Introduction: The incidence of allergic rhinitis (AR) is increasing year by year, and the pathogenesis is complex, in which diet may play an important role. The role of polyunsaturated fatty acids (PUFAs) in AR is still controversial. Previous studies have looked at the effects of PUFA during pregnancy, childhood, and adolescence. In this study, we aimed to determine the association between dietary intake of PUFA and AR in adults. Methods: We used the NHANES database from 2005 to 2006 to include a total of 4,211 adult subjects. We collected dietary PUFA intake data and information on AR. Logistic regression and restricted cubic spline models were constructed to examine the association between PUFA intake and AR in adults. The t test was used to compare daily PUFA intakes in patients with and without AR. Results: In the fully adjusted model (OR: 1.016; 95% CI: 1.003; 1.028), PUFA intake was positively correlated with allergic symptoms, hay fever, and AR in adults (p < 0.05). In addition, daily PUFA intake was significantly higher in people with allergic symptoms, hay fever, and AR than in people without the disease (p < 0.01). Conclusions: Our results suggest a positive association between dietary PUFA intake and AR in adults to a certain extent. Future studies on dietary PUFA dose will provide new strategies for the prevention and treatment of allergic diseases such as AR related to non-pharmaceutical interventions.

1.
Meltzer
EO
,
Blaiss
MS
,
Naclerio
RM
,
Stoloff
SW
,
Derebery
MJ
,
Nelson
HS
.
Burden of allergic rhinitis: allergies in America, Latin America, and Asia-Pacific adult surveys
.
Allergy Asthma Proc
.
2012
33
Suppl 1
S113
41
.
2.
Sikorska-Szaflik
H
,
Sozańska
B
.
Quality of life in allergic rhinitis: children’s and their parents’ perspective in polish urban and rural population
.
Health Qual Life Outcomes
.
2020
;
18
(
1
):
64
.
3.
Engel-Yeger
B
,
Engel
A
,
Kessel
A
.
Differences in leisure activities between children with allergic rhinitis and healthy peers
.
Int J Pediatr Otorhinolaryngol
.
2010
;
74
(
12
):
1415
8
.
4.
Hellgren
J
,
Cervin
A
,
Nordling
S
,
Bergman
A
,
Cardell
LO
.
Allergic rhinitis and the common cold: high cost to society
.
Allergy
.
2010
;
65
(
6
):
776
83
.
5.
Kulthanan
K
,
Chusakul
S
,
Recto
MT
,
Gabriel
MT
,
Aw
D
,
Prepageran
N
.
Economic burden of the inadequate management of allergic rhinitis and urticaria in asian countries based on the GA²LEN model
.
Allergy Asthma Immunol Res
.
2018
;
10
(
4
):
370
8
.
6.
Chatzi
L
,
Apostolaki
G
,
Bibakis
I
,
Skypala
I
,
Bibaki-Liakou
V
,
Tzanakis
N
.
Protective effect of fruits, vegetables and the Mediterranean diet on asthma and allergies among children in Crete
.
Thorax
.
2007
;
62
(
8
):
677
83
.
7.
Miyake
Y
,
Sasaki
S
,
Ohya
Y
,
Miyamoto
S
,
Matsunaga
I
,
Yoshida
T
.
Soy, isoflavones, and prevalence of allergic rhinitis in Japanese women: the osaka maternal and child health study
.
J Allergy Clin Immunol
.
2005
;
115
(
6
):
1176
83
.
8.
Carrie
I
,
Abellan Van Kan
G
,
Rolland
Y
,
Gillette-Guyonnet
S
,
Vellas
B
.
PUFA for prevention and treatment of dementia
.
Curr Pharm Des
.
2009
;
15
(
36
):
4173
85
.
9.
Waidyatillake
NT
,
Stoney
R
,
Thien
F
,
Lodge
CJ
,
Simpson
JA
,
Allen
KJ
.
Breast milk polyunsaturated fatty acids: associations with adolescent allergic disease and lung function
.
Allergy
.
2017
;
72
(
8
):
1193
201
.
10.
Lowe
AJ
,
Thien
FC
,
Stoney
RM
,
Bennett
CM
,
Hosking
CS
,
Hill
DJ
.
Associations between fatty acids in colostrum and breast milk and risk of allergic disease
.
Clin Exp Allergy
.
2008
;
38
(
11
):
1745
51
.
11.
Magnusson
J
,
Ekstrom
S
,
Kull
I
,
Hakansson
N
,
Nilsson
S
,
Wickman
M
.
Polyunsaturated fatty acids in plasma at 8 years and subsequent allergic disease
.
J Allergy Clin Immunol
.
2018
;
142
(
2
):
510
6.e6
.
12.
Magnusson
J
,
Kull
I
,
Westman
M
,
Hakansson
N
,
Wolk
A
,
Melen
E
.
Fish and polyunsaturated fat intake and development of allergic and nonallergic rhinitis
.
J Allergy Clin Immunol
.
2015
;
136
(
5
):
1247
53.e1-2
.
13.
Miyake
Y
,
Sasaki
S
,
Tanaka
K
,
Ohya
Y
,
Miyamoto
S
,
Matsunaga
I
.
Fish and fat intake and prevalence of allergic rhinitis in Japanese females: the Osaka Maternal and Child Health Study
.
J Am Coll Nutr
.
2007
;
26
(
3
):
279
87
.
14.
Hamazaki
K
,
Tsuchida
A
,
Takamori
A
,
Tanaka
T
,
Ito
M
,
Inadera
H
.
Dietary intake of fish and omega-3 polyunsaturated fatty acids and physician-diagnosed allergy in Japanese population: the Japan Environment and Children’s Study
.
Nutrition
.
2019
;
61
:
194
201
.
15.
Trak-Fellermeier
MA
,
Brasche
S
,
Winkler
G
,
Koletzko
B
,
Heinrich
J
.
Food and fatty acid intake and atopic disease in adults
.
Eur Respir J
.
2004
;
23
(
4
):
575
82
.
16.
Hoff
S
,
Seiler
H
,
Heinrich
J
,
Kompauer
I
,
Nieters
A
,
Becker
N
.
Allergic sensitisation and allergic rhinitis are associated with n-3 polyunsaturated fatty acids in the diet and in red blood cell membranes
.
Eur J Clin Nutr
.
2005
;
59
(
9
):
1071
80
.
17.
Schafer
T
,
Ruhdorfer
S
,
Weigl
L
,
Wessner
D
,
Heinrich
J
,
Doring
A
.
Intake of unsaturated fatty acids and HDL cholesterol levels are associated with manifestations of atopy in adults
.
Clin Exp Allergy
.
2003
;
33
(
10
):
1360
7
.
18.
Kankaanpaa
P
,
Sutas
Y
,
Salminen
S
,
Lichtenstein
A
,
Isolauri
E
.
Dietary fatty acids and allergy
.
Ann Med
.
1999
;
31
(
4
):
282
7
.
19.
Xi
Y
,
Deng
YQ
,
Chen
SM
,
Kong
YG
,
Xu
Y
,
Li
F
.
Allergy-related outcomes and sleep-related disorders in adults: a cross-sectional study based on NHANES 2005–2006
.
Allergy Asthma Clin Immunol
.
2022
;
18
(
1
):
27
.
20.
Roxbury
CR
,
Qiu
M
,
Shargorodsky
J
,
Woodard
TD
,
Sindwani
R
,
Lin
SY
.
Association between rhinitis and depression in United States adults
.
J Allergy Clin Immunol Pract
.
2019
;
7
(
6
):
2013
20
.
21.
Zhang
HR
,
Yang
Y
,
Tian
W
,
Sun
YJ
.
Dietary fiber and all-cause and cardiovascular mortality in older adults with hypertension: a cohort study of NHANES
.
J Nutr Health Aging
.
2022
;
26
(
4
):
407
14
.
22.
Li
D
,
Tong
Y
,
Li
Y
.
Associations of dietary trans fatty acid intake with depressive symptoms in midlife women
.
J Affect Disord
.
2020
;
260
:
194
9
.
23.
Lee
H
,
Park
WJ
.
Unsaturated fatty acids, desaturases, and human health
.
J Med Food
.
2014
;
17
(
2
):
189
97
.
24.
Massey
KA
,
Nicolaou
A
.
Lipidomics of polyunsaturated-fatty-acid-derived oxygenated metabolites
.
Biochem Soc Trans
.
2011
;
39
(
5
):
1240
6
.
25.
Cockbain
AJ
,
Toogood
GJ
,
Hull
MA
.
Omega-3 polyunsaturated fatty acids for the treatment and prevention of colorectal cancer
.
Gut
.
2012
;
61
(
1
):
135
49
.
26.
Bidinotto
LT
,
López de Cicco
R
,
Russo
J
.
Omega-3 fatty acids: a potential booster for tamoxifen therapy
.
Expert Rev Anticancer Ther
.
2011
;
11
(
8
):
1151
3
.
