Allergy Asthma Immunol Res.  2018 Mar;10(2):155-164. 10.4168/aair.2018.10.2.155.

Dog and Cat Allergies and Allergen Avoidance Measures in Korean Adult Pet Owners Who Participated in a Pet Exhibition

Affiliations
  • 1Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.
  • 2Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea. sangminlee77@naver.com

Abstract

PURPOSE
This study evaluated dog and cat allergies and their association with allergen avoidance measures in Korean adults.
METHODS
The study population consisted of 537 adults who currently kept dogs or cats and participated in a pet exhibition in Korea. The subjects were asked to complete questionnaires regarding pet ownership, allergen avoidance, and allergy symptoms, and underwent skin prick tests. They were considered to have a dog or cat allergy if they suffered from one or more of allergy symptoms during contact with their pets.
RESULTS
In total, 103 of 407 dog owners (25.3%) and 45 of 130 cat owners (34.6%) had a dog or cat allergy, respectively. Dog owners kept 1.3±1.5 dogs; this number did not differ according to the presence of dog allergy. Dog owners with a dog allergy had owned their dogs longer than those without (88.0±72.0 vs 67.5±72.7 months, P < 0.05). Cat owners kept 2.1±3.6 cats; this number did not differ according to the presence of cat allergy, nor did the duration of cat ownership. Cat owners with a cat allergy had facial contact and slept with their cats less frequently (8.6±11.9 vs 18.3±27.0 times/day, P < 0.01; 71.1% vs 81.2%, P < 0.05); however, they had their cats shaved and beds cleaned less frequently than those without (1.8±3.3 vs 3.2±4.4 times/year, P < 0.05; 1.5±1.5 vs 3.9±6.0 times/month, P < 0.01).
CONCLUSIONS
Cat owners with a cat allergy tried to minimize contact with their cats, but efforts to avoid indoor cat allergens were lower than those without. In comparison, dog owners with a dog allergy had kept their dogs for longer time than those without; however, current contact with their dogs and allergen avoidance measures did not differ between the 2 groups.

Keyword

Dogs; cats; allergy

MeSH Terms

Adult*
Allergens
Animals
Cats*
Dogs*
Humans
Hypersensitivity*
Korea
Ownership
Skin
Allergens

Figure

  • Fig. 1 Participant flowchart. Informed consent was obtained from 654 subjects who visited our survey booth. Among them, 44 dropped out because they owned pets other than a dog or cat, and 54 because they owned both dogs and cats. A total of 556 subjects were asked to respond to questionnaires regarding their dog or cat ownership and dog or cat allergy. They also underwent SPTs for dog, cat, and other indoor inhalant allergens. After the SPT, 19 dropped out due to dermographism. Thus, the final analysis was performed on 537 subjects. SPT, skin prick test.

  • Fig. 2 The prevalence of dog and cat allergy according to breed. (A) Dog allergy. (B) Cat allergy.

  • Fig. 3 The use of medical services for pet allergy and recognition of AIT in subjects with a dog or cat allergy. AIT, allergy immunotherapy.


