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The epidemiology of atopic diseases in Germany: an east-west comparison.

Abstract

This review summarizes studies comparing the epidemiology of asthma, allergic rhinitis, and atopic dermatitis in eastern versus western German populations. These studies clearly revealed that the prevalence of physician-diagnosed allergic rhinitis was higher in western Germany than in eastern Germany. The rate for asthma also tended to be higher in western than in eastern populations, whereas a tendency for less atopic dermatitis was found in western German children. When sensitization rates, as measured by RAST and skin-prick tests, were compared, a clear increase was found in western versus eastern young-adult German populations. This phenomenon may be related to exposure to different allergens, such as those associated with nutritional patterns or pet ownership, as well as to different environmental factors, such as outdoor and indoor pollutants. If lifestyle or environmental factors play a role in developing allergic sensitization, then one would expect the rates of sensitization in eastern and western Germany to converge as the two societies become more similar.

Authors+Show Affiliations

,

GSF, Forschungszentrum für Umwelt and Gesundheit, Institut für Epidemiologie, Neuherberg, Germany.

,

Source

MeSH

Adolescent
Adult
Age Distribution
Asthma
Child
Child, Preschool
Dermatitis, Atopic
Female
Germany, East
Germany, West
Humans
Male
Population Surveillance
Residence Characteristics
Rhinitis, Allergic, Seasonal

Pub Type(s)

Comparative Study
Journal Article
Review

Language

eng

PubMed ID

9000303

Citation

Trepka, M J., et al. "The Epidemiology of Atopic Diseases in Germany: an East-west Comparison." Reviews On Environmental Health, vol. 11, no. 3, 1996, pp. 119-31.
Trepka MJ, Heinrich J, Wichmann HE. The epidemiology of atopic diseases in Germany: an east-west comparison. Rev Environ Health. 1996;11(3):119-31.
Trepka, M. J., Heinrich, J., & Wichmann, H. E. (1996). The epidemiology of atopic diseases in Germany: an east-west comparison. Reviews On Environmental Health, 11(3), pp. 119-31.
Trepka MJ, Heinrich J, Wichmann HE. The Epidemiology of Atopic Diseases in Germany: an East-west Comparison. Rev Environ Health. 1996;11(3):119-31. PubMed PMID: 9000303.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The epidemiology of atopic diseases in Germany: an east-west comparison. AU - Trepka,M J, AU - Heinrich,J, AU - Wichmann,H E, PY - 1996/7/1/pubmed PY - 1996/7/1/medline PY - 1996/7/1/entrez SP - 119 EP - 31 JF - Reviews on environmental health JO - Rev Environ Health VL - 11 IS - 3 N2 - This review summarizes studies comparing the epidemiology of asthma, allergic rhinitis, and atopic dermatitis in eastern versus western German populations. These studies clearly revealed that the prevalence of physician-diagnosed allergic rhinitis was higher in western Germany than in eastern Germany. The rate for asthma also tended to be higher in western than in eastern populations, whereas a tendency for less atopic dermatitis was found in western German children. When sensitization rates, as measured by RAST and skin-prick tests, were compared, a clear increase was found in western versus eastern young-adult German populations. This phenomenon may be related to exposure to different allergens, such as those associated with nutritional patterns or pet ownership, as well as to different environmental factors, such as outdoor and indoor pollutants. If lifestyle or environmental factors play a role in developing allergic sensitization, then one would expect the rates of sensitization in eastern and western Germany to converge as the two societies become more similar. SN - 0048-7554 UR - https://www.unboundmedicine.com/medline/citation/9000303/full_citation L2 - https://medlineplus.gov/hayfever.html DB - PRIME DP - Unbound Medicine ER -