Impact of comorbidity on symptomatology in various types of environmental intolerance in a general Swedish and Finnish adult population*,**

Publikationstyp:
Zeitschriftenaufsatz
Metadaten:
Autoren
  • Steven Nordin
  • Ferenc Koteles
  • Michael Witthoeft
  • Omer Van den Bergh
  • Maj-Helen Nyback
  • Markku Sainio
Autoren-URL
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000988963500001&DestLinkType=FullRecord&DestApp=WOS_CPL
DOI
10.1016/j.envres.2023.115945
eISSN
1096-0953
Externe Identifier
  • Clarivate Analytics Document Solution ID: G4OI3
  • PubMed Identifier: 37080270
ISSN
0013-9351
Zeitschrift
ENVIRONMENTAL RESEARCH
Schlüsselwörter
  • Multiple chemical sensitivity
  • Sick building syndrome
  • Electromagnetic hypersensitivity
  • Hyperacusis
  • Symptoms
  • Building-related intolerance
Artikelnummer
ARTN 115945
Datum der Veröffentlichung
2023
Status
Published
Titel
Impact of comorbidity on symptomatology in various types of environmental intolerance in a general Swedish and Finnish adult population*,**
Sub types
  • Article
Ausgabe der Zeitschrift
229

Datenquelle: Web of Science (Lite)

Andere Metadatenquellen:
Autoren
  • Steven Nordin
  • Ferenc Köteles
  • Michael Witthöft
  • Omer Van den Bergh
  • Maj-Helen Nyback
  • Markku Sainio
DOI
10.1016/j.envres.2023.115945
ISSN
0013-9351
Zeitschrift
Environmental Research
Sprache
en
Artikelnummer
115945
Paginierung
115945 - 115945
Datum der Veröffentlichung
2023
Status
Published
Herausgeber
Elsevier BV
Herausgeber URL
http://dx.doi.org/10.1016/j.envres.2023.115945
Datum der Datenerfassung
2023
Titel
Impact of comorbidity on symptomatology in various types of environmental intolerance in a general Swedish and Finnish adult population
Ausgabe der Zeitschrift
229

Datenquelle: Crossref

Abstract
Comorbidity with various health conditions is common in environmental intolerances (EIs), which restricts understanding for what symptoms that are associated with the intolerance per se. The present objectives were to study (i) prevalence of a broad range of specific symptoms in chemical, building-related, electromagnetic field- (EMF) related, and sound EI, irrespective of comorbidity, (ii) prevalence of symptoms in body systems in exclusive EIs, and (iii) increased risk of symptoms in body systems in exclusive EIs that cannot be referred to functional somatic syndromes, inflammatory diseases or mental disorders. Cross-sectional data (n = 4941) were used from two combined population-based surveys, the Västerbotten (Sweden) and Österbotten (Finland) Environmental Health Studies. Categorization of EI cases and controls were based on self-reports. Symptoms were assessed with the Environmental Hypersensitivity Symptom Inventory, and these were converted to 27 symptoms of the International Classification of Primary Care, 2nd edition, in eight chapters of body systems. The results showed, with few exceptions, that all assessed specific symptoms were significantly more prevalent in all four EIs than in referents. Although a large overlap between EIs, characteristic body system symptoms were eye and respiratory symptoms in chemical and building-related intolerance, skin symptoms in EMF-related intolerance, and general and unspecified, digestive, eye, cardiovascular, neurological, and psychological symptoms in sound intolerance. After controlling for various comorbidities, all studied body system symptoms were positively associated with chemical intolerance, fewer with sound intolerance, only one with building-related intolerance, and none with EMF-related EI. In conclusion, a broad range of symptoms are reported in all four EIs implying common mechanisms, but symptoms of certain body systems are more likely to be reported in a certain EI that cannot be explained by comorbidity.
Addresses
  • Department of Psychology, Umeå University, Umeå, Sweden. Electronic address: steven.nordin@umu.se.
Autoren
  • Steven Nordin
  • Ferenc Köteles
  • Michael Witthöft
  • Omer Van den Bergh
  • Maj-Helen Nyback
  • Markku Sainio
DOI
10.1016/j.envres.2023.115945
eISSN
1096-0953
Externe Identifier
  • PubMed Identifier: 37080270
Funding acknowledgements
  • AFA Insurance: 190082
  • Nemzeti Kutatási Fejlesztési és Innovációs Hivatal: K137724
Open access
false
ISSN
0013-9351
Zeitschrift
Environmental research
Schlüsselwörter
  • Humans
  • Multiple Chemical Sensitivity
  • Cross-Sectional Studies
  • Comorbidity
  • Electromagnetic Fields
  • Adult
  • Finland
  • Sweden
Sprache
eng
Medium
Print-Electronic
Online publication date
2023
Paginierung
115945
Datum der Veröffentlichung
2023
Status
Published
Publisher licence
CC BY
Datum der Datenerfassung
2023
Titel
Impact of comorbidity on symptomatology in various types of environmental intolerance in a general Swedish and Finnish adult population.
Sub types
  • Research Support, Non-U.S. Gov't
  • Journal Article
Ausgabe der Zeitschrift
229