Reference

1. Patelis A, Dosanjh A, Gunnbjörnsdottir M, Borres MP, Högman M, Alving K, et al. New data analysis in a population study raises the hypothesis that particle size contributes to the pro-asthmatic potential of small pet animal allergens. Ups J Med Sci. 2016; 121:25–32. PMID: 26610050.
Article
2. Sarsfield JK, Boyle AG, Rowell EM, Moriarty SC. Pet sensitivities in asthmatic children. Arch Dis Child. 1976; 51:186–189. PMID: 952552.
Article
3. Al-Mousawi MS, Lovel H, Behbehani N, Arifhodzic N, Woodcock A, Custovic A. Asthma and sensitization in a community with low indoor allergen levels and low pet-keeping frequency. J Allergy Clin Immunol. 2004; 114:1389–1394. PMID: 15577842.
Article
4. Medjo B, Atanaskovic-Markovic M, Nikolic D, Spasojevic-Dimitrijeva B, Ivanovski P, Djukic S. Association between pet-keeping and asthma in school children. Pediatr Int. 2013; 55:133–137. PMID: 23421334.
Article
5. Park YB, Mo EK, Lee JY, Kim JH, Kim CH, Hyun IG, et al. Association between pet ownership and the sensitization to pet allergens in adults with various allergic diseases. Allergy Asthma Immunol Res. 2013; 5:295–300. PMID: 24003386.
Article
6. Mungan D, Celik G, Bavbek S, Misirligil Z. Pet allergy: how important for Turkey where there is a low pet ownership rate. Allergy Asthma Proc. 2003; 24:137–142. PMID: 12776448.
7. Simpson AJ, Matusiewicz SP, Greening AP, Crompton GK. Pet ownership and asthma morbidity. Respir Med. 2000; 94:91–92. PMID: 10714486.
Article
8. Henriksen AH, Holmen TL, Bjermer L. Sensitization and exposure to pet allergens in asthmatics versus non-asthmatics with allergic rhinitis. Respir Med. 2001; 95:122–129. PMID: 11217908.
Article
9. Anyo G, Brunekreef B, de Meer G, Aarts F, Janssen NA, van Vliet P. Early, current and past pet ownership: associations with sensitization, bronchial responsiveness and allergic symptoms in school children. Clin Exp Allergy. 2002; 32:361–366. PMID: 11940064.
Article
10. Bener A, Mobayed H, Sattar HA, Al-Mohammed AA, Ibrahimi AS, Sabbah A. Pet ownership: its effect on allergy and respiratory symptoms. Eur Ann Allergy Clin Immunol. 2004; 36:306–310. PMID: 15623245.
11. Lowe LA, Woodcock A, Murray CS, Morris J, Simpson A, Custovic A. Lung function at age 3 years: effect of pet ownership and exposure to indoor allergens. Arch Pediatr Adolesc Med. 2004; 158:996–1001. PMID: 15466689.
12. Dong GH, Ding HL, Ma YN, Jin J, Cao Y, Zhao YD, et al. Asthma and asthma-related symptoms in 16,789 Chinese children in relation to pet keeping and parental atopy. J Investig Allergol Clin Immunol. 2008; 18:207–213.
13. Gergen PJ, Mitchell HE, Calatroni A, Sever ML, Cohn RD, Salo PM, et al. Sensitization and exposure to pets: the effect on asthma morbidity in the US population. J Allergy Clin Immunol Pract. Forthcoming 2017.
Article
14. Bråbäck L, Kjellman NI, Sandin A, Björkstén B. Atopy among schoolchildren in northern and southern Sweden in relation to pet ownership and early life events. Pediatr Allergy Immunol. 2001; 12:4–10. PMID: 11251858.
Article
15. Karimi M, Mirzaei M, Baghiani Moghadam B, Fotouhi E, Zare Mehrjardi A. Pet exposure and the symptoms of asthma, allergic rhinitis and eczema in 6–7 years old children. Iran J Allergy Asthma Immunol. 2011; 10:123–127. PMID: 21625021.
16. Dong GH, Wang J, Liu MM, Wang D, Lee YL, Zhao YD. Allergic predisposition modifies the effects of pet exposure on respiratory disease in boys and girls: the seven northeast cities of China (SNECC) study. Environ Health. 2012; 11:50. PMID: 22824203.
Article
17. Lødrup Carlsen KC, Roll S, Carlsen KH, Mowinckel P, Wijga AH, Brunekreef B, et al. Does pet ownership in infancy lead to asthma or allergy at school age? Pooled analysis of individual participant data from 11 European birth cohorts. PLoS One. 2012; 7:e43214. PMID: 22952649.
Article
18. Pelucchi C, Galeone C, Bach JF, La Vecchia C, Chatenoud L. Pet exposure and risk of atopic dermatitis at the pediatric age: a metaanalysis of birth cohort studies. J Allergy Clin Immunol. 2013; 132:616–622.e7. PMID: 23711545.
19. Collin SM, Granell R, Westgarth C, Murray J, Paul E, Sterne JA, et al. Pet ownership is associated with increased risk of non-atopic asthma and reduced risk of atopy in childhood: findings from a UK birth cohort. Clin Exp Allergy. 2015; 45:200–210. PMID: 25077415.
Article
20. Pyrhönen K, Näyhä S, Läärä E. Dog and cat exposure and respective pet allergy in early childhood. Pediatr Allergy Immunol. 2015; 26:247–255. PMID: 25735463.
Article
21. Custovic A, Simpson BM, Simpson A, Hallam CL, Marolia H, Walsh D, et al. Current mite, cat, and dog allergen exposure, pet ownership, and sensitization to inhalant allergens in adults. J Allergy Clin Immunol. 2003; 111:402–407. PMID: 12589363.
Article
22. Oryszczyn MP, Annesi-Maesano I, Charpin D, Kauffmann F. Allergy markers in adults in relation to the timing of pet exposure: the EGEA study. Allergy. 2003; 58:1136–1143. PMID: 14616124.
