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Perhimpunan Dokter Paru Indonesia - Health-related quality of life in adults with asthma and rhinitis
 
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Health-related quality of life in adults with asthma and rhinitis

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image: worldallergy.org


Sven-Arne Jansson1, Mai Leander2, Linnea Hedman1, Malin Axelsson3, Caroline Stridsman4 and Eva R?nmark1
1Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, The OLIN Unit, Ume? University, Ume?, Sweden, 2Department of Medical Sciences, Respiratory Medicine and Allergology, Uppsala University, Uppsala, Sweden, 3Department of Care Sciences, Faculty of Health and Society, Malm? University, Malm?, Sweden, 4Department of Health Science, Division of Nursing, Lule? University of Technology, Lule?, Sweden


Background: The burden of asthma and rhinitis on HRQL has been assessed mainly in studies of patients seeking healthcare. Population-based studies are relative scarce.

Aim: To investigate HRQL among subjects with asthma and rhinitis derived from a random population sample and to identify factors related to impairment of HRQL.

Methods: A randomly selected cohort was invited to participate in a postal questionnaire survey. Of those who responded, a stratified sample of 1,000 subjects was invited to clinical examinations and interviews, and 737 subjects participated. HRQL was assessed with the generic item SF-36 Health Survey.

Results: The physical score was lower among subjects with asthma vs subjects without asthma (p<0.001). No significant difference was found in the mental score. Subjects with controlled asthma had higher physical score compared to subjects with uncontrolled asthma (p=0.002). Actually, subjects with controlled asthma had similar HRQL as subjects without asthma. Asthmatics who were current smokers had lower physical score compared to those who were not smokers (p=0.021). No significant differences in physical or mental scores were found between subjects with and without rhinitis. Subjects with both asthma and rhinitis had lower physical score compared to subjects without these conditions (p<0.001) but subjects with asthma alone had even worse physical health. After adjustment for age, sex, smoking habits and BMI the significant differences remained.

Conclusions: The physical health was significantly lower in asthmatics and subjects with both asthma and rhinitis compared to subjects without these conditions. Importantly, subjects with controlled asthma had similar physical health as subjects without asthma.


Source : http://erj.ersjournals.com/content/46/suppl_59/PA3397
Image : http://www.worldallergy.org/UserFiles/...


PDPI Lampung & Bengkulu. 04/11/17.



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