Datenquelle: Europe PubMed Central

Abstract
Comorbidity with various health conditions is common in environmental intolerances (EIs), which restricts understanding for what symptoms that are associated with the intolerance per se. The present objectives were to study (i) prevalence of a broad range of specific symptoms in chemical, building-related, electromagnetic field- (EMF) related, and sound EI, irrespective of comorbidity, (ii) prevalence of symptoms in body systems in exclusive EIs, and (iii) increased risk of symptoms in body systems in exclusive EIs that cannot be referred to functional somatic syndromes, inflammatory diseases or mental disorders. Cross-sectional data (n = 4941) were used from two combined population-based surveys, the Västerbotten (Sweden) and Österbotten (Finland) Environmental Health Studies. Categorization of EI cases and controls were based on self-reports. Symptoms were assessed with the Environmental Hypersensitivity Symptom Inventory, and these were converted to 27 symptoms of the International Classification of Primary Care, 2nd edition, in eight chapters of body systems. The results showed, with few exceptions, that all assessed specific symptoms were significantly more prevalent in all four EIs than in referents. Although a large overlap between EIs, characteristic body system symptoms were eye and respiratory symptoms in chemical and building-related intolerance, skin symptoms in EMF-related intolerance, and general and unspecified, digestive, eye, cardiovascular, neurological, and psychological symptoms in sound intolerance. After controlling for various comorbidities, all studied body system symptoms were positively associated with chemical intolerance, fewer with sound intolerance, only one with building-related intolerance, and none with EMF-related EI. In conclusion, a broad range of symptoms are reported in all four EIs implying common mechanisms, but symptoms of certain body systems are more likely to be reported in a certain EI that cannot be explained by comorbidity.
Date of acceptance
2023
Autoren
  • Steven Nordin
  • Ferenc Köteles
  • Michael Witthöft
  • Omer Van den Bergh
  • Maj-Helen Nyback
  • Markku Sainio
Autoren-URL
https://www.ncbi.nlm.nih.gov/pubmed/37080270
DOI
10.1016/j.envres.2023.115945
eISSN
1096-0953
Zeitschrift
Environ Res
Schlüsselwörter
  • Building-related intolerance
  • Electromagnetic hypersensitivity
  • Hyperacusis
  • Multiple chemical sensitivity
  • Sick building syndrome
  • Symptoms
  • Adult
  • Humans
  • Multiple Chemical Sensitivity
  • Sweden
  • Finland
  • Cross-Sectional Studies
  • Comorbidity
  • Electromagnetic Fields
Sprache
eng
Country
Netherlands
Paginierung
115945
PII
S0013-9351(23)00737-5
Datum der Veröffentlichung
2023
Status
Published
Datum, an dem der Datensatz öffentlich gemacht wurde
2023
Titel
Impact of comorbidity on symptomatology in various types of environmental intolerance in a general Swedish and Finnish adult population.
Sub types
  • Journal Article
  • Research Support, Non-U.S. Gov't
Ausgabe der Zeitschrift
229

Datenquelle: PubMed

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