Article
23. Maeda Y, Kudoh M, Tomita S, Hasegawa M, Akiyama K. Annual change of the pet in allergic patients home for ten years. Arerugi. 1999; 48:27–32. PMID: 10331304.
24. Apfelbacher C, Frew E, Xiang A, Apfel A, Smith H. Assessment of pet exposure by self-report in epidemiological studies of allergy and asthma: a systematic review. J Asthma. 2016; 53:363–373. PMID: 26539692.
Article
25. Lee SM, Ahn JS, Noh CS, Lee SW. Prevalence of allergic diseases and risk factors of wheezing in Korean military personnel. J Korean Med Sci. 2011; 26:201–206. PMID: 21286010.
Article
26. Liccardi G, D'Amato G, D'Amato L, Salzillo A, Piccolo A, De Napoli I, et al. The effect of pet ownership on the risk of allergic sensitisation and bronchial asthma. Respir Med. 2005; 99:227–233. PMID: 15715191.
Article
27. Ohgou T, Kishimoto T. Cough variant asthma improving with avoidance of pet rabbit. Arerugi. 1999; 48:23–26. PMID: 10331303.
28. Kawai K, Shirai T, Suzuki K, Chida K, Nakamura H. Mild intermittent aspirin-induced asthma in a patient who became asymptomatic after removal of pet hamsters from home. Nihon Kokyuki Gakkai Zasshi. 2000; 38:298–301. PMID: 10879034.
29. Shirai T, Matsui T, Suzuki K, Chida K. Effect of pet removal on pet allergic asthma. Chest. 2005; 127:1565–1571. PMID: 15888829.
Article
30. Ownby DR. Pet dander and difficult-to-control asthma: the burden of illness. Allergy Asthma Proc. 2010; 31:381–384. PMID: 20929604.
Article
31. Svanes C, Zock JP, Antó J, Dharmage S, Norbäck D, Wjst M, et al. Do asthma and allergy influence subsequent pet keeping? An analysis of childhood and adulthood. J Allergy Clin Immunol. 2006; 118:691–698. PMID: 16950289.
Article
32. Eller E, Roll S, Chen CM, Herbarth O, Wichmann HE, von Berg A, et al. Meta-analysis of determinants for pet ownership in 12 European birth cohorts on asthma and allergies: a GA2LEN initiative. Allergy. 2008; 63:1491–1498. PMID: 18721248.
Article
33. Ezell JM, Wegienka G, Havstad S, Ownby DR, Johnson CC, Zoratti EM. A cross-sectional analysis of pet-specific immunoglobulin E sensitization and allergic symptomatology and household pet keeping in a birth cohort population. Allergy Asthma Proc. 2013; 34:504–510. PMID: 24169057.
Article
34. Gehring U, Triche E, van Strien RT, Belanger K, Holford T, Gold DR, et al. Prediction of residential pet and cockroach allergen levels using questionnaire information. Environ Health Perspect. 2004; 112:834–839. PMID: 15175169.
Article
35. Downes MJ, Roy A, McGinn TG, Wisnivesky JP. Factors associated with furry pet ownership among patients with asthma. J Asthma. 2010; 47:742–749. PMID: 20684732.
Article
36. Liccardi G, Salzillo A, Calzetta L, Pignatti P, Rogliani P. Can pet keeping be considered the only criterion of exposure to cat/dog allergens in the first year of life? Allergol Immunopathol (Madr). 2016; 44:387–388. PMID: 26598286.
Article
37. Karlsson AS, Andersson B, Renström A, Svedmyr J, Larsson K, Borres MP. Airborne cat allergen reduction in classrooms that use special school clothing or ban pet ownership. J Allergy Clin Immunol. 2004; 113:1172–1177. PMID: 15208601.
Article
38. Liccardi G, Cazzola M, Walter Canonica G, Passalacqua G, D'Amato G. New insights in allergen avoidance measures for mite and pet sensitized patients. A critical appraisal. Respir Med. 2005; 99:1363–1376. PMID: 15890511.
Article
39. Kilburn S, Lasserson TJ, McKean M. Pet allergen control measures for allergic asthma in children and adults. Cochrane Database Syst Rev. 2003; CD002989. PMID: 12535446.
Article
40. Vredegoor DW, Willemse T, Chapman MD, Heederik DJ, Krop EJ. Can f 1 levels in hair and homes of different dog breeds: lack of evidence to describe any dog breed as hypoallergenic. J Allergy Clin Immunol. 2012; 130:904–909.e7. PMID: 22728082.
Article
41. Morris DO. Human allergy to environmental pet danders: a public health perspective. Vet Dermatol. 2010; 21:441–449. PMID: 20374569.
Article
42. Wallace DV. Pet dander and perennial allergic rhinitis: therapeutic options. Allergy Asthma Proc. 2009; 30:573–583. PMID: 20031003.
Article
43. Ling M, Long AA. Pet dander and difficult-to-control asthma: therapeutic options. Allergy Asthma Proc. 2010; 31:385–391. PMID: 20929605.
Article
44. Senti G, Crameri R, Kuster D, Johansen P, Martinez-Gomez JM, Graf N, et al. Intralymphatic immunotherapy for cat allergy induces tolerance after only 3 injections. J Allergy Clin Immunol. 2012; 129:1290–1296. PMID: 22464647.
Article
45. Lee SP, Choi SJ, Joe E, Lee SM, Lee MW, Shim JW, et al. A pilot study of intralymphatic immunotherapy for house dust mite, cat, and dog allergies. Allergy Asthma Immunol Res. 2017; 9:272–277. PMID: 28293934.
Article
46. Kim ST, Park SH, Lee SM, Lee SP. Allergen-specific intralymphatic immunotherapy in human and animal studies. Asia Pac Allergy. 2017; 7:131–137. PMID: 28765817.
Article
Full Text Links
  • AAIR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr