (OR = 1.83; 95 %CI = 1.48-2.27; p\0.0001), and asthmawas strongly associated with AR (OR = 9.28; 95 % CI = 8.95-9.63; p\0.0001). Our data showed that ADHD patients had an increased rate of AR. Therefore, psychiatrists should be more aware of the comorbidity of AR when treating ADHD patients.

Original languageEnglish
Pages (from-to)301-307
Number of pages7
JournalEuropean Child and Adolescent Psychiatry
Volume22
Issue number5
DOIs
Publication statusPublished - Jan 1 2013
Externally publishedYes

Fingerprint

Attention Deficit Disorder with Hyperactivity
Population
Logistic Models
Taiwan
Population Groups
Psychiatry
Allergic Rhinitis
Asthma
Age Distribution
National Health Programs
Comorbidity
Cross-Sectional Studies
Regression Analysis
Databases

Keywords

  • ADHD
  • Allergic rhinitis
  • Asthma
  • Atopic dermatitis
  • Atopic disease
  • Attention-deficit/hyperactivity disorder

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Cite this

Prevalence of allergic rhinitis in patients with attention-deficit/ hyperactivity disorder : A population-based study. / Chou, Po Han; Lin, Chih Chien; Lin, Ching Heng; Loh, El Wui; Chan, Chin Hong; Lan, Tsuo Hung.

In: European Child and Adolescent Psychiatry, Vol. 22, No. 5, 01.01.2013, p. 301-307.

Research output: Contribution to journalArticle

Chou, Po Han ; Lin, Chih Chien ; Lin, Ching Heng ; Loh, El Wui ; Chan, Chin Hong ; Lan, Tsuo Hung. / Prevalence of allergic rhinitis in patients with attention-deficit/ hyperactivity disorder : A population-based study. In: European Child and Adolescent Psychiatry. 2013 ; Vol. 22, No. 5. pp. 301-307.
@article{d81bef347e4b4476b5cfa5942f8f44cb,
title = "Prevalence of allergic rhinitis in patients with attention-deficit/ hyperactivity disorder: A population-based study",
abstract = "Allergic rhinitis (AR) is common in children. Characteristic symptoms of AR may result in daytime inattention, irritability, and hyperactivity, which are also components of ADHD. Conflicting data in previous studies exist regarding the relationship between ADHD and AR. The aim of this study was to examine the prevalence and risk of AR in ADHD patients in Taiwan. We conducted a cross-sectional study using the National Health Insurance Research Database in Taiwan. The study subjects included 469 patients who received psychiatric care for ADHD in 2005 and the general population (n = 220,599). Distributions of age, gender, and living areas as well as allergic diseases in the general population and in the ADHD group were examined by v2 tests. Multivariate logistic regression models were used to analyze the risk factors of AR. The prevalence of AR in ADHD group and the general population was 28.4 and 15.2 {\%}, respectively. The prevalence of asthma was 9.6 {\%} in ADHD group and 6.4 {\%} in the general population. Both the prevalence of AR (p\0.001) and asthma (p = 0.008) was significantly higher in ADHD group than the general population. The multivariate logistic regression analysis showed that ADHD patients had an increased rate of AR than general population (OR = 1.83; 95 {\%}CI = 1.48-2.27; p\0.0001), and asthmawas strongly associated with AR (OR = 9.28; 95 {\%} CI = 8.95-9.63; p\0.0001). Our data showed that ADHD patients had an increased rate of AR. Therefore, psychiatrists should be more aware of the comorbidity of AR when treating ADHD patients.",
keywords = "ADHD, Allergic rhinitis, Asthma, Atopic dermatitis, Atopic disease, Attention-deficit/hyperactivity disorder",
author = "Chou, {Po Han} and Lin, {Chih Chien} and Lin, {Ching Heng} and Loh, {El Wui} and Chan, {Chin Hong} and Lan, {Tsuo Hung}",
year = "2013",
month = "1",
day = "1",
doi = "10.1007/s00787-012-0369-3",
language = "English",
volume = "22",
pages = "301--307",
journal = "European Child and Adolescent Psychiatry",
issn = "1018-8827",
publisher = "D. Steinkopff-Verlag",
number = "5",

