B. Leynaert et al., Quality of life in allergic rhinitis and asthma - A population-based studyof young adults, AM J R CRIT, 162(4), 2000, pp. 1391-1396
Quality of life has been found to be impaired both in patients with asthma
and in patients with allergic rhinitis, but the relative burden of these di
seases has not been investigated. We analyzed answers to the SF-36 question
naire from 850 subjects recruited in two French centers participating in th
e European Community Respiratory Health Survey, a population-based study of
young adults, Both asthma and allergic rhinitis were associated with an im
pairment in quality of life. However, 78% of asthmatics also had allergic r
hinitis. Subjects with allergic rhinitis but not asthma (n = 240) were more
likely than subjects with neither asthma nor rhinitis (n = 349) to report
problems with social activities, difficulties with daily activities as a re
sult of emotional problems, and poorer mental well-being. Patients with bot
h asthma and allergic rhinitis (n = 76) experienced more physical limitatio
ns than patients with allergic rhinitis alone, but no difference was found
between these two groups for concepts related to social/mental health. As a
sthma was not found to further impair the quality of life in subjects with
allergic rhinitis for concepts related to mental disability and wellbeing,
and as subjects with asthma often also suffer from allergic rhinitis, furth
er studies on quality of life in asthma should ensure that the impairment i
n quality of life attributed to asthma could not result from concomitant al
lergic rhinitis.