| Seasonal allergic rhinitis is associated with a detrimental effect on examination performance in United Kingdom teenagers: case-control study. | |
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MedLine Citation:
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PMID: 17560637 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: 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. OBJECTIVE: To investigate whether seasonal allergic rhinitis adversely impacts examination performance in United Kingdom teenagers. METHODS: 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. RESULTS: 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). CONCLUSION: Current symptomatic allergic rhinitis and rhinitis medication use are associated with a significantly increased risk of unexpectedly dropping a grade in summer examinations. CLINICAL IMPLICATIONS: 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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Authors:
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Samantha Walker; Saba Khan-Wasti; Monica Fletcher; Paul Cullinan; Jessica Harris; Aziz Sheikh |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2007-06-08 |
Journal Detail:
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Title: The Journal of allergy and clinical immunology Volume: 120 ISSN: 0091-6749 ISO Abbreviation: J. Allergy Clin. Immunol. Publication Date: 2007 Aug |
Date Detail:
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Created Date: 2007-08-01 Completed Date: 2007-09-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1275002 Medline TA: J Allergy Clin Immunol Country: United States |
Other Details:
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Languages: eng Pagination: 381-7 Citation Subset: AIM; IM |
Affiliation:
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Education for Health, Warwick, United Kingdom. s.walker@educationforhealth.org.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Anti-Allergic Agents / adverse effects, therapeutic use Case-Control Studies Educational Measurement* Female Great Britain Histamine H1 Antagonists / adverse effects, therapeutic use Humans Hypnotics and Sedatives / adverse effects Male Questionnaires Regression Analysis Rhinitis, Allergic, Seasonal / drug therapy, physiopathology, psychology* Task Performance and Analysis* |
| Chemical | |
Reg. No./Substance:
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0/Anti-Allergic Agents; 0/Histamine H1 Antagonists; 0/Hypnotics and Sedatives |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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