ArticlePediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology2026
Symptom probability increases at low pollen exposure in adolescents with allergic rhinitis findings from the GINIplus and LISA birth cohorts.
Article in Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Symptom probability increases at low pollen exposure in adolescents with allergic rhinitis findings from the GINIplus and LISA birth cohorts.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026Article
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9 authors.
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Abstract
backgroundPollen-induced allergic rhinitis increases significantly with age among children and adolescents and is associated with reduced quality of life due to symptom severity, social impacts, and decreased school performance. This study examines associations between pollen exposure and allergic rhinitis symptoms in German adolescents.
methodsIn the 15-year follow-up of the GINIplus and LISA birth cohorts at the Munich study area, monthly occurrence of nasal symptoms was assessed in 1594 participants. Pollen concentrations of birch, grass, ragweed, and mugwort between January 2010 and March 2014 were considered. Monthly individual pollen exposures (grains/m
resultsA non-linear association between individual pollen exposure and nasal symptoms was observed, with symptom probability increasing significantly at low pollen concentrations and plateauing around 24 grains/m
conclusionEven at low pollen concentrations, there is an increase in symptom probability of seasonal allergic rhinitis that remains elevated at high pollen concentrations in sensitized participants. Enhanced probability rates also remain in late seasons after the pollen peak. These findings show that allergic rhinitis patients cannot rely on high-pollen warnings but require accurate measurements to avoid exposure and allergic symptoms.
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