Association between exposure to pesticides and allergic diseases in children and adolescents: a systematic review with meta-analysis

Abstract Objective: The study aimed to conduct a systematic review of the literature to verify the association between exposure to pesticides and allergic diseases (asthma, allergic rhinitis, and atopic dermatitis) in children and adolescents. Method: A systematic review and meta-analysis were performed using the PRISMA method with the question "What is the association between exposure to pesticides and allergic diseases in children (asthma, allergic rhinitis, and atopic dermatitis)?" MEDLINE, EMBASE, SciELO, and Cochrane electronic databases were searched throughout the period in the literature up to September 2020. A total of 1296 studies were found, and 24 were selected. Results: Exposure to pesticides showed a two-fold greater risk of developing or exacerbating asthma in children and adolescents (odds ratio [OR] = 2.14 95% confidence interval [CI] 1.26-3.64, p < 0.01). There was no association between exposure to pesticides and the development of allergic rhinitis (OR = 2.73, 95% CI 0.13-57.8, p = 0.52) and atopic dermatitis (OR = 2.19, 95% CI 0.51-9.36, p = 0.29). Conclusions: Exposure to pesticides increases the risk of developing or exacerbating asthma in children and adolescents. There was no evidence of an association between exposure to pesticides and the development of allergic rhinitis and atopic dermatitis in children and adolescents, possibly due to the low number of studies found in this review.

Association between exposure to pesticides and allergic diseases in children and adolescents: a systematic review with meta-analysis.

OBJECTIVE: The study aimed to conduct a systematic review of the literature to verify the association between exposure to pesticides and allergic diseases (asthma, allergic rhinitis, and atopic dermatitis) in children and adolescents. METHOD: A systematic review and meta-analysis were performed using the PRISMA method with the question "What is the association between exposure to pesticides and allergic diseases in children (asthma, allergic rhinitis, and atopic dermatitis)?" MEDLINE, EMBASE, SciELO, and Cochrane electronic databases were searched throughout the period in the literature up to September 2020. A total of 1296 studies were found, and 24 were selected. RESULTS: Exposure to pesticides showed a two-fold greater risk of developing or exacerbating asthma in children and adolescents (odds ratio [OR] = 2.14 95% confidence interval [CI] 1.26-3.64, p < 0.01). There was no association between exposure to pesticides and the development of allergic rhinitis (OR = 2.73, 95% CI 0.13-57.8, p = 0.52) and atopic dermatitis (OR = 2.19, 95% CI 0.51-9.36, p = 0.29). CONCLUSIONS: Exposure to pesticides increases the risk of developing or exacerbating asthma in children and adolescents. There was no evidence of an association between exposure to pesticides and the development of allergic rhinitis and atopic dermatitis in children and adolescents, possibly due to the low number of studies found in this review.

Resiliência e a promoção do desenvolvimento saudável na infância, adolescência e adultez: novas discussões dos conceitos psicológicos / Resilience and healthy development promotion on childhood, adolescence and adulthood: new discussions on psychological definitions

A resiliência é um dos construtos que tem chamado a atenção de pesquisadores em Psicologia pela sua associação com consequências positivas para o desenvolvimento. Esse trabalho apresenta uma revisão crítica do conceito de resiliência na área da Psicologia e suas implicações para o Desenvolvimento Humano. A definição atual de resiliência aponta para uma adaptação do indivíduo para situações aversivas, estressantes ou negativas. Essa adaptação pode ser promovida através de características individuais, apoio emocional e apoio social. Novas variáveis, como esperança e otimismo, merecem destaque pelos seus impactos na promoção da resiliência. Fatores de risco e proteção para o desenvolvimento da resiliência são cada vez mais abordados e utilizados como possíveis promotores de um desenvolvimento sadio. A resiliência e seus comportamentos associados devem receber atenção dos profissionais de saúde, em especial pela possibilidade de que venham a compor a rede de proteção de crianças, adolescentes e adultos.(AU)

Resilience is one of the constructs that has drawn the attention of Psychology to its association with the positive consequences for human development. This work presents a critical review the concept of resilience in Psychology and its importance for Human Development. A current definition of resilience points to an adaptation to aversive, stressful or negative situations. This adaptation can be promoted through individual characteristics, emotional and social support. Variables, such as hope and optimism, stand out because of their impact on promoting resilience. Risk and protective factors for resilience development are been addressed and used as possible promoters of a healthy development. Resilience and related behaviors should be fostered by health professionals for the possibility of forming a network of protection for children, adolescents, and adults.(AU)