Table 1 Characteristics of studies and quality evaluation. ISAAC = international study of asthma and allergies in childhood, BMI = body mass index, OR = odds ratio.

From: Cesarean section and the risk of allergic rhinitis in children: a systematic review and meta-analysis

Author

Country

Study design

Sample size

Age (y)

Diagnostic mode

Adjusted for confounders

Nafstad

200042

Norway

Cohort Study

3,754

0–4

Clinical diagnosis

Crude OR

Mckeever 200243

England

Cohort Study

24,690

0–11

Clinical diagnosis

Sex, age(y), prematurity, parental atopy history, parental smoking behavior, maternal age, general practice

Negele

200444

Germany

Cohort Study

2,500

0–2(< 2)

Questionnaire

(self-made),

Clinical diagnosis

sex, study area, parental atopy history, maternal smoking, breast-feeding

Renz-Polster

200519

America

Cohort Study

8,953

3–10

Clinical diagnosis

Sex, age at diagnosis, birthweight, birth order, exposure to antibiotics in the postpartum period, ethnicity, multiple gestation, maternal age, education, marital status, smoking status during pregnancy, use of asthma and/or hay fever medications

Salam

200620

America

Cohort Study

3,464

8–17

Questionnaire

(self-made)

Age, sex, race, birth order, birth weight, community of residence, parental education, health insurance coverage, parental atopy history, exposure to in utero smoking, maternal age at childbirth, requirement for special care after birth, calendar period of birth, and history of pneumonia, bronchitis, bronchiolitis, and croup

Pistiner 200823

America

Cohort Study

432

0–9(< 9)

Questionnaire

(self-made),

Clinical diagnosis

Age and sex, birth weight, Endotoxin levels, ≤ 3 Episodes of nasal catarrh in the first year of life, day care attendance in the first year of life

Park

201045

South Korea

Cross-Sectional Study

279

 < 6

Clinical diagnosis

Sex, age, gestational age, birth weight, breast-feeding

Huang

2014 21

China

Case–control Study

854

5–14

Clinical diagnosis

Sex, gestational age, birth weight, breast-feeding, family smoking before and after birth, family smoking at present, housing floors, domestic pets, mildew and carpet in the home, antibiotic use within 1 year old, parental atopy history

Li

201546

China

Cross-Sectional Study

20,803

5–13

Questionnaire(ISAAC)

Age, sex, family income, family numbers, resident area per capita, parental education level, city

Brandao

201622

Brazil

Cross-Sectional Study

672

0–6(< 6)

Questionnaire(ISAAC)

Gestational age, birth weight, breast-feeding, mother’s smoking during pregnancy, family income, mother’s schooling level, parity, number of persons who sleep in the room with the child, attendance to nursery to the age of 2 years, pneumonia ever

Chu

201747

China

Cross-Sectional Study

12,639

5–12

Questionnaire

(self-made)

Maternal education level, paternal education level, maternal history of diabetes in pregnancy

Loo

2017 48

Singapore

Cohort Study

1,237

0–5(< 5)

Questionnaire

(self-made),

Clinical diagnosis

Age, ethnicity, educational level, parity, parental atopy history, gestational diabetes mellitus status, early pregnancy body, offspring sex, gestational age

Gerlich

201814

Germany

Cohort Study

1,006

9–11

Questionnaire(ISAAC) ,

Clinical diagnosis

Sex, parental education, study location, place of birth, parental atopy history, presence of siblings, maternal smoking during pregnancy, season of birth

Krzych-Fałta

201817

Poland

Cross-Sectional Study

9,231

6–7

13–14

Questionnaire(ISAAC) ,

Clinical diagnosis

Unknown

Zeng

201849

China

Case–control Study

296

4–14

Clinical diagnosis

Parental atopy history, domestic animals, disease duration ≥ 24 months, asthma, seafood consumption, second-hand smoke smoking, breast-feeding

Han

201916

South Korea

Cohort Study

1,374

4–12

Clinical diagnosis

Age and sex, breast-feeding, number of siblings, parental atopy history, living area

Yu

201950

China

Cross-Sectional Study

183,449

6–18

Questionnaire

(self-made)

Age, Year, sex, breast-feeding, father smoking

Gorris

202015

Ecuador

Cross-Sectional Study

400

3–12

Questionnaire(ISAAC)

Crude OR

Mitselou

202018

Sweden

Cohort Study

1,059,600

0–13

Clinical diagnosis

Sex, maternal age at delivery, country of birth, parity, maternal BMI, early pregnancy smoking and parental atopy history

Richards

202051

America

Cohort Study

117,768

6–10

Clinical diagnosis

Maternal age, education, race, pre-pregnancy BMI, smoking, antibiotics during pregnancy, parental atopy history, sex, gestational age, birth weight, NICU admission, birth order, breast-feeding

Hu

202152

China

Cross-Sectional Study

10,464

6–11

Questionnaire(ISAAC)

Sex, age, socioeconomic status, only one child in the household, parental atopy history

Meza-Lopez 202153

Mexico

Cross-Sectional Study

1,003

6–7,

13–14

Questionnaire(ISAAC)

Unknown