How Climate Change Is Impacting Allergic Rhinitis: A Scoping Review

IF 2 3区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Laryngoscope Pub Date : 2025-04-09 DOI:10.1002/lary.32124

Alisha R. Pershad, Reethu Krishnan, Esther Lee, Lauren Gardiner, Evan Hughes, Neelima Tummala

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Abstract

Objective

The impact of climate change on health has become an increasingly widespread global health concern. This impact is especially relevant in the field of Otolaryngology; global warming has been shown to affect inflammatory upper airway disease, specifically allergic rhinitis (AR). This study aims to characterize the effect of climate change on the epidemiology of AR in adult and pediatric populations globally.

Data Sources

In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a literature search was performed across four databases. Inclusion criteria were: (1) published in English, (2) published between 2000 and 2023, (3) reported on the current epidemiological state of AR, (4) described factors related to climate change, and (5) observed global warming affecting allergy season and AR symptoms.

Review Methods

Two reviewers screened articles and performed full-text reviews.

Results

Of the 502 articles assessed, 30 studies were eligible for inclusion. Sixteen studies reported longer pollen seasons and/or higher pollen concentrations related to climate change, with two projecting total pollen emissions to increase by 16-40% and pollen season length to increase by 19 days in North America. Four studies reported an increase in AR-related healthcare usage; low-income residents were most impacted by increased usage. Two studies identified that healthcare professionals want more education on climate change.

Conclusion

Our scoping review highlights how climate change is altering pollen seasons and concentrations, AR disease prevalence, allergy sensitization, and AR symptom severity. Health professionals have expressed an understanding of climate change's impact on health and a desire for further education.

Level of Evidence

N/A.

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气候变化是如何影响过敏性鼻炎的：一项范围综述。

目标：气候变化对健康的影响已成为一个日益广泛的全球健康问题。这种影响在耳鼻喉科领域尤其相关；全球变暖已被证明会影响炎症性上呼吸道疾病，特别是过敏性鼻炎（AR）。本研究旨在描述气候变化对全球成人和儿童AR流行病学的影响。数据来源：根据系统评价和荟萃分析指南的首选报告项目，在四个数据库中进行文献检索。纳入标准为：(1)以英文发表，(2)发表于2000年至2023年之间，(3)报道了当前AR的流行病学状况，(4)描述了与气候变化相关的因素，(5)观察到全球变暖影响过敏季节和AR症状。评审方法：两名评审人员筛选文章并进行全文评审。结果：在评估的502篇文章中，有30篇研究符合纳入条件。16项研究报告了与气候变化相关的花粉季节延长和/或花粉浓度升高，其中两项研究预测北美的花粉总排放量将增加16-40%，花粉季节长度将增加19天。四项研究报告了ar相关医疗保健使用的增加；低收入居民受到使用量增加的影响最大。两项研究表明，医疗保健专业人员希望接受更多关于气候变化的教育。结论：我们的范围综述强调了气候变化如何改变花粉季节和浓度、AR疾病患病率、过敏致敏性和AR症状严重程度。卫生专业人员表示了解气候变化对健康的影响，并希望接受进一步教育。证据级别：无。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Laryngoscope 医学-耳鼻喉科学

CiteScore

6.50

自引率

7.70%

发文量

500

审稿时长

2-4 weeks

期刊介绍： The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope. • Broncho-esophagology • Communicative disorders • Head and neck surgery • Plastic and reconstructive facial surgery • Oncology • Speech and hearing defects