PMID- 26195441 OWN - NLM STAT- MEDLINE DCOM- 20151217 LR - 20150911 IS - 1534-4436 (Electronic) IS - 1081-1206 (Linking) VI - 115 IP - 3 DP - 2015 Sep TI - Relation of lung function and current inhalant allergen-specific immunoglobulin E concentrations in adolescents (GINIplus cohort). PG - 183-90 LID - S1081-1206(15)00407-X [pii] LID - 10.1016/j.anai.2015.06.016 [doi] AB - BACKGROUND: The prevalence of allergen sensitization reaches up to 46.6% in 14- to 17-year-old German adolescents. Polysensitization is strongly associated with a higher risk of allergic rhinitis or asthma. Whether or how sensitization also is related to lung function remains uncertain. OBJECTIVE: To assess whether sensitization to common inhalant allergens is associated with lung function in adolescents after stratification by allergic respiratory disease. METHODS: In total, 1,719 15-year-old participants of the German Infant Study on the Influence of Nutrition Intervention plus Air Pollution and Genetics on Allergy Development (GINIplus) birth cohort provided valid spirometric indices, including forced expiratory volume in 1 second, forced vital capacity (FVC), forced expiratory flow rate at 25% to 75% of the FVC, and specific immunoglobulin E (IgE) screening test to 8 inhalant allergens (ImmunoCAP). Complete information on allergic rhinitis and asthma status was available for 1,128 subjects. Associations between lung function parameters and sensitization, classified into 4 groups (no sensitization to polysensitization) were analyzed using adjusted linear regression models. RESULTS: Among participants, 21.1% (n = 347) had allergic rhinitis, 10.1% (n = 119) had asthma, and 46.4% (n = 798) had a positive screening test to inhalant allergens. Prevalences were consistently higher in boys. The percentage of subjects with rhinitis or asthma increased from 5.8% in non-sensitized subjects (n = 620) to 69.4% in polysensitized subjects (n = 144). Sensitization was not associated with any spirometric parameter considered in subjects with allergic rhinitis, asthma, or neither disease. CONCLUSION: Although allergen-specific IgE concentrations can contribute to the identification of subjects at higher risk for allergic rhinitis and asthma, sensitization to inhalant allergens is not related to impaired spirometric lung parameters within the different allergic respiratory disease subgroups. CI - Copyright (c) 2015 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved. FAU - Luzak, Agnes AU - Luzak A AD - Institute of Epidemiology I, Helmholtz Zentrum Munchen, German Research Center for Environmental Health, Neuherberg, Germany. FAU - Flexeder, Claudia AU - Flexeder C AD - Institute of Epidemiology I, Helmholtz Zentrum Munchen, German Research Center for Environmental Health, Neuherberg, Germany. FAU - von Berg, Andrea AU - von Berg A AD - Research Institute, Department of Pediatrics, Marien-Hospital Wesel, Wesel, Germany. FAU - Berdel, Dietrich AU - Berdel D AD - Research Institute, Department of Pediatrics, Marien-Hospital Wesel, Wesel, Germany. FAU - Klumper, Claudia AU - Klumper C AD - IUF Leibniz Research Institute for Environmental Medicine and Medical Faculty, Heinrich Heine University of Dusseldorf, Dusseldorf, Germany. FAU - Koletzko, Sibylle AU - Koletzko S AD - Dr von Hauner Children's Hospital, Ludwig Maximilians University of Munich, Munich, Germany. FAU - Bauer, Carl-Peter AU - Bauer CP AD - Department of Pediatrics, Technical University of Munich, Munich, Germany. FAU - Heinrich, Joachim AU - Heinrich J AD - Institute of Epidemiology I, Helmholtz Zentrum Munchen, German Research Center for Environmental Health, Neuherberg, Germany; Comprehensive Pneumology Center Munich (CPC-M), Member of the German Center for Lung Research, Munich, Germany. FAU - Nowak, Dennis AU - Nowak D AD - Comprehensive Pneumology Center Munich (CPC-M), Member of the German Center for Lung Research, Munich, Germany; Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, University Hospital of Munich (LMU), Munich, Germany. FAU - Schulz, Holger AU - Schulz H AD - Institute of Epidemiology I, Helmholtz Zentrum Munchen, German Research Center for Environmental Health, Neuherberg, Germany; Comprehensive Pneumology Center Munich (CPC-M), Member of the German Center for Lung Research, Munich, Germany. Electronic address: schulz@helmholtz-muenchen.de. LA - eng PT - Journal Article DEP - 20150717 PL - United States TA - Ann Allergy Asthma Immunol JT - Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology JID - 9503580 RN - 0 (Allergens) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Allergens/*immunology MH - Asthma/epidemiology/*immunology MH - Cohort Studies MH - Female MH - Forced Expiratory Volume/physiology MH - Germany/epidemiology MH - Humans MH - Immunoglobulin E/*blood/immunology MH - Inhalation Exposure MH - Lung/*physiology MH - Male MH - Maximal Midexpiratory Flow Rate/physiology MH - Rhinitis, Allergic/epidemiology/*immunology MH - Vital Capacity/physiology EDAT- 2015/07/22 06:00 MHDA- 2015/12/19 06:00 CRDT- 2015/07/22 06:00 PHST- 2015/03/19 00:00 [received] PHST- 2015/06/22 00:00 [accepted] PHST- 2015/07/22 06:00 [entrez] PHST- 2015/07/22 06:00 [pubmed] PHST- 2015/12/19 06:00 [medline] AID - S1081-1206(15)00407-X [pii] AID - 10.1016/j.anai.2015.06.016 [doi] PST - ppublish SO - Ann Allergy Asthma Immunol. 2015 Sep;115(3):183-90. doi: 10.1016/j.anai.2015.06.016. Epub 2015 Jul 17.