Seasonal allergic rhinitis is associated with a detrimental effect on examination performance in United Kingdom teenagers: Case-control study

The University of Edinburgh, Edinburgh, Scotland, United Kingdom
Journal of Allergy and Clinical Immunology (Impact Factor: 11.48). 09/2007; 120(2):381-7. DOI: 10.1016/j.jaci.2007.03.034
Source: PubMed


Seasonal allergic rhinitis is common globally, and symptoms have been shown to impair learning ability in children in laboratory conditions. Critical examinations in children are often held in the summer during the peak grass pollen season.
To investigate whether seasonal allergic rhinitis adversely impacts examination performance in United Kingdom teenagers.
Case-control analysis of 1,834 students (age 15-17 years; 50% girls) sitting for national examinations. Cases were those who dropped 1 or more grades in any of 3 core subjects (mathematics, English, and science) between practice (winter) and final (summer) examinations; controls were those whose grades were either unchanged or improved. Associations between allergic rhinitis symptoms, clinician-diagnosed allergic rhinitis, and allergic rhinitis-related medication use, recorded on examination days immediately before the examination, were assessed using multilevel regression models.
Between 38% and 43% of students reported symptoms of seasonal allergic rhinitis on any 1 of the examination days. There were 662 cases (36% of students) and 1,172 controls. After adjustment, cases were significantly more likely than controls to have had allergic rhinitis symptoms during the examination period (odds ratio [OR], 1.4; 95% CI, 1.1-1.8; P = .002), to have taken any allergic rhinitis medication (OR, 1.4; 95% CI, 1.1-1.7; P = .01), or to have taken sedating antihistamines (OR, 1.7; 95% CI, 1.1-2.8; P = .03).
Current symptomatic allergic rhinitis and rhinitis medication use are associated with a significantly increased risk of unexpectedly dropping a grade in summer examinations.
This is the first time the relationship between symptomatic allergic rhinitis and poor examination performance has been demonstrated, which has significant implications for clinical practice.

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    • "Chez l'enfant, il s'agit des deux maladies non transmissibles les plus courantes et la cause la plus fréquente de visites dans les services d'urgence et des admissions à l'hôpital. Ces pathologies infantiles ont des conséquences certaines sur la vie scolaire et sociale [4]. En ce qui concerne les allergies alimentaires, les allergies graves présentant un risque de crise aiguë ou de réactions anaphylactiques potentiellement mortelles, c'est 17 millions d'européens qui sont concernés. "
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    ABSTRACT: Health devices in France and abroad are crossed by strong tensions. Causes are multiple: demography of health professionals strained, non-communicable and chronic diseases on the rise. The need to develop ways of more efficient innovative taken loads becomes a priority. The field of allergology is affected by these tensions in several respects: a steady increase in the prevalence of allergic diseases, necessary training of specialists that can handle complex situations and develop research, organization of new health system, combining hospital medicine and territory. Skills mix between health professionals are already implemented in some medical specialties, as a response to the health needs of populations in the country and especially in medical emptiness. The practice of nursing in allergology requires skills not acquired by the initial degree nursing expertise (bachelor). Nurses practicing in allergy can contribute to device health, when they received solid academic training and background, in support of a strong field experience. The authors analyze advanced practice training in different countries and propose a training program for master level in response to the needs of quality of care and patient safety in this area.
    No preview · Article · Nov 2014 · Revue Française d'Allergologie
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    • "AR is clinically defined by the presence of rhinorrhea, nasal obstruction, nasal itching, and sneezing which are reversible spontaneously or with treatment [2]. Rhinitis affects quality of life, performance and attendance at school [3], and work. It has significant impact on healthcare costs [4]. "
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    Full-text · Article · Jun 2014 · Systematic Reviews
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    • "Allergic rhinitis is a long-term condition with a high prevalence (estimated at 26% in the UK [1]) that has increased substantially in recent years [2]. Allergic rhinitis has a significant negative impact on quality of life (QOL) [3], productivity [4], school performance [5] and health care costs [6,7]. Co-morbidity of allergic rhinitis with asthma is common and is associated with poor asthma outcomes [8-10]. "
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    Full-text · Article · Jul 2013 · Trials
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