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EARLY CHILDHOOD ALLERGY LINKED WITH DEVELOPMENT OF ATTENTION DEFICIT HYPERACTIVITY DISORDER AND AUTISM SPECTRUM DISORDER
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  • Shay Nemet,
  • Ilan Asher,
  • Israel Yoles,
  • Tuvia Baevsky,
  • Zev Sthoeget
Shay Nemet
Kaplan Medical Center

Corresponding Author:[email protected]

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Ilan Asher
Kupat Holim Clalit
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Israel Yoles
Clalit Health Services
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Tuvia Baevsky
Clalit Health Services
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Zev Sthoeget
Kaplan Medical Center
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Abstract

Background: Previous studies reported controversial results regarding the association between allergic disorders and ADHD/ASD. The aim of this article is to investigate whether allergic disorders are associated with ADHD/ASD in a large cohort of pediatric patients. Methods: A retrospective study using the pediatric (0-18 year) database (ICD-9-CM codes) of Clalit Health Services during the years (2000-2018). Diagnosis of all disorders was made by specialist physicians. Results: 117,022 consecutive non-selective allergic children diagnosed with one or more allergic disorder (asthma, rhinitis. conjunctivitis, skin, food, or drug allergy) and 116,968 non-allergic children were enrolled to our study. The mean follow-up period was 11±6 years. The presence of allergic disorders in early childhood (mean age of allergic diagnosis 4.5± 4.3 years) in boys as well as in girls, significantly increased the risk to develop ADHD (O.R 2.45, CI 2.39-2.51; P<0.0001), ASD (O.R 1.17, CI 1.08-1.27; P<0.0001) or both ADHD+ASD (O.R 1.5, CI 1.35-1.79; P<0.0001). Children with more than one allergic comorbidity revealed a much higher risk. In a multivariable analysis (adjusted for age at study entry, number of yearly visits and gender) the risk of allergic children to develop ADHD and ADHD+ASD, but not ASD alone, remained significantly higher. Conclusion: Allergic disorder in early childhood significantly increased the risk to develop ADHD, and to a less extend ASD, in later life.
18 Dec 2021Submitted to Pediatric Allergy and Immunology
03 Jan 2022Reviewer(s) Assigned
30 Jan 2022Review(s) Completed, Editorial Evaluation Pending
03 Feb 2022Editorial Decision: Revise Major
14 Apr 20221st Revision Received
18 Apr 2022Review(s) Completed, Editorial Evaluation Pending
25 Apr 2022Reviewer(s) Assigned
30 May 2022Editorial Decision: Accept
Jun 2022Published in Pediatric Allergy and Immunology volume 33 issue 6. 10.1111/pai.13819