Research Article
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Year 2025, EARLY ONLINE, 1 - 7
https://doi.org/10.18621/eurj.1708291

Abstract

References

  • 1. Skoner DP. Allergic rhinitis: definition, epidemiology, pathophysiology, detection, and diagnosis. J Allergy Clin Immunol. 2001;108(1 Suppl):S2-8. doi: 10.1067/mai.2001.115569.
  • 2. Turner PJ, Kemp AS. Allergic rhinitis in children. J Paediatr Child Health. 2012;48(4):302-310. doi: 10.1111/j.1440-1754.2010.01779.x.
  • 3. Ayanoğlu M, Can D, Nacaroğlu HT, et al. Prevalence of allergic rhinitis and risk factors in school children. Trends Pediatr. 2021;2(2):67-77. doi: 10.5222/TP.2021.21939.
  • 4. Duman H, Dibek Mısırlıoğlu E, Giniş T, Bostancı İ. [Allergic Rhinitis in Children]. J Child. 2010;9(2):62-68. doi:10.5222/j.child.2010.062. [Article in Turkish]
  • 5. Kandelaki E, Kavlashvili N, Kherkheulidze M, Chkhaidze I. Prevalence of Atopic Dermatitis Symptoms in Children With Developmental and Behavioral Problems. Georgian Med News. 2015;(243):29-33.
  • 6. Strom MA, Silverberg JI. Asthma, hay fever, and food allergy are associated with caregiver-reported speech disorders in US children. Pediatr Allergy Immunol. 2016;27(6):604-611. doi: 10.1111/pai.12580.
  • 7. Marshall PS, O'Hara C, Steinberg P. Effects of seasonal allergic rhinitis on selected cognitive abilities. Ann Allergy Asthma Immunol. 2000;84(4):403-410. doi: 10.1016/S1081-1206(10)62273-9.
  • 8. Çomoğlu Ş, Keleş N. [Allergic Rhinitis and Comorbid Diseases]. Turk Klin J ENT Spec Top. 2015;8(1):54-99. [Article in Turkish]
  • 9. Uptegrove EB. Shared communication in building mathematical ideas: A longitudinal study. J Math Behav. 2015;40 (Part A):106-130. doi:10.1016/j.jmathb.2015.02.001.
  • 10. Cheuk T. The language of mathematics and summative assessment. In: Bailey AL, Maher CA, Wilkinson LC, editors. Language, Literacy, and Learning in the STEM Disciplines: How Language Counts for English Learners. New York: Routledge; 2018. p. 185-202.
  • 11. Albayrak M, Erkal M. [The combination of expression and skill lessons (Turkish-Mathematics) on the road to success]. Milli Eğitim Dergisi. 2003;30(158):150-155. [Article in Turkish].
  • 12. Schoenfeld AH. Learning to think mathematically: Problem solving, metacognition, and sense making in mathematics. In: Grouws DA, editor. Handbook of Research on Mathematics Teaching and Learning. New York: Macmillan; 1992. p. 334-370.
  • 13. Lester FK Jr. Reflections about mathematical problem-solving research. In: Charles RI, Silver EA, editors. The teaching and assessing of mathematical problem solving. NCTM; 1989. p. 115-124.
  • 14. Spencer JP. The development of working memory. Curr Dir Psychol Sci. 2020;29(6):545-553. doi: 10.1177/0963721420959835.
  • 15. Kyttälä M, Lehto JE. Some factors underlying mathematical performance: the role of visuospatial working memory and non-verbal intelligence. Eur J Psychol Educ. 2008;23(1):77-94. doi:10.1007/BF03173141.
  • 16. Geary DC, Bailey DH, Hoard MK. Predicting Mathematical Achievement and Mathematical Learning Disability With a Simple Screening Tool: The Number Sets Test. J Psychoeduc Assess. 2009;27(3):265-279. doi: 10.1177/0734282908330592.
  • 17. Savaşır ŞN. Wechsler Intelligence Scale for Children (WISC-R) manual. Ankara: Turkish Psychol Assoc; 1995.
  • 18. Topbaş S, Güven S. Turkish school-age language development test (TODIL) user guide. Ankara: Detay Publishing; 2017.
  • 19. Altun M, Arslan Ç. [A Study on Primary School Students' Learning of Problem-Solving Strategies]. Uludağ Üniv Eğitim Fak Derg. 2006;19(1):1-21. [Article in Turkish]
  • 20. Bousquet J, Khaltaev N, Cruz AA, et. al; World Health Organization; GA(2)LEN; AllerGen. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen). Allergy. 2008;63 Suppl 86:8-160. doi: 10.1111/j.1398-9995.2007.01620.x.
  • 21. Miraglia Del Giudice M, Marseglia A, Leonardi S, et al. Allergic rhinitis and quality of life in children. Int J Immunopathol Pharmacol. 2011;24(4 Suppl):25-28. doi: 10.1177/03946320110240s406.
  • 22. Blaiss MS, Hammerby E, Robinson S, Kennedy-Martin T, Buchs S. The burden of allergic rhinitis and allergic rhinoconjunctivitis on adolescents: a literature review. Ann Allergy Asthma Immunol. 2018;121(1):43-52. doi:10.1016/j.anai.2018.04.019.
  • 23. Bousquet J, Schünemann HJ, Samolinski B, et al.; World Health Organization Collaborating Center for Asthma and Rhinitis. Allergic Rhinitis and its Impact on Asthma (ARIA): achievements in 10 years and future needs. J Allergy Clin Immunol. 2012;130(5):1049-1062. doi: 10.1016/j.jaci.2012.07.053.
  • 24. Scadding GK. Optimal management of allergic rhinitis. Arch Dis Child. 2015;100(6):576-82. doi: 10.1136/archdischild-2014-306300.
  • 25. Canonica GW, Mullol J, Pradalier A, Didier A. Patient perceptions of allergic rhinitis and quality of life: findings from a survey conducted in europe and the United States. World Allergy Organ J. 2008;1(9):138-144. doi: 10.1097/WOX.0b013e3181865faf.
  • 26. Kaufman AS. Intelligent testing with WISC-R. Oxford: Wiley Intersci Publ; 1979.
  • 27. D'Elia C, Gozal D, Bruni O, Goudouris E, Meira E Cruz M. Allergic rhinitis and sleep disorders in children - coexistence and reciprocal interactions. J Pediatr (Rio J). 2022;98(5):444-454. doi: 10.1016/j.jped.2021.11.010.
  • 28. Nagata A, Onishi K, Masumoto T, Nakagawa T, Ishitsuka K, Kurozawa Y. Early childhood neurodevelopmental milestones in children with allergic diseases: the Japan Environment and Children's Study (JECS). Sci Rep. 2024;14(1):6460. doi: 10.1038/s41598-024-57210-y.
  • 29. Thongseiratch T, Chandeying N. Chronic Illnesses and Student Academic Performance. J Health Sci Med Res. 2020;38(3):245-253. doi: 10.31584/jhsmr.2020738.

