Application of questionnaires in studying the frequency of multiple chemical sensitivity syndrome
Elena V. Bolotova , Anna V. Dudnikova , Vladimir V. Onopriev , Lyubov V. Batrakova , Arina G. Abramenko
Kazan medical journal ›› 2024, Vol. 105 ›› Issue (5) : 825 -834.
Application of questionnaires in studying the frequency of multiple chemical sensitivity syndrome
BACKGROUND: Multiple chemical sensitivity syndrome is a set of adverse physiological reactions of the human body to exposure to common chemical agents in low doses, which are considered non-toxic to the population.
AIM: To study the frequency and characteristics of multiple chemical sensitivity syndrome manifestation using the Russified questionnaire Quick Environment Exposure and Sensitivity Inventory (QEESI).
MATERIAL AND METHODS: In the pilot study, 468 people undergoing a preventive medical examination were surveyed (232 men, average age 34.2±9.3 years, and 236 women, average age 42.9±13.8 years). To assess multiple chemical sensitivity, an analysis of three subscales of the Russified validated QEESI questionnaire (chemical intolerance, severity of symptoms, and impact on everyday life) was used. The statistical significance of differences in relative indicators was assessed using the Pearson χ2 criterion. Absolute indicators were presented as M (SD). Relationships and differences in indicators were considered statistically significant at p <0.05.
RESULTS: The frequency of multiple chemical sensitivity syndrome was 45.5%, 51.7% of patients had concomitant diseases. The frequency of comorbidities with and without multiple chemical sensitivity syndrome was comparable: allergic diseases — 25.6 vs 17.5%, χ2=3.84, p=0.069; irritable bowel syndrome — 8.1 vs 10.9%, χ2=3.648, p=0.057; migraine — 11 vs 10.5%, χ2=0.642, p=0.424. Multiple chemical sensitivity syndrome was more often detected in women (74.3 vs 25.6%, χ2=5.76, p=0.001) and patients with a sedentary lifestyle (58.3 vs 24.8% χ2=11.9; p=0.01). In patients with multiple chemical sensitivity syndrome, the most common central nervous system complaints were mood lability (26.5 vs 11.3%, χ2=18.936, p=0.003), headaches (27.4 vs 10.5%, χ2=7.555, p=0.006); in the gastrointestinal tract — nausea (13.7 vs 7.6%, χ2=4.826, p=0.029), abdominal pain (10.9 vs 5.5%, χ2=4.178, p=0.041).
CONCLUSION: A high frequency of multiple chemical sensitivity syndrome (45.5%) was revealed, which was typical for women and patients with a sedentary lifestyle. Patients with this syndrome significantly more often reported complaints from the central nervous system and gastrointestinal tract.
multiple chemical sensitivity / frequency
| [1] |
Ministry of Natural Resources of the Krasnodar Krai. Available from: https://mpr.krasnodar.ru/ob-okruzhayushchey-srede/o-sostoyanii-okruzhayushchey-sredy/ezhegodnyy-doklad-o-sostoyanii-prirodopolzovaniya-i-okhrane-okruzhayushchey-sredy-krasnodarskogo-kra?ysclid=lugp0bs0mn283865381 Accessed: June 06, 2024. (In Russ.) |
| [2] |
Министерство природных ресурсов Краснодарского края. Режим доступа: https://mpr.krasnodar.ru/ob-okruzhayushchey-srede/o-sostoyanii-okruzhayushchey-sredy/ezhegodnyy-doklad-o-sostoyanii-prirodopolzovaniya-i-okhrane-okruzhayushchey-sredy-krasnodarskogo-kra?ysclid=lugp0bs0mn283865381 Дата обращения: 06.06.2024. |
| [3] |
Efremova MS. Ecological situation in the modern Russian Federation: comparison with other countries as a basis for new ideas for the development of the state. Upravlenie/Management (Russia). 2023;11(1):95–104 (In Russ.) doi: 10.26425/2309-3633-2023-11-1-95-104 |
| [4] |
Ефремова М.С. Экологическая обстановка в современной Российской Федерации: сравнение с другими странами как базис для новых идей развития государства // Управление. 2023. Т. 11, № 1. С. 95–104. doi: 10.26425/2309-3633-2023-11-1-95-104 |
| [5] |
