Generic placeholder image

Combinatorial Chemistry & High Throughput Screening

Editor-in-Chief

ISSN (Print): 1386-2073
ISSN (Online): 1875-5402

Research Article

Fasting Plasma Glucose and Glycohemoglobin with Allergic Symptoms and Specific Sensitization: Results from NHANES 2005-2006

Author(s): Gan Lu, Yu-Qin Deng, Yang Xi, Song Li, Shi-Ming Chen, Yong-Gang Kong, Yu Xu, Fen Li and Ze-Zhang Tao*

Volume 26, Issue 5, 2023

Published on: 11 August, 2022

Page: [979 - 988] Pages: 10

DOI: 10.2174/1386207325666220616124156

Price: $65

Abstract

Objective: The National Health and Nutrition Examination Survey (NHANES) data has been used to study the relationship between fasting plasma glucose (FPG) and glycohemoglobin (A1c) in patients with allergic symptoms and specific sensitization, respectively.

Methods: A total of 1,687 participants and a variety of logistic regression models were selected based on the 2005-2006 NHANES (n = 10,348) for our study to describe the relationship between FPG and A1c in subjects with the sensitivity of allergic symptoms, specific sensitization and specific sensitization of 19 allergens, respectively. On this basis, a variety of logistic regression models were further established for hierarchical analysis to study the limiting conditions when FPG and A1c were related to allergic symptoms.

Results: We adjusted the confounding factors and found that the risk of specific sensitization increased with the increase in FPG and A1c. Stratified analysis showed that the risk of allergic symptoms increased with the increase in FPG and A1c when born elsewhere other than in the U.S. and Mexico or underweight or overweight or with hypertension. Furthermore, we found that the risk of egg sensitization increased with the increase in FPG and A1c, while the risk of rat sensitization decreased with the increase in FPG.

Conclusion: Under certain conditions, FPG and A1c were risk factors for allergic symptoms. FPG and A1c were risk factors for specific sensitization, especially egg sensitization. These findings indicate a possible link between diabetes and allergies.

Keywords: Fasting plasma glucose (FPG), glycohemoglobin (A1c), allergic symptoms, specific sensitization, National Health and Nutrition Examination Survey (NHANES), specific immunoglobulin E (sIgE), diabetes.

