Myszkowska Dorota, Majewska Renata
Department of Clinical and Environmental Allergology, Jagiellonian University Medical College, Cracow, Poland.
Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, Cracow, Poland.
Ann Agric Environ Med. 2014;21(4):681-8. doi: 10.5604/12321966.1129914.
It is important to monitor the threat of allergenic pollen during the whole season, because of practical application in allergic rhinitis treatment, especially in the specific allergen immunotherapy. The aim of the study was to propose the forecast models predicting the pollen occurrence in the defined pollen concentration categories related to the patient exposure and symptom intensity.
The study was performed in Cracow (southern Poland), pollen data were collected using the volumetric method in 1991-2012. For all independent variables (meteorological elements) and the daily pollen concentrations the running mean for periods: 2-, 3-, 4-, 5-, 6- and 7 days before the predicted day were calculated. The multinomial logistic regression was used to find the relation between the probability of the pollen concentration occurrence in the selected categories and meteorological elements and pollen concentration in days preceding the predicted daily concentration. The models were constructed for each taxon using data in 1991-2011 (without 1992 and 1996 due to missing data in these years) and 1998-2011 pollen seasons.
The days classified among the lowest category (0-10 PG/m3) (pollen grains/m 3 of air) dominated for all the studied taxa. The percentage of the obtained predictions of the pollen occurrence fluctuated between 35-78% which is a sufficient value of model predictions. Considering the studied taxon, the best model accuracy was obtained for models forecasting Betula pollen concentration (both data series), and Poaceae (both data series).
The application of the recommended threshold values during the predictive models construction seems to be really useful to estimate the real threat of allergen exposure. It was indicated that the polynomial logistic regression models could be a practical tool for effective forecasting in biological monitoring of pollen exposure.
由于在过敏性鼻炎治疗尤其是特异性变应原免疫治疗中的实际应用,在整个季节监测致敏花粉的威胁很重要。本研究的目的是提出预测模型,以预测与患者暴露和症状强度相关的特定花粉浓度类别中的花粉出现情况。
研究在波兰南部的克拉科夫进行,1991 - 2012年使用容积法收集花粉数据。对于所有自变量(气象要素)和每日花粉浓度,计算预测日之前2、3、4、5、6和7天的移动平均值。使用多项逻辑回归来寻找所选类别中花粉浓度出现的概率与气象要素以及预测日每日浓度前几天的花粉浓度之间的关系。使用1991 - 2011年(由于这两年数据缺失,不包括1992年和1996年)和1998 - 2011年花粉季节的数据为每个分类单元构建模型。
所有研究的分类单元中,最低类别(0 - 10 PG/m³)(每立方米空气中的花粉粒数)的天数占主导。花粉出现情况预测的获得百分比在35% - 78%之间波动,这是模型预测的一个足够的值。就所研究的分类单元而言,预测桦树花粉浓度的模型(两个数据系列)和禾本科(两个数据系列)获得了最佳的模型准确性。
在预测模型构建过程中应用推荐的阈值对于估计变应原暴露的实际威胁似乎非常有用。结果表明,多项式逻辑回归模型可能是花粉暴露生物监测中有效预测的实用工具。