Bolotova EV, Dudnikova AV, Shul'zhenko LV. Relevance of the use of biological therapy in patients with a spectrum of sensitization characteristic of the south of Russia. Astma i allergiya. 2023;(1):25–29. (In Russ.) doi: 10.24412/2308-3190-2023-12870 |
| [6] |
Болотова Е.В., Дудникова А.В., Шульженко Л.В. Актуальность применения биологической терапии у пациентов с характерным для юга России спектром сенсибилизации // Астма и аллергия. 2023. № 1. C. 25–29. doi: 10.24412/2308-3190-2023-12870 |
| [7] |
Decree of the President of the Russian Federation of 05/07/2024 No. 309 “On the national development goals of the Russian Federation for the period up to 2030 and for the future up to 2036”. Available from: https://www.consultant.ru/law/hotdocs/84648.html Accessed: June 06, 2024. (In Russ.) |
| [8] |
Указ Президента Российской Федерации от 07.05.2024 №309 «О национальных целях развития Российской Федерации на период до 2030 года и на перспективу до 2036 года». Режим доступа: https://www.consultant.ru/law/hotdocs/84648.html Дата обращения: 06.06.2024. |
| [9] |
Damiani G, Alessandrini M, Caccamo D, Cormano A, Guzzi G, Mazzatenta A, Micarelli A, Migliore A, Piroli A, Bianca M, Tapparo O, Pigatto PDM. Italian expert consensus on clinical and therapeutic management of multiple chemical sensitivity (MCS). Int J Environ Res Public Health. 2021;18:11294. doi: 10.3390/ijerph182111294 |
| [10] |
Damiani G., Alessandrini M., Caccamo D., et al. Italian expert consensus on clinical and therapeutic management of multiple chemical sensitivity (MCS) // Int J Environ Res Public Health. 2021. Vol. 18. Р. 11294. doi: 10.3390/ijerph182111294 |
| [11] |
Viziano A, Micarelli A, Pasquantonio G, Della-Morte D, Alessandrini M. Perspectives on multisensory perception disruption in idiopathic environmental intolerance: A systematic review. Int J Environ Res Public Health. 2018;91:923–935. doi: 10.1007/s00420-018-1346-z |
| [12] |
Viziano A., Micarelli A., Pasquantonio G., et al. Perspectives on multisensory perception disruption in idiopathic environmental intolerance: A systematic review // Int J Environ Res Public Health. 2018. Vol. 91. Р. 923–935. doi: 10.1007/s00420-018-1346-z |
| [13] |
Hojo S, Mizukoshi A, Azuma K, Okumura J, Mizuki M, Miyata M. New criteria for multiple chemical sensitivity based on the Quick Environmental exposure and sensitivity inventory developed in response to rapid changes in ongoing chemical exposures among Japanese. PLoS ONE. 2019;14:144–215. doi: 10.1371/journal.pone.0215144 |
| [14] |
Hojo S., Mizukoshi A., Azuma K., et al. New criteria for multiple chemical sensitivity based on the Quick Environmental exposure and sensitivity inventory developed in response to rapid changes in ongoing chemical exposures among Japanese // PLoS ONE. 2019. Vol. 14. P. 144–215. doi: 10.1371/journal.pone.0215144 |
| [15] |
Nynäs P, Vilpas S, Kankare E, Karjalainen J, Lehtimäki L, Numminen J, Tikkakoski A, Kleemola L, Huhtala H, Uitti J. Multiple chemical sensitivity in patients exposed to moisture damage at work and in general working-age population — the SAMDAW study. Int J Environ Res Public Health. 2021;18(23):12296. doi: 10.3390/ijerph182312296 |
| [16] |
Nynäs P., Vilpas S., Kankare E., et al. Multiple chemical sensitivity in patients exposed to moisture damage at work and in general working-age population — the SAMDAW study // Int J Environ Res Public Health. 2021. Vol. 18, N. 23. Р. 12296. doi: 10.3390/ijerph182312296 |
| [17] |
Lu X, Hisada A, Anai A, Nakashita C, Masuda S, Fujiwara Y, Kunugita N, Katoh T. Study of the correlation between multiple chemical sensitivity and personality using the quick environmental exposure sensitivity inventory questionnaire and the temperament and character inventory. J Occup Environ Med. 2020;62:348–354. doi: 10.1097/JOM.0000000000001899 |
| [18] |
Lu X., Hisada A., Anai A., et al. Study of the correlation between multiple chemical sensitivity and personality using the quick environmental exposure sensitivity inventory questionnaire and the temperament and character inventory // J Occup Environ Med. 2020. Vol. 62. P. 348–354. doi: 10.1097/JOM.0000000000001899 |
| [19] |
Steinemann A. National prevalence and effects of multiple chemical sensitivities. J Occup Environ Med. 2018;60(3):e152–e156. doi: 10.1097/JOM.0000000000001272 |
| [20] |
Steinemann A. National prevalence and effects of multiple chemical sensitivities // J Occup Environ Med. 2018. Vol. 60, N. 3. Р. e152–e156. doi: 10.1097/JOM.0000000000001272 |
| [21] |
Karvala K, Sainio M, Palmquist E, Nyback M, Nordin S. Prevalence of various environmental intolerances in a swedish and finnish general population. Environ Res. 2018;161:220–228. doi: 10.1016/j.envres.2017.11.014 |
| [22] |
Karvala K., Sainio M., Palmquist E., et al. Prevalence of various environmental intolerances in a swedish and finnish general population // Environ Res. 2018. Vol. 161. P. 220–228. doi: 10.1016/j.envres.2017.11.014 |
| [23] |
Haanes JV, Nordin S, Hillert L, Witthöft M, Kamp I, Thriel C, Bergh O. “Symptoms associated with environmental factors” (SAEF) — towards a paradigm shift regarding “idiopathic environmental intolerance” and related phenomena. J Psychosom Res. 2020;131:109955. doi: 10.1016/j.jpsychores.2020.109955 |
| [24] |
Haanes J.V., Nordin S., Hillert L., et al. “Symptoms associated with environmental factors” (SAEF) — towards a paradigm shift regarding “idiopathic environmental intolerance” and related phenomena // J Psychosom Res. 2020. Vol. 131. Р. 109955. doi: 10.1016/j.jpsychores.2020.109955 |
| [25] |
Bolotova EV, Dudnikova AV, Onopriev VV, Batrakova LV, Abramenko AG. Validation of the russian-language version of the QEESI questionnaire for the assessment of multiple chemical sensitivity syndrome. Vrach. 2024;35(7):5–11. (In Russ.). doi: 10.29296/25877305-2024-07-10 |
| [26] |
Болотова Е.В., Дудникова А.В., Оноприев В.В., и др. Валидация русскоязычной версии опросника QEESI для оценки синдрома множественной химической чувствительности // Врач. 2024. Т. 35, № 7. Р. 5–11. doi: 10.29296/25877305-2024-07-10 |
| [27] |
Miller CS, Prihoda TJ. A controlled comparison of symptoms and chemical intolerances reported by Gulf War veterans, implant recipients and persons with multiple chemical sensitivity. Toxicol Ind Health. 1999;15:386–397. doi: 10.1177/074823379901500312 |
| [28] |
Miller C.S., Prihoda T.J. A controlled comparison of symptoms and chemical intolerances reported by Gulf War veterans, implant recipients and persons with multiple chemical sensitivity // Toxicol Ind Health. 1999. Vol. 15. Р. 386–397. doi: 10.1177/074823379901500312 |
| [29] |
Fares-Medina S, Díaz-Caro I, García-Montes R, Corral-Liria I, García-Gómez-Heras S. Multiple chemical sensitivity syndrome: first symptoms and evolution of the clinical picture: Case-control study/Epidemiological case-control study. Int J Environ Res Public Health. 2022;19(23):15891. doi: 10.3390/ijerph192315891 |
| [30] |
Fares-Medina S., Díaz-Caro I., García-Montes R., et al. Multiple chemical sensitivity syndrome: First symptoms and evolution of the clinical picture: Case-control study/Epidemiological case-control study // Int J Environ Res Public Health. 2022. Vol. 19, N. 23. P. 15891. doi: 10.3390/ijerph192315891 |
| [31] |
Jeong I, Kim I, Park HJ, Roh J, Park JW, Lee JH. Allergic diseases and multiple chemical sensitivity in Korean adults. Allergy Asthma Immunol Res. 2014;6:409–416. doi: 10.4168/aair.2014.6.5.409 |
| [32] |
Jeong I., Kim I., Park H.J., et al. Allergic diseases and multiple chemical sensitivity in Korean adults // Allergy Asthma Immunol Res. 2014. Vol. 6. P. 409–416. doi: 10.4168/aair.2014.6.5.409 |
| [33] |
