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Open Access Study protocol

Asthma in changing environments - chances and challenges of international research collaborations between South America and Europe - study protocol and description of the data acquisition of a case-control-study

Anja Boneberger1, Katja Radon1*, Jennifer Baer1, Leonie Kausel2, Michael Kabesch3, Daniel Haider1, Rudolf Schierl1, Rüdiger von Kries4 and Mario Calvo5

Author Affiliations

1 Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Hospital of the Ludwig-Maximilians-University Munich, Ziemssenstrasse 1, 80336 Munich, Germany

2 Facultad de Bioquímica, Universidad Austral de Chile, Valdivia, Chile

3 Center for Paediatrics, Clinic for Paediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany

4 Institute for Social Pediatrics and Adolescent Medicine, Department of Epidemiology, Ludwig-Maximilians-University Munich, Heiglhofstrasse 63, 81377 Munich, Germany

5 Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile

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BMC Pulmonary Medicine 2010, 10:43  doi:10.1186/1471-2466-10-43

Published: 18 August 2010

Abstract

Background

Asthma in children is an emerging public health problem in South America. So far, research in this part of the world is limited. This paper presents the methodology and description of the data acquisition of an asthma case-control study conducted in the Central South of Chile.

Methods/Design

A hospital-based case-control study about asthma (188 cases, 294 controls) in children (6-15 years) was carried out in Valdivia, Chile between November 2008 and December 2009. Data on asthma risk factors were collected by computer-assisted personal interview using validated questions from e.g. ISAAC phase II. Data on household dust exposure (endotoxin, allergen analyses), skin prick tests to most common allergens, stool examinations for parasitic infection, and blood samples (total IgE, genetics) were collected. Additionally, 492 randomly chosen blood donors were recruited in order to assess allele frequencies in the population of Valdivia.

Discussion

Overall 1,173 participants were contacted. Response was 82% among cases and 65% among controls. Atopic sensitization was high (78% among cases, 47% among controls). Cases had a statistically significantly (p < .0001) increased self-reported 12-month prevalence of symptoms of rhinitis (82% vs. 51%) and wheeze (68% vs. 16%). The study is well placed to address current hypotheses about asthma and its correlates in the South American context. Results of this study might help develop novel, innovative and individualized prevention strategies in countries in transition with respect to the South American context.