Publication: Allergic rhinitis and other comorbidities associated with asthma control in Thailand
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Issued Date
2023-01-01
Resource Type
eISSN
2296858X
Scopus ID
2-s2.0-85182979281
Journal Title
Frontiers in Medicine
Volume
10
Rights Holder(s)
SCOPUS
Bibliographic Citation
Frontiers in Medicine Vol.10 (2023)
Suggested Citation
Sriprasart T., Saiphoklang N., Kawamatawong T., Boonsawat W., Mitthamsiri W., Chirakalwasan N., Chiewchalermsri C., Athipongarporn A., Kamalaporn H., Kornthatchapong K., Kulpraneet M., Sompornrattanaphan M., Oer-Areemitr N., Rerkpattanapipat T., Silairatana S., Thawanaphong S., Gaensan T., Jirakran K., Poachanukoon O. Allergic rhinitis and other comorbidities associated with asthma control in Thailand. Frontiers in Medicine Vol.10 (2023). doi:10.3389/fmed.2023.1308390 Retrieved from: https://hdl.handle.net/20.500.14740/20969
Author(s)
Sriprasart T.
Saiphoklang N.
Kawamatawong T.
Boonsawat W.
Mitthamsiri W.
Chirakalwasan N.
Chiewchalermsri C.
Athipongarporn A.
Kamalaporn H.
Kornthatchapong K.
Kulpraneet M.
Sompornrattanaphan M.
Oer-Areemitr N.
Rerkpattanapipat T.
Silairatana S.
Thawanaphong S.
Gaensan T.
Jirakran K.
Poachanukoon O.
Saiphoklang N.
Kawamatawong T.
Boonsawat W.
Mitthamsiri W.
Chirakalwasan N.
Chiewchalermsri C.
Athipongarporn A.
Kamalaporn H.
Kornthatchapong K.
Kulpraneet M.
Sompornrattanaphan M.
Oer-Areemitr N.
Rerkpattanapipat T.
Silairatana S.
Thawanaphong S.
Gaensan T.
Jirakran K.
Poachanukoon O.
Author's Affiliation
Ramathibodi Hospital
Siriraj Hospital
Thai Red Cross Agency
Faculty of Medicine, Khon Kaen University
Vajira Hospital
Faculty of Medicine, Thammasat University
Thammasat University
Phramongkutklao College of Medicine
Faculty of Medicine, Chulalongkorn University
Srinakharinwirot University
Pulmonary Department Ekachai Hospital
Phra Nakhon Si Ayutthaya Hospital
Siriraj Hospital
Thai Red Cross Agency
Faculty of Medicine, Khon Kaen University
Vajira Hospital
Faculty of Medicine, Thammasat University
Thammasat University
Phramongkutklao College of Medicine
Faculty of Medicine, Chulalongkorn University
Srinakharinwirot University
Pulmonary Department Ekachai Hospital
Phra Nakhon Si Ayutthaya Hospital
Corresponding Author(s)
Other Contributor(s)
Abstract
Background: Asthma and allergic rhinitis (AR) can coexist and cause disabilities. This study aimed to assess the association between AR, asthma control, asthma-related quality of life, and other comorbidities. Methods: A cross-sectional study was conducted in adults with asthma in six hospitals in Thailand. The outcomes were association of asthma control assessed by the asthma control test (ACT), AR, and asthma comorbidities. Not-well-controlled asthma was defined as ACT scores ≤22. The severity of AR was determined by visual analog scale (VAS). Severe AR was defined as VAS ≥5. Asthma-related quality of life (AQLQ), comorbidities, and total IgE were recorded. Results: A total of 682 asthmatic patients were included. Median (IQR) age was 58.0 (47.0–64.0) years. 69.9% were female. Not-well-controlled asthma was present in 44.7%. The prevalence of AR was 86.1%. Moderate/severe persistent AR was diagnosed in 21.7% and severe AR was diagnosed in 30.2% of the patients. Inhaled corticosteroid-containing regimens were prescribed in 97.7% of patients. Intranasal corticosteroid and antihistamine were prescribed in 65.7 and 31.7%, respectively. Patients with not-well-controlled asthma had higher body mass index, VAS scores, proportions of pollution exposure, aeroallergen sensitization, severe AR, nasal polyp, urticaria, food allergy, gastroesophageal reflux disease, depression and anxiety, peptic ulcer, and asthma exacerbations, but younger age, lower AQLQ scores, and lower FEV1. Correlation was found between AR severity and ACT (r = −0.461, p < 0.001), AQLQ (r = −0.512, p < 0.001), and total IgE (r = 0.246, p < 0.023). Multiple regression analysis revealed that ACT, AQLQ, and percentage of FEV1/FVC were significantly associated with severe AR. Conclusion: Allergic rhinitis is prevalent in Thai asthmatic patients. AR severity is associated with asthma control, quality of life, and pulmonary function. Comprehensive care is essential for patients with uncontrolled asthma, particularly when coexisting with conditions.