Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Academic achievement of adolescents with asthma or atopic disease
Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.
Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.
Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.
Karolinska Univ Hosp, Dept Med, Div Resp Med, Stockholm, Sweden.
Show others and affiliations
2019 (English)In: Clinical and Experimental Allergy, ISSN 0954-7894, E-ISSN 1365-2222, Vol. 49, no 6, p. 892-899Article in journal (Refereed) Published
Abstract [en]

Background

Over a fifth of children and adolescents suffer with asthma or atopic disease. It is unclear whether asthma impacts academic performance in children and adolescents, and little is known about the association of eczema, food allergy or hayfever and academic performance.

Objective

To examine whether asthma, eczema, food allergy or hayfever impacts on adolescent academic performance and to assess the role of unmeasured confounding.

Methods

This study used the Childhood and Adolescent Twin Study of Sweden cohort born 1992‐1998. At age 9‐12 years, parents reported on their child's ever or current asthma, eczema, food allergy and hayfever status (n = 10 963). At age 15, linked national patient and medication register information was used to create current and ever asthma definitions including severe and uncontrolled asthma for the same children. Academic outcomes in Grade 9 (age 15‐16 years) included: eligibility for high school (Grades 10‐12), and total mark of the best 16 subject units, retrieved from the Grade 9 academic register. Whole cohort analyses adjusted for known covariates were performed, and co‐twin control analyses to assess unmeasured confounders.

Results

There were no associations found for asthma or food allergy at 9‐12 years and academic outcomes in adolescence. In addition, at age 15, there were no statistically significant associations with current, ever, severe or uncontrolled asthma and academic outcomes. Eczema and hayfever at age 9‐12 years were found to be positively associated with academic outcomes; however, co‐twin control analyses did not support these findings, suggesting the main analyses may be subject to unmeasured confounding.

Conclusion and clinical relevance

Having asthma or an atopic disease during childhood or adolescence does not negatively impact on academic performance. This information can be used by clinicians when talking with children and parents about the implications of living with asthma or atopic disease.

Place, publisher, year, edition, pages
2019. Vol. 49, no 6, p. 892-899
Keywords [en]
asthma, atopic dermatitis, epidemiology, food allergy, quality-of-life, rhinitis
National Category
Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:uu:diva-392059DOI: 10.1111/cea.13371ISI: 000475694600017PubMedID: 30771249OAI: oai:DiVA.org:uu-392059DiVA, id: diva2:1349441
Funder
Swedish Research Council, 340-2013-5867Forte, Swedish Research Council for Health, Working Life and Welfare, 201500289Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-01208Swedish Heart Lung FoundationSwedish Asthma and Allergy AssociationAvailable from: 2019-09-09 Created: 2019-09-09 Last updated: 2019-09-09Bibliographically approved

Open Access in DiVA

fulltext(285 kB)31 downloads
File information
File name FULLTEXT01.pdfFile size 285 kBChecksum SHA-512
d4ab63c1c65e5a6f8172f86a9c1a94e1f175d1926c3530781c69fe235c8f7b3c9b4e0f836c05d8df0b32f70db1d85f0704b5059dbe2afc801bea6d4465809dbf
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Holmberg, Kirsten
By organisation
Social medicine/CHAP
In the same journal
Clinical and Experimental Allergy
Respiratory Medicine and Allergy

Search outside of DiVA

GoogleGoogle Scholar
Total: 31 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 75 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf