Hormonal factors and incident asthma and allergic rhinitis during puberty in girls

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Junxiang Wei - , Ludwig Maximilian University of Munich (Author)
  • Jessica Gerlich - , Ludwig Maximilian University of Munich (Author)
  • Jon Genuneit - , Ulm University (Author)
  • Dennis Nowak - , Ludwig Maximilian University of Munich (Author)
  • Christian Vogelberg - , Department of Paediatrics, TUD Dresden University of Technology (Author)
  • Erika Von Mutius - , Ludwig Maximilian University of Munich (Author)
  • Katja Radon - , Ludwig Maximilian University of Munich (Author)

Abstract

Background Accumulating evidence is indicating that hormonal factors play a role in new-onset allergic rhinitis and asthma after puberty. Objective To determine whether age at menarche and use of hormonal contraceptives predict new-onset allergic rhinitis and asthma after puberty in young German women. Methods A prospective community-based cohort study followed 1,191 girls 9 to 11 years old to early adulthood (19-24 years old). Self-administrated questionnaires concerning age at menarche, use of hormonal contraceptives, and status and age at onset of physician-diagnosed allergic rhinitis and asthma were collected at 16 to 18 and 19 to 24 years of age. Logistic regression models were used to analyze the incidence of asthma and allergic rhinitis after puberty and pooled estimates were obtained from the final model. Results Eleven percent of girls developed allergic rhinitis after menarche and 3% reported new-onset asthma. Late menarche (>13 years of age) was statistically significantly inversely related to allergic rhinitis (adjusted odds ratio [OR] 0.32, 95% confidence interval [CI] 0.14-0.74) but did not reach the level of statistical significance for asthma (OR 0.32, 95% CI 0.07-1.42). Use of hormonal contraceptives was inversely associated with new-onset allergic rhinitis (OR 0.14, 95% CI 0.08-0.23) and asthma (OR 0.27, 95% CI 0.12-0.58) after puberty. Conclusion This study shows that girls with late onset of menarche are less likely to develop allergic rhinitis after puberty compared with those who have menarche at an average age. These findings also suggest that, in addition to endogenous hormones, hormonal contraceptives play a role and might protect young women from allergies and asthma.

Details

Original languageEnglish
Pages (from-to)21-27.e2
JournalAnnals of Allergy, Asthma and Immunology
Volume115
Issue number1
Publication statusPublished - 1 Jul 2015
Peer-reviewedYes

External IDs

Scopus 84937521796
PubMed 26003905