Unmasking hidden deficits: Language, cognitive, and mathematical challenges in children with allergic rhinitis

Year 2025, EARLY ONLINE, 1 - 7
https://doi.org/10.18621/eurj.1708291

Abstract

Objectives: Children with allergic rhinitis are known to exhibit atypical developmental patterns and may face difficulties in language, speech, cognitive, and academic skills. This study aims to compare children newly diagnosed with allergic rhinitis (ages 6-9) with their typically developing peers in terms of language development, cognitive performance, and mathematical skills.

Methods: A total of 70 participants were included in the study, comprising 35 children with newly diagnosed allergic rhinitis and 35 healthy controls. Following the collection of sociodemographic data, participants were assessed using the Test of Language Development Primary-Fourth Edition: Turkish Version (TOLDP-4:T), the Wechsler Intelligence Scale for Children-Revised (WISC-R), and a set of age-appropriate non-routine mathematical problems.

Results: According to the TOLDP-4:T results, children in the allergic rhinitis group demonstrated below-average performance in listening, organizing, grammar, and over all language skills, whereas their healthy peers performed at an average level. In the WISC-R assessment, the allergic rhinitis group had significantly lower mean scores compared to the control group. While a significant correlation between verbal IQ scoress and mathematical performance was initially found, this relationship was no longer statistically significant after applying the Bonferroni correction.

Conclusions: Allergic rhinitis appears to have a negative impact on children’s language development, cognitive abilities, and mathematical performance. These findings highlight the importance of early identification and intervention for children with allergic rhinitis to support their developmental outcomes.

Ethical Statement

This study was approved by the Istanbul Atlas University Non-Interventional Scientific Research Ethics Committee (Decision no.: 2024-06/16, date: 22.07.2024). Informed consent was obtained from all participants.

References

  • 1. Skoner DP. Allergic rhinitis: definition, epidemiology, pathophysiology, detection, and diagnosis. J Allergy Clin Immunol. 2001;108(1 Suppl):S2-8. doi: 10.1067/mai.2001.115569.
  • 2. Turner PJ, Kemp AS. Allergic rhinitis in children. J Paediatr Child Health. 2012;48(4):302-310. doi: 10.1111/j.1440-1754.2010.01779.x.
  • 3. Ayanoğlu M, Can D, Nacaroğlu HT, et al. Prevalence of allergic rhinitis and risk factors in school children. Trends Pediatr. 2021;2(2):67-77. doi: 10.5222/TP.2021.21939.
  • 4. Duman H, Dibek Mısırlıoğlu E, Giniş T, Bostancı İ. [Allergic Rhinitis in Children]. J Child. 2010;9(2):62-68. doi:10.5222/j.child.2010.062. [Article in Turkish]
  • 5. Kandelaki E, Kavlashvili N, Kherkheulidze M, Chkhaidze I. Prevalence of Atopic Dermatitis Symptoms in Children With Developmental and Behavioral Problems. Georgian Med News. 2015;(243):29-33.
  • 6. Strom MA, Silverberg JI. Asthma, hay fever, and food allergy are associated with caregiver-reported speech disorders in US children. Pediatr Allergy Immunol. 2016;27(6):604-611. doi: 10.1111/pai.12580.
  • 7. Marshall PS, O'Hara C, Steinberg P. Effects of seasonal allergic rhinitis on selected cognitive abilities. Ann Allergy Asthma Immunol. 2000;84(4):403-410. doi: 10.1016/S1081-1206(10)62273-9.
  • 8. Çomoğlu Ş, Keleş N. [Allergic Rhinitis and Comorbid Diseases]. Turk Klin J ENT Spec Top. 2015;8(1):54-99. [Article in Turkish]
  • 9. Uptegrove EB. Shared communication in building mathematical ideas: A longitudinal study. J Math Behav. 2015;40 (Part A):106-130. doi:10.1016/j.jmathb.2015.02.001.
  • 10. Cheuk T. The language of mathematics and summative assessment. In: Bailey AL, Maher CA, Wilkinson LC, editors. Language, Literacy, and Learning in the STEM Disciplines: How Language Counts for English Learners. New York: Routledge; 2018. p. 185-202.
  • 11. Albayrak M, Erkal M. [The combination of expression and skill lessons (Turkish-Mathematics) on the road to success]. Milli Eğitim Dergisi. 2003;30(158):150-155. [Article in Turkish].
  • 12. Schoenfeld AH. Learning to think mathematically: Problem solving, metacognition, and sense making in mathematics. In: Grouws DA, editor. Handbook of Research on Mathematics Teaching and Learning. New York: Macmillan; 1992. p. 334-370.
  • 13. Lester FK Jr. Reflections about mathematical problem-solving research. In: Charles RI, Silver EA, editors. The teaching and assessing of mathematical problem solving. NCTM; 1989. p. 115-124.
  • 14. Spencer JP. The development of working memory. Curr Dir Psychol Sci. 2020;29(6):545-553. doi: 10.1177/0963721420959835.
  • 15. Kyttälä M, Lehto JE. Some factors underlying mathematical performance: the role of visuospatial working memory and non-verbal intelligence. Eur J Psychol Educ. 2008;23(1):77-94. doi:10.1007/BF03173141.