27.
Russo
GL
.
Dietary n-6 and n-3 polyunsaturated fatty acids: from biochemistry to clinical implications in cardiovascular prevention
.
Biochem Pharmacol
.
2009
;
77
(
6
):
937
46
.
28.
Willemsen
L
.
Dietary n-3 long chain polyunsaturated fatty acids in allergy prevention and asthma treatment
.
Eur J Pharmacol
.
2016
;
785
:
174
86
.
29.
Arita
M
.
Eosinophil polyunsaturated fatty acid metabolism and its potential control of inflammation and allergy
.
Allergol Int
.
2016
65
Suppl
S2
5
.
30.
Mihaly
J
,
Marosvolgyi
T
,
Szegedi
A
,
Koroskenyi
K
,
Lucas
R
,
Törőcsik
D
.
Increased FADS2-derived n-6 PUFAs and reduced n-3 PUFAs in plasma of atopic dermatitis patients
.
Skin Pharmacol Physiol
.
2014
;
27
(
5
):
242
8
.
31.
van den Elsen
LW
,
van Esch
BC
,
Dingjan
GM
,
Hofman
GA
,
Garssen
J
,
Willemsen
LE
.
Increased intake of vegetable oil rich in n-6 PUFA enhances allergic symptoms and prevents oral tolerance induction in whey-allergic mice
.
Br J Nutr
.
2015
;
114
(
4
):
577
85
.
32.
van den Elsen
LW
,
Nusse
Y
,
Balvers
M
,
Redegeld
FA
,
Knol
EF
,
Garssen
J
.
n-3 Long-chain PUFA reduce allergy-related mediator release by human mast cells in vitro via inhibition of reactive oxygen species
.
Br J Nutr
.
2013
;
109
(
10
):
1821
31
.
33.
Kitz
R
,
Rose
MA
,
Schubert
R
,
Beermann
C
,
Kaufmann
A
,
Bohles
HJ
.
Omega-3 polyunsaturated fatty acids and bronchial inflammation in grass pollen allergy after allergen challenge
.
Respir Med
.
2010
;
104
(
12
):
1793
8
.
34.
Barros
R
,
Moreira
A
,
Fonseca
J
,
Delgado
L
,
Castel-Branco
MG
,
Haahtela
T
.
Dietary intake of α-linolenic acid and low ratio of n-6:n-3 PUFA are associated with decreased exhaled NO and improved asthma control
.
Br J Nutr
.
2011
;
106
(
3
):
441
50
.
35.
Simopoulos
AP
.
The importance of the omega-6/omega-3 fatty acid ratio in cardiovascular disease and other chronic diseases
.
Exp Biol Med
.
2008
;
233
(
6
):
674
88
.
36.
Simopoulos
AP
.
The importance of the ratio of omega-6/omega-3 essential fatty acids
.
Biomed Pharmacother
.
2002
;
56
(
8
):
365
79
.
37.
Dagnino-Subiabre
A
.
Stress and Western diets increase vulnerability to neuropsychiatric disorders: a common mechanism
.
Nutr Neurosci
.
2021
;
24
(
8
):
624
34
.
38.
Acevedo
N
,
Alashkar Alhamwe
B
,
Caraballo
L
,
Ding
M
,
Ferrante
A
,
Garn
H
.
Perinatal and early-life nutrition, epigenetics, and allergy
.
Nutrients
.
2021
;
13
(
3
):
724
.
39.
Stratakis
N
,
Gielen
M
,
Margetaki
K
,
de Groot
R
,
Apostolaki
M
,
Chalkiadaki
G
.
PUFA status at birth and allergy-related phenotypes in childhood: a pooled analysis of the Maastricht Essential Fatty Acid Birth (MEFAB) and RHEA birth cohorts
.
Br J Nutr
.
2018
;
119
(
2
):
202
10
.
40.
Shimanaka
Y
,
Kono
N
,
Taketomi
Y
,
Arita
M
,
Okayama
Y
,
Tanaka
Y
.
Omega-3 fatty acid epoxides are autocrine mediators that control the magnitude of IgE-mediated mast cell activation
.
Nat Med
.
2017
;
23
(
11
):
1287
97
.
41.
Bolte
G
,
Winkler
G
,
Holscher
B
,
Thefeld
W
,
Weiland
SK
,
Heinrich
J
.
Margarine consumption, asthma, and allergy in young adults: results of the German National Health Survey 1998
.
Ann Epidemiol
.
2005
;
15
(
3
):
207
13
.
You do not currently have access to this content.