« Previous
Graphical Abstract

[1]
Meltzer, E.O. Allergic rhinitis: Burden of illness, quality of life, comorbidities, and control. Immunol. Allergy Clin. North Am., 2016, 36(2), 235-248.
[http://dx.doi.org/10.1016/j.iac.2015.12.002] [PMID: 27083099]
[2]
Backman, H.; Räisänen, P.; Hedman, L.; Stridsman, C.; Andersson, M.; Lindberg, A.; Lundbäck, B.; Rönmark, E. Increased prevalence of allergic asthma from 1996 to 2006 and further to 2016-results from three population surveys. Clin. Exp. Allergy, 2017, 47(11), 1426-1435.
[http://dx.doi.org/10.1111/cea.12963] [PMID: 28608416]
[3]
Gupta, R.; Holdford, D.; Bilaver, L.; Dyer, A.; Holl, J.L.; Meltzer, D. The economic impact of childhood food allergy in the United States. JAMA Pediatr., 2013, 167(11), 1026-1031.
[http://dx.doi.org/10.1001/jamapediatrics.2013.2376] [PMID: 24042236]
[4]
International Diabetes Federation. Diabetes facts & figures. 2020. Available from: https://www.idf.org/aboutdiabetes/what-is-diabetes/facts-figures.html (Accessed on 11th Nov 2021).
[5]
Zheng, Y.; Ley, S.H.; Hu, F.B. Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nat. Rev. Endocrinol., 2018, 14(2), 88-98.
[http://dx.doi.org/10.1038/nrendo.2017.151] [PMID: 29219149]
[6]
Thomsen, S.F.; Duffy, D.L.; Kyvik, K.O.; Skytthe, A.; Backer, V. Risk of asthma in adult twins with type 2 diabetes and increased body mass index. Allergy, 2011, 66(4), 562-568.
[http://dx.doi.org/10.1111/j.1398-9995.2010.02504.x] [PMID: 21083567]
[7]
Smew, A.I.; Lundholm, C.; Sävendahl, L.; Lichtenstein, P.; Almqvist, C. Familial coaggregation of asthma and type 1 diabetes in children. JAMA Netw. Open, 2020, 3(3), e200834.
[http://dx.doi.org/10.1001/jamanetworkopen.2020.0834] [PMID: 32163166]
[8]
Metsälä, J.; Lundqvist, A.; Virta, L.J.; Kaila, M.; Gissler, M.; Virtanen, S.M.; Nevalainen, J. The association between asthma and type 1 diabetes: A paediatric case-cohort study in Finland, years 1981-2009. Int. J. Epidemiol., 2018, 47(2), 409-416.
[http://dx.doi.org/10.1093/ije/dyx245] [PMID: 29211844]
[9]
Fsadni, P.; Fsadni, C.; Fava, S.; Montefort, S. Correlation of worldwide incidence of type 1 diabetes (DiaMond) with prevalence of asthma and atopic eczema (ISAAC). Clin. Respir. J., 2012, 6(1), 18-25.
[http://dx.doi.org/10.1111/j.1752-699X.2011.00239.x] [PMID: 21501393]
[10]
Silverberg, J.I.; Gelfand, J.M.; Margolis, D.J.; Boguniewicz, M.; Fonacier, L.; Grayson, M.H.; Simpson, E.L.; Ong, P.Y.; Chiesa Fuxench, Z.C. Association of atopic dermatitis with allergic, autoimmune, and cardiovascular comorbidities in US adults. Ann. Allergy Asthma Immunol., 2018, 121(5), 604-612.e3.
[http://dx.doi.org/10.1016/j.anai.2018.07.042] [PMID: 30092266]
[11]
Lee, T.K.; Jeon, Y.J.; Jung, S.J. Bi-directional association between allergic rhinitis and diabetes mellitus from the national representative data of South Korea. Sci. Rep., 2021, 11(1), 4344.
[http://dx.doi.org/10.1038/s41598-021-83787-9] [PMID: 33623055]
[12]
Rogala, B. Bożek, A.; Gluck, J. Is there a relationship between asthma and diabetes? J. Asthma, 2020, 57(12), 1332-1338.
[http://dx.doi.org/10.1080/02770903.2019.1652642] [PMID: 31429603]
[13]
American Diabetes Association. 2. Classification and diagnosis of diabetes: Standards of medical care in diabetes-2021. Diabetes Care, 2021, 44(Suppl. 1), S15-S33.
[http://dx.doi.org/10.2337/dc21-S002] [PMID: 33298413]
[14]
Fain, J.A. NHANES. Diabetes Educ., 2017, 43(2), 151.
[http://dx.doi.org/10.1177/0145721717698651] [PMID: 28340543]
[15]
Yu, R.; Yang, B.; Cai, L.; Lu, X.; Wang, X. Excess free fructose beverages and allergy in children and adolescents: Results from NHANES 2005-2006. Ann. Fam. Med., 2018, 16(5), 408-418.
[http://dx.doi.org/10.1370/afm.2292] [PMID: 30201637]
[16]
Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey 2005-2006 Data Documentation, Codebook, and Frequencies Allergy (AGQ_D). Available from: https://wwwn.cdc.gov/Nchs/Nhanes/2005-2006/AGQ_D.htm (Accessed on 11th Nov 2021).
[17]
Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey 2005-2006 Data Documentation, Codebook, and Frequencies Medical Conditions (MCQ_D). Available from: MCQ_D (cdc.gov) (Accessed on 11th Nov 2021).
[18]
Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey 2005-2006 Data Documentation, Codebook, and Frequencies Allergen Specific IgE(s) & Total IgE - Serum (AL_IGE_D). Available from: NHANES 2005-2006: Allergen Specific IgE(s) & Total IgE - Serum Data Documentation, Codebook, and Frequencies (cdc.gov) (Accessed on 11th Nov 2021).
[19]
Tsuang, A.; Grishin, A.; Grishina, G.; Do, A.N.; Sordillo, J.; Chew, G.L.; Bunyavanich, S. Endotoxin, food allergen sensitization, and food allergy: A complementary epidemiologic and experimental study. Allergy, 2020, 75(3), 625-635.
[http://dx.doi.org/10.1111/all.14054] [PMID: 31535385]
[20]
Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey 2005-2006 Data Documentation, Codebook, and Frequencies Plasma Fasting Glucose & Insulin (GLU_D). Available from: NHANES 2005-2006: Plasma Fasting Glucose & Insulin Data Documentation, Codebook, and Frequencies (cdc.gov) (Accessed on 11th Nov 2021).
[21]
Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey 2005-2006 Data Documentation, Codebook, and Frequencies Glycohemoglobin (GHB_D). Available from: NHANES 2005-2006: Glycohemoglobin Data Documentation, Codebook, and Frequencies (cdc.gov) (Accessed on 11th Nov 2021).
[22]
Ahmad, O.B.; Boschi-Pinto, C.; Lopez, A.D. Age Standardization of Rates: A New WHO Standard. GPE Discussion Paper Series: No 31, World Health. Jan 2001. 2001. Available from: (PDF) Ahmad OB, Boschi-Pinto C, Lopez AD, et al. 2000. Age Standardization of Rates: A New WHO Standard. GPE Discussion Paper Series: No 31, World Health (researchgate.net) (Accessed on 11th Nov 2021).
[23]
Visness, C.M.; London, S.J.; Daniels, J.L. Association of obesity with IgE levels and allergy symptoms in children and adolescents: Results from the National Health and Nutrition Examination Survey 2005-2006. J. Allergy Clin. Immunol., 2009, 123(5), 1163-1169.
[24]
Weir, C.B.; Jan, A. BMI classification percentile and cut off points; StatPearls: Treasure Island, FL, 2022.
[25]
Peng, Q.; Harlow, S.D.; Park, S.K. Urinary arsenic and insulin resistance in US adolescents. Int. J. Hyg. Environ. Health, 2015, 218(4), 407-413.
[http://dx.doi.org/10.1016/j.ijheh.2015.03.006] [PMID: 25845984]
[26]
Lee, S.; Min, J.Y.; Min, K.B. Caffeine and caffeine metabolites in relation to insulin resistance and beta cell function in U.S. Adults. Nutrients, 2020, 12(6), 1783.
[http://dx.doi.org/10.3390/nu12061783] [PMID: 32549382]
[27]
Xie, X.; Lu, C.; Wu, M.; Liang, J.; Ying, Y.; Liu, K.; Huang, X.; Zheng, S.; Du, X.; Liu, D.; Wen, Z.; Hao, G.; Yang, G.; Feng, L.; Jing, C. Association between triclocarban and triclosan exposures and the risks of type 2 diabetes mellitus and impaired glucose tolerance in the National Health and Nutrition Examination Survey (NHANES 2013-2014). Environ. Int., 2020, 136, 105445.
[http://dx.doi.org/10.1016/j.envint.2019.105445] [PMID: 31918332]
[28]
Thorne, P.S.; Mendy, A.; Metwali, N.; Salo, P.; Co, C.; Jaramillo, R.; Rose, K.M.; Zeldin, D.C. Endotoxin Exposure: Predictors and Prevalence of Associated Asthma Outcomes in the United States. Am. J. Respir. Crit. Care Med., 2015, 192(11), 1287-1297.
[http://dx.doi.org/10.1164/rccm.201502-0251OC] [PMID: 26258643]
[29]
Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey 2005-2006 Data Documentation, Codebook, and Frequencies Alcohol Use (ALQ_D). Available from: ALQ_D (cdc.gov) (Accessed on 11th Nov 2021).
[30]
Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey 2005-2006 Data Documentation, Codebook, and Frequencies Physical Activity (PAQ_D). Available from: NHANES 2005-2006: Physical Activity Data Documentation, Codebook, and Frequencies (cdc.gov) (Accessed on 11th Nov 2021).
[31]
Centers for Disease Control and Prevention. Health and Nutrition Examination Survey 2005-2006 Data Documentation, Codebook, and Frequencies Blood Pressure & Cholesterol (BPQ_D). Available from: BPQ_D (cdc.gov) (Accessed on 11th Nov 2021).
[32]
Salo, P.M.; Calatroni, A.; Gergen, P.J.; Hoppin, J.A.; Sever, M.L.; Jaramillo, R.; Arbes, S.J., Jr; Zeldin, D.C. Allergy-related outcomes in relation to serum IgE: Results from the National Health and Nutrition Examination Survey 2005-2006. J. Allergy Clin. Immunol., 2011, 127(5), 1226-35.e7.
[http://dx.doi.org/10.1016/j.jaci.2010.12.1106] [PMID: 21320720]
[33]
Trasande, L.; Spanier, A.J.; Sathyanarayana, S.; Attina, T.M.; Blustein, J. Urinary phthalates and increased insulin resistance in adolescents. Pediatrics, 2013, 132(3), e646-e655.
[http://dx.doi.org/10.1542/peds.2012-4022] [PMID: 23958772]
[34]
Murakami, D.; Anan, F.; Masaki, T.; Umeno, Y.; Shigenaga, T.; Eshima, N.; Nakagawa, T. Visceral fat accumulation is associated with asthma in patients with type 2 Diabetes. J. Diabetes Res., 2019, 2019, 3129286.
[http://dx.doi.org/10.1155/2019/3129286] [PMID: 31192262]
[35]
Lee, K.H.; Lee, H.S. Hypertension and diabetes mellitus as risk factors for asthma in Korean adults: The sixth Korea National Health and Nutrition Examination survey. Int. Health, 2020, 12(4), 246-252.
[http://dx.doi.org/10.1093/inthealth/ihz067] [PMID: 31608936]
[36]
Wu, T.D.; Brigham, E.P.; Keet, C.A.; Brown, T.T.; Hansel, N.N.; McCormack, M.C. Association between prediabetes/diabetes and asthma exacerbations in a claims-based obese asthma cohort. J. Allergy Clin. Immunol. Pract., 2019, 7(6), 1868-1873.e5.
[http://dx.doi.org/10.1016/j.jaip.2019.02.029] [PMID: 30857941]
[37]
Hwang, I.C.; Lee, Y.J.; Ahn, H.Y.; Lee, S.M. Association between allergic rhinitis and metabolic conditions: A nationwide survey in Korea. Allergy Asthma Clin. Immunol., 2016, 12(1), 5.
[http://dx.doi.org/10.1186/s13223-015-0108-7] [PMID: 26807136]
[38]
Nagai, K.; Fukushima, T.; Oike, H.; Kobori, M. High glucose increases the expression of proinflammatory cytokines and secretion of TNFα and β-hexosaminidase in human mast cells. Eur. J. Pharmacol., 2012, 687(1-3), 39-45.
[http://dx.doi.org/10.1016/j.ejphar.2012.04.038] [PMID: 22575517]
[39]
Dermendjiev, S.; Blagoeva, V.S. Angioedema - Our experience focused on socio-demographic, etiological and clinical characteristics of the condition and its management. Open Access Maced. J. Med. Sci., 2019, 7(3), 341-346.
[http://dx.doi.org/10.3889/oamjms.2019.040] [PMID: 30833998]
[40]
Gupta, R.S.; Warren, C.M.; Smith, B.M.; Blumenstock, J.A.; Jiang, J.; Davis, M.M.; Nadeau, K.C. The public health impact of parent-reported childhood food allergies in the United States. Pediatrics, 2018, 142(6), e20181235.
[http://dx.doi.org/10.1542/peds.2018-1235] [PMID: 30455345]
[41]
Samady, W.; Warren, C.; Wang, J.; Das, R.; Gupta, R.S. Egg allergy in US children. J. Allergy Clin. Immunol. Pract., 2020, 8(9), 3066-3073.e6.
[http://dx.doi.org/10.1016/j.jaip.2020.04.058] [PMID: 32376485]
[42]
Leonard, S.A.; Caubet, J.C.; Kim, J.S.; Groetch, M. Nowak-Węgrzyn, A. Baked milk- and egg-containing diet in the management of milk and egg allergy. J. Allergy Clin. Immunol. Pract., 2015, 3(1), 13-23.
[http://dx.doi.org/10.1016/j.jaip.2014.10.001] [PMID: 25577613]
[43]
Kim, M.K.; Jeong, J.S.; Han, K.; Baek, K.H.; Song, K.H.; Kwon, H.S. House dust mite and Cockroach specific Immunoglobulin E sensitization is associated with diabetes mellitus in the adult Korean population. Sci. Rep., 2018, 8(1), 2614.
[http://dx.doi.org/10.1038/s41598-018-20573-0] [PMID: 29422615]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy