Non-pharmacological interventions for pollen-induced allergic symptoms: Systematic literature review

Schutzmeier, Paul and Kutzora, Susanne and Mittermeier, Isabella and Becker, Jana and Bergmann, Karl-Christian and Böse-O'Reilly, Stephan and Buters, Jeroen and Damialis, Athanasios and Heinrich, Joachim and Kabesch, Michael and Mertes, Hanna and Nowak, Dennis and Korbely, Christine and Walser-Reichenbach, Sandra and Weinberger, Alisa and Heinze, Stefanie and Steckling-Muschack, Nadine and Herr, Caroline (2022) Non-pharmacological interventions for pollen-induced allergic symptoms: Systematic literature review. PEDIATRIC ALLERGY AND IMMUNOLOGY, 33 (1): e13690. ISSN 0905-6157, 1399-3038

Full text not available from this repository. (Request a copy)

Abstract

Background Allergic diseases pose a health problem worldwide. Pollen are widespread aeroallergens which can cause symptoms like shortness of breath, cough, itchy eyes, or rhinitis. Apart from preventive measures and pharmacological treatment, also non-pharmacological interventions have been suggested to reduce symptoms. The objective of this work was to review studies investigating the effectiveness of non-pharmacologic interventions to reduce allergic symptoms. Methods PubMed, EMBASE, and CENTRAL were systematically reviewed in July 2018 and April 2020. Several authors worked on the screening of titles, abstracts, and full texts. One author for each literature search performed the data extraction and the risk of bias assessment. Studies were included if they met the inclusion criteria defined by the PECOs. Studies which investigating the effect of non-pharmacologic interventions on patients with allergic rhinitis were included. Results Twenty-nine studies investigating eleven types of non-pharmacologic interventions to avoid and reduce allergic symptoms due to pollen exposure were included in this review. Out of all studies, seven studies addressed nasal rinsing and 22 included acupuncture, air filtering, artisanal tears, individual allergen avoidance advice, various nasal applications, self-hypnosis, rhinophototherapy, and wraparound sunglasses. Conclusion Most studies had a high risk of bias and small sample sizes. There were only a few high-quality studies that give hints about the effectiveness of non-pharmacological interventions. For future research, more high-quality studies are required to confirm the effectiveness of simple, safe, and cost-effective interventions.

Item Type: Article
Uncontrolled Keywords: RANDOMIZED CONTROLLED-TRIAL; APPLIED CELLULOSE POWDER; DOUBLE-BLIND; NASAL IRRIGATION; HAY-FEVER; HYPERTONIC SALINE; RHINITIS; ASTHMA; CHILDREN; ACUPUNCTURE; allergic symptoms; allergy; non-pharmacological interventions; pollen
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Kinder- und Jugendmedizin
Depositing User: Petra Gürster
Date Deposited: 29 Nov 2022 06:40
Last Modified: 29 Nov 2022 06:40
URI: https://pred.uni-regensburg.de/id/eprint/47437

Actions (login required)

View Item View Item