Article #	3393
Journal	Rhinology 0 - 0
Article Title	Association between allergic rhinitis and attention deficit hyperactivity disorder symptoms in pediatric patients: the impact of seasonal variability
Abstract	BACKROUND: Allergic rhinitis (AR) patients may experience attention deficits (AD), concentration impairment, and learning difficulties. This study aimed to compare AD hyperactivity disorder (ADHD) symptoms in grass pollen–allergic AR patients and controls and to assess their seasonal variation. METHODOLOGY: The study included children aged 6–12 with AR who presented to Ankara Bilkent City Hospital between April 15 and June 15 in 2022 and 2023. The Visual Analog Scale (VAS) was used to assess disease severity, and the Conners Parent Rating Scale (CPRS) was employed to evaluate ADHD symptoms. For comparison, the CPRS was also administered to an age-matched control group consisting of children without known allergies or chronic diseases. RESULTS: The study included 146 AR patients (8.9±1.7 years) and 150 controls (9.0±1.8 years). During the grass pollen season, AR patients showed increased rates of AD, hyperactivity, and school absenteeism, along with a decline in academic performance. Compared to the control group, AR patients exhibited significantly higher AD, hyperactivity, and total CPRS scores. Logistic regression analysis identified male sex, high nasal VAS score, and snoring as independent risk factors for AD, while a high ocular VAS score was an independent risk factor for hyperactivity. CONCLUSIONS: Exacerbation of AR symptoms during the grass pollen season leads to a significant increase in ADHD symptoms and a decline in academic performance. Regular monitoring and symptom control in AR patients are crucial for maintaining academic and social success.
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