}

TY - JOUR

T1 - Prevalence of allergic rhinitis in patients with attention-deficit/ hyperactivity disorder

T2 - A population-based study

AU - Chou, Po Han

AU - Lin, Chih Chien

AU - Lin, Ching Heng

AU - Loh, El Wui

AU - Chan, Chin Hong

AU - Lan, Tsuo Hung

PY - 2013/1/1

Y1 - 2013/1/1

N2 - Allergic rhinitis (AR) is common in children. Characteristic symptoms of AR may result in daytime inattention, irritability, and hyperactivity, which are also components of ADHD. Conflicting data in previous studies exist regarding the relationship between ADHD and AR. The aim of this study was to examine the prevalence and risk of AR in ADHD patients in Taiwan. We conducted a cross-sectional study using the National Health Insurance Research Database in Taiwan. The study subjects included 469 patients who received psychiatric care for ADHD in 2005 and the general population (n = 220,599). Distributions of age, gender, and living areas as well as allergic diseases in the general population and in the ADHD group were examined by v2 tests. Multivariate logistic regression models were used to analyze the risk factors of AR. The prevalence of AR in ADHD group and the general population was 28.4 and 15.2 %, respectively. The prevalence of asthma was 9.6 % in ADHD group and 6.4 % in the general population. Both the prevalence of AR (p\0.001) and asthma (p = 0.008) was significantly higher in ADHD group than the general population. The multivariate logistic regression analysis showed that ADHD patients had an increased rate of AR than general population (OR = 1.83; 95 %CI = 1.48-2.27; p\0.0001), and asthmawas strongly associated with AR (OR = 9.28; 95 % CI = 8.95-9.63; p\0.0001). Our data showed that ADHD patients had an increased rate of AR. Therefore, psychiatrists should be more aware of the comorbidity of AR when treating ADHD patients.

AB - Allergic rhinitis (AR) is common in children. Characteristic symptoms of AR may result in daytime inattention, irritability, and hyperactivity, which are also components of ADHD. Conflicting data in previous studies exist regarding the relationship between ADHD and AR. The aim of this study was to examine the prevalence and risk of AR in ADHD patients in Taiwan. We conducted a cross-sectional study using the National Health Insurance Research Database in Taiwan. The study subjects included 469 patients who received psychiatric care for ADHD in 2005 and the general population (n = 220,599). Distributions of age, gender, and living areas as well as allergic diseases in the general population and in the ADHD group were examined by v2 tests. Multivariate logistic regression models were used to analyze the risk factors of AR. The prevalence of AR in ADHD group and the general population was 28.4 and 15.2 %, respectively. The prevalence of asthma was 9.6 % in ADHD group and 6.4 % in the general population. Both the prevalence of AR (p\0.001) and asthma (p = 0.008) was significantly higher in ADHD group than the general population. The multivariate logistic regression analysis showed that ADHD patients had an increased rate of AR than general population (OR = 1.83; 95 %CI = 1.48-2.27; p\0.0001), and asthmawas strongly associated with AR (OR = 9.28; 95 % CI = 8.95-9.63; p\0.0001). Our data showed that ADHD patients had an increased rate of AR. Therefore, psychiatrists should be more aware of the comorbidity of AR when treating ADHD patients.

KW - ADHD

KW - Allergic rhinitis

KW - Asthma

KW - Atopic dermatitis

KW - Atopic disease

KW - Attention-deficit/hyperactivity disorder

UR - http://www.scopus.com/inward/record.url?scp=84892810827&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84892810827&partnerID=8YFLogxK

U2 - 10.1007/s00787-012-0369-3

DO - 10.1007/s00787-012-0369-3

M3 - Article

C2 - 23274480

AN - SCOPUS:84892810827

VL - 22

SP - 301

EP - 307

JO - European Child and Adolescent Psychiatry

JF - European Child and Adolescent Psychiatry

SN - 1018-8827

IS - 5

ER -