  • 16. Geary DC, Bailey DH, Hoard MK. Predicting Mathematical Achievement and Mathematical Learning Disability With a Simple Screening Tool: The Number Sets Test. J Psychoeduc Assess. 2009;27(3):265-279. doi: 10.1177/0734282908330592.
  • 17. Savaşır ŞN. Wechsler Intelligence Scale for Children (WISC-R) manual. Ankara: Turkish Psychol Assoc; 1995.
  • 18. Topbaş S, Güven S. Turkish school-age language development test (TODIL) user guide. Ankara: Detay Publishing; 2017.
  • 19. Altun M, Arslan Ç. [A Study on Primary School Students' Learning of Problem-Solving Strategies]. Uludağ Üniv Eğitim Fak Derg. 2006;19(1):1-21. [Article in Turkish]
  • 20. Bousquet J, Khaltaev N, Cruz AA, et. al; World Health Organization; GA(2)LEN; AllerGen. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen). Allergy. 2008;63 Suppl 86:8-160. doi: 10.1111/j.1398-9995.2007.01620.x.
  • 21. Miraglia Del Giudice M, Marseglia A, Leonardi S, et al. Allergic rhinitis and quality of life in children. Int J Immunopathol Pharmacol. 2011;24(4 Suppl):25-28. doi: 10.1177/03946320110240s406.
  • 22. Blaiss MS, Hammerby E, Robinson S, Kennedy-Martin T, Buchs S. The burden of allergic rhinitis and allergic rhinoconjunctivitis on adolescents: a literature review. Ann Allergy Asthma Immunol. 2018;121(1):43-52. doi:10.1016/j.anai.2018.04.019.
  • 23. Bousquet J, Schünemann HJ, Samolinski B, et al.; World Health Organization Collaborating Center for Asthma and Rhinitis. Allergic Rhinitis and its Impact on Asthma (ARIA): achievements in 10 years and future needs. J Allergy Clin Immunol. 2012;130(5):1049-1062. doi: 10.1016/j.jaci.2012.07.053.
  • 24. Scadding GK. Optimal management of allergic rhinitis. Arch Dis Child. 2015;100(6):576-82. doi: 10.1136/archdischild-2014-306300.
  • 25. Canonica GW, Mullol J, Pradalier A, Didier A. Patient perceptions of allergic rhinitis and quality of life: findings from a survey conducted in europe and the United States. World Allergy Organ J. 2008;1(9):138-144. doi: 10.1097/WOX.0b013e3181865faf.
  • 26. Kaufman AS. Intelligent testing with WISC-R. Oxford: Wiley Intersci Publ; 1979.
  • 27. D'Elia C, Gozal D, Bruni O, Goudouris E, Meira E Cruz M. Allergic rhinitis and sleep disorders in children - coexistence and reciprocal interactions. J Pediatr (Rio J). 2022;98(5):444-454. doi: 10.1016/j.jped.2021.11.010.
  • 28. Nagata A, Onishi K, Masumoto T, Nakagawa T, Ishitsuka K, Kurozawa Y. Early childhood neurodevelopmental milestones in children with allergic diseases: the Japan Environment and Children's Study (JECS). Sci Rep. 2024;14(1):6460. doi: 10.1038/s41598-024-57210-y.
  • 29. Thongseiratch T, Chandeying N. Chronic Illnesses and Student Academic Performance. J Health Sci Med Res. 2020;38(3):245-253. doi: 10.31584/jhsmr.2020738.
There are 29 citations in total.

Details

Primary Language English
Subjects Pediatric Immunology and Allergic Diseases, Allergy
Journal Section Original Articles
Authors

Merve Savaş 0000-0002-7138-2603

Göksu İrem Emrah 0000-0001-8933-0679

Fatih Dilek 0000-0003-0700-5317

Senanur Kahraman Beğen 0000-0001-6938-301X

Early Pub Date July 22, 2025
Publication Date October 14, 2025
Submission Date May 28, 2025
Acceptance Date July 18, 2025
Published in Issue Year 2025 EARLY ONLINE

Cite

AMA Savaş M, Emrah Gİ, Dilek F, Kahraman Beğen S. Unmasking hidden deficits: Language, cognitive, and mathematical challenges in children with allergic rhinitis. Eur Res J. Published online July 1, 2025:1-7. doi:10.18621/eurj.1708291

e-ISSN: 2149-3189 


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