Abstract
Introduction: Asthma and Allergic Rhinitis co-morbidity refers to the association between asthma and allergic rhinitis. This is due to their pathophysiological, epidemiological, and clinical similarities.
Aims and Objectives: To determine association of Allergic Rhinitis and Bronchial Asthma as co-morbidity and the difference in prevalence in rural and urban school going children in Jaipur.
Material & Method: Cross sectional questionnaire based observational study. Study group included school going children chosen randomly from 13 schools of urban & rural area Aged 6-18 years. The data were drawn on the basis of a validated standard questionnaire.
Results: Out of 5002 children, prevalence of the Allergic Rhinitis and Asthma were 24.31% and 18.63% respectively and as co-morbidity in 11.34 %. Out of them, 35.70% and 25.33% children suffered from Allergic rhinitis and Asthma in rural, as compared to 16.62% and 14.10% urban population respectively.
Conclusion: It was found that the prevalence of both Allergic Rhinitis & Asthma are showing a significant increase in last few years. These respiratory allergic diseases are more common in rural area and existing as co-morbidity in a significant proportion of children demanding a comprehensive strategic approach to deal with them.
Keywords: Allergic Rhinitis, Asthma, co-morbidity.
References
1. Bousquet J, Bousquet PJ, Godard P, Daures J-P. The public health implications of asthma. Bulletin of the World Health Organization. 2005;83(7):548-54.
2. Beasley R. International pattern of the prevalence of pediatric asthma : The ISAAC program : The pediatric clinics of North America, 50 (2003), 539-553.
3. Andrade CR et al. Asthma and allergic rhinitis co-morbidity: a cross-sectional questionnaire study on adolescents aged 13-14 years, Primary Care Respiratory Journal; 17(4)225-6
4. Redline S et al. Development and validation of school-based asthma and allergy screening questionnaires in a 4-city study. Ann Allergy Asthma Immunol. 2004; 93: 36-48.
5. Sharma BS et al. Prevalence of Asthma in Urban School Children in Jaipur, Rajasthan. Indian Pediatrics. 2012;49: 835-36.
6. Salvi S et al. Prevalence of asthma and allergic diseases in 15,500 school children from Pune and Nagpur (ISAAC study)
Presented at National Pulmonary Congress, 2003, Coimbatore.http://www.crfindia.com/index.php?q=node/19.
7. Behl RK et al. Prevalence of bronchial asthma in school children of 6-13 years of age in Shimla city.Indian J Chest Dis Allied Sci. 2010 Jul-Sep; 52(3):145-8.
8. Yuksel H et al. Prevalence and Comorbidity of Allergic Eczema, Rhinitis, and Asthma in a City in Western Turkey. J Investig Allergol Clin Immunol 2008; Vol. 18(1): 31-35.
9. Jain A et al. Prevalence of bronchial asthma in rural Indian children: a cross sectional study from South India.Indian J Pediatr. 2010 Jan; 77(1):31-5. doi: 10.1007/s12098-009-0308-6. Epub 2010 Jan 20.
10. Prasad R et al. The prevalence of asthma in rural children in 5-14 years of age. Indian J Allergy Asthma Immunol. 2007;21(1): 15-18.
11. Gaur SN et al. Prevalence of bronchial asthma and allergic rhinitis among urban and rural adult population of Delhi Indian J Allergy Asthma Immunol 2006; 20(2) : 90-97.
12. Saini et al. Rhinitis, sinusitis and ocular disease – 2085. Prevalence of allergic rhinitis in urban school children, Jaipur City, India. World Allergy Organization Journal 2013 6(Suppl 1):P164.
13. Yamauchi K et al. Analysis of the Co-morbidity of Bronchial Asthma and Allergic Rhinitis by Questionnaire in 10,009 Patients. Allergology International. 2009;58:55-61.
14. Maio S et al. Impact of Asthma and Comorbid Allergic Rhinitis on Quality of Life and Control in Patients of Italian General Practitioners. Journal of Asthma; October 2012, 49(8)854-61 (doi:10.3109/02770903.2012.716471).
15. Ibáñez MD et al. Rhinitis and its Association With Asthma in Patients Under 14 Years of Age Treated in Allergy Departments in Spain: J Investig Allergol Clin Immunol 2010; Vol. 20(5): 402-406.
Hong S et al. The Prevalence of Atopic Dermatitis, Asthma, and Allergic Rhinitis and the Comorbidity of Allergic Diseases in Children. Environmental Health and Toxicology 2012;27:e2012006.
Corresponding Author
Dr Priyanka Kumari
Address D 141, Shastri Nagar, Jodhpur
Phone numbers 9462651180, 9462651181
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.