Hojo S, Mizukoshi A, Azuma K, Okumura J, Ishikawa S, Miyata M, Mizuki M, Ogura H, Sakabe K. Survey on changes in subjective symptoms, onset/trigger factors, allergic diseases, and chemical exposures in the past decade of Japanese patients with multiple chemical sensitivity. Int J Hyg Environ Health. 2018;221:1085–1096. doi: 10.1016/j.ijheh.2018.08.001 |
| [34] |
Hojo S., Mizukoshi A., Azuma K., et al. Survey on changes in subjective symptoms, onset/trigger factors, allergic diseases, and chemical exposures in the past decade of Japanese patients with multiple chemical sensitivity // Int J Hyg Environ Health. 2018. Vol. 221. P. 1085–1096. doi: 10.1016/j.ijheh.2018.08.001 |
| [35] |
Palmer RF, Dempsey TT, Afrin LB. Chemical intolerance and mast cell activation: A suspicious synchronicity. J Xenobiot. 2023;13(4):704–718. doi: 10.3390/jox13040045 |
| [36] |
Palmer R.F., Dempsey T.T., Afrin L.B. Chemical intolerance and mast cell activation: A suspicious synchronicity // J Xenobiot. 2023. Vol. 13, N. 4. P. 704–718. doi: 10.3390/jox13040045 |
| [37] |
Del Casale A, Ferracuti S, Mosca A, Pomes L, Fiaschè F, Bonanni L, Borro M, Gentile G, Martelletti P, Simmaco M. Multiple chemical sensitivity syndrome: A principal component analysis of symptoms. Int J Environ Res Public Health. 2020;17(18):6551. doi: 10.3390/ijerph17186551 |
| [38] |
Del Casale A., Ferracuti S., Mosca A., et al. Multiple chemical sensitivity syndrome: A principal component analysis of symptoms // Int J Environ Res Public Health. 2020. Vol. 17, N. 18. P. 6551. doi: 10.3390/ijerph17186551 |
| [39] |
Suzuki K, Okamura M, Haruyama Y, Suzuki S, Shiina T, Kobashi G, Hirata K. Exploring the contributing factors to multiple chemical sensitivity in patients with migraine. J Occup Health. 2022;64(1):e12328. doi: 10.1002/1348-9585.12328 |
| [40] |
Suzuki K., Okamura M., Haruyama Y., et al. Exploring the contributing factors to multiple chemical sensitivity in patients with migraine // J Occup Health. 2022. Vol. 64, N. 1. Р. e12328. doi: 10.1002/1348-9585.12328 |
| [41] |
Scerbo T, Colasurdo J, Dunn S, Unger J, Nijs J, Cook C. Measurement properties of the central sensitization inventory: A systematic review. Pain Pract. 2018;18(4):544–554. doi: 10.1111/papr.12636 |
| [42] |
Scerbo T., Colasurdo J., Dunn S., et al. Measurement properties of the central sensitization inventory: A systematic review // Pain Pract. 2018. Vol. 18, N. 4. Р. 544–554. doi: 10.1111/papr.12636 |
| [43] |
Cui X, Lu X, Hisada A, Fujiwara Y, Katoh T. The correlation between mental health and multiple chemical sensitivity: A survey study in Japanese workers. Environ Health Prev Med. 2015;20:123–129. doi: 10.1007/s12199-014-0434-2 |
| [44] |
Cui X., Lu X., Hisada A., et al. The correlation between mental health and multiple chemical sensitivity: A survey study in Japanese workers // Environ Health Prev Med. 2015. Vol. 20. P. 123–129. doi: 10.1007/s12199-014-0434-2 |
| [45] |
Johnson D, Colman I. The association between multiple chemical sensitivity and mental illness: Evidence from a nationally representative sample of Canadians. J Psychosom Res. 2017;99:40–44. doi: 10.1016/j.jpsychores.2017.06.002 |
| [46] |
Johnson D., Colman I. The association between multiple chemical sensitivity and mental illness: Evidence from a nationally representative sample of Canadians // J Psychosom Res. 2017. Vol. 99. P. 40–44. doi: 10.1016/j.jpsychores.2017.06.002 |
| [47] |
Hempel S, Danz M, Robinson KA, Bolshakova M, Rodriguez J, Mears A, Pham C, Yagyu S, Motala A, Tolentino D, Akbari O, Johnston J. Multiple chemical sensitivity scoping review protocol: Overview of research and MCS construct. BMJ Open. 2023;13(9):e072098. doi: 10.1136/bmjopen-2023-072098 |
| [48] |
Hempel S., Danz M., Robinson K.A., et al. Multiple chemical sensitivity scoping review protocol: Overview of research and MCS construct // BMJ Open. 2023. Vol. 13, N. 9. P. e072098. doi: 10.1136/bmjopen-2023-072098 |
Eco-Vector
/
| 〈 |
|
〉 |