- Title
- Rhinitis in pregnant women with asthma is associated with poorer asthma control and quality of life
- Creator
- Powell, Heather; Murphy, Vanessa E.; Hensley, Michael J.; Giles, Warwick; Clifton, Vicki L.; Gibson, Peter G.
- Relation
- NHMRC.455592 http://purl.org/au-research/grants/nhmrc/455592
- Relation
- Journal of Asthma Vol. 52, Issue 10, p. 1023-1030
- Publisher Link
- http://dx.doi.org/10.3109/02770903.2015.1054403
- Publisher
- Taylor & Francis
- Resource Type
- journal article
- Date
- 2015
- Description
- Objective: To describe the pattern and severity of rhinitis in pregnancy and the impact rhinitis has on asthma control and quality of life (QoL) in pregnant women with asthma. Methods: Two hundred and eighteen non-smoking pregnant women with asthma were participants in a randomised controlled trial of exhaled nitric oxide guided treatment adjustment. Rhinitis was assessed using a visual analogue scale (VAS) scored from 0 to 10 and classified as current (VAS>2.5), moderate/severe versus mild (VAS>6 vs <5), atopic versus non-atopic and pregnancy rhinitis. At baseline, women completed the 20-Item Sino-Nasal Outcome Test (SNOT20), asthma-specific (AQLQ-M) QoL questionnaires and the Six-Item Short-Form State Trait Anxiety Inventory (STAI-6). Asthma control was assessed using the asthma control questionnaire (ACQ). Perinatal outcomes were collected after delivery. Results: Current rhinitis was present in 142 (65%) women including 45 (20%) women who developed pregnancy rhinitis. Women with current rhinitis had higher scores for ACQ (p=0.004), SNOT20 (p<0.0001) and AQLQ-M (p<0.0001) compared to women with no rhinitis. Current rhinitis was associated with increased anxiety symptoms (p=0.002), rhinitis severity was associated with higher ACQ score (p=0.004) and atopic rhinitis was associated with poorer lung function (p=0.037). Rhinitis symptom severity improved significantly during gestation (p<0.0001). There was no impact on perinatal outcomes. Improved asthma control was associated with improvement in rhinitis. Conclusion: Rhinitis in pregnant women with asthma is common and associated with poorer asthma control, sino-nasal and asthma-specific QoL impairment and anxiety. In the context of active asthma management there was significant improvement in rhinitis symptoms and severity as pregnancy progressed.
- Subject
- asthma control; pregnancy; quality of life; rhinitis
- Identifier
- http://hdl.handle.net/1959.13/1330463
- Identifier
- uon:26396
- Identifier
- ISSN:0277-0903
- Rights
- This is an Accepted Manuscript of an article published by Taylor & Francis Group in Journal of Asthma on 12/09/2015, available online: http://www.tandfonline.com/10.3109/02770903.2015.1054403
- Language
- eng
- Full Text
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