CREAL: MeDALL improves the methodology to evaluate asthma and allergies in Europe

CREAL: MeDALL improves the methodology to evaluate asthma and allergies in Europe

News from CREAL

Numerous cohorts focusing on asthma and allergy have been initiated in the world over the past 30 years, most of them focusing on the evaluation of incidence, course and risk factors of asthma and allergies. In Europe, the costs of persistent asthma were estimated at EUR 19.3 billion and most costs were due to young patients aged 15–30 years. Many EU-funded research initiatives have attempted to evaluate determinants of asthma and allergies by comparing pooled data from existing European birth cohorts to potentially identify underlying mechanisms explaining associations between diseases and environmental exposures resulting from heterogenous results among these cohorts.

To improve comparability among birth cohorts, MEDALL researchers made the effort to harmonize questions following a rigorous four stepwise process to develop a common core questionnaire to be used by all birth cohorts during the follow-up. This questionnaire included both core questions and supplementary questions which remained optional for the participating cohorts. In total we developed three MEDALL core questionnaires: 2 for parents of children aged 4–9 and 14–18, respectively and 1 for adolescents aged 14–18 to be used by 11 European birth cohorts (Denmark, France, Germany, Greece, Italy, Netherlands, Norway, Spain, Sweden and the United Kingdom) over 13,000 children during the follow-up assessments.

Dr. Mariona Pinart, researcher of CREAL, an ISGlobal research centre, remarks that “these new questionnaires are to our knowledge the first attempt to develop a multilingual common core questionnaire for birth cohorts examining asthma and allergy. In addition, they will produce more comparable data across different cohorts and countries in Europe and will offer the possibility to verify results of former cohort analyses. Thus, MeDALL can become the starting point to stringently plan, conduct and support future common asthma and allergy research initiatives in Europe.”

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CREAL news

Hohmann C, Pinart M, Tischer C, Gehring U, Heinrich J, Kull I, Melen E, Smit HA, Torrent M, Wijga AH , Wickman M, Bachert C, Lodrup-Carlsen K, Carlsen KH, Bindslev-Jensen C, Eller E, Esplugues A, Fantini MP, Annesi-Maesano I, Momas I, Porta D, Vassilaki M, Waiblinger D, Sunyer J, Antó JM, Bousquet J, Keil T, The MeDALL Study Group. The development of the MeDALL Core Questionnaires for a harmonized follow-up assessment of eleven European birth cohorts on asthma and allergies. Int Arch Allergy Imm 2014; 163: 215-224 (in press).