The association of rhinoconjunctivitis and asthma symptoms in adolescents
Associação de sintomas de rinoconjuntivite e asma em adolescentes
Rita de Cássia CM Brito1,
, Gisélia A.P. da Silva2, Maria E.F.A. Motta3, Murilo C.A. Brito4
Corresponding author
moraesdebrito@gmail.com
Correspondence to/Correspondência: Rua Francisco Alves 325 sala 303 Edf Multimed Ilha Center Ilha do Leite Recife-PE.
Correspondence to/Correspondência: Rua Francisco Alves 325 sala 303 Edf Multimed Ilha Center Ilha do Leite Recife-PE.
1 Mestra em Saúde da Criança e do Adolescente/MsC, Child and Adolescent Health
2 Professora Associada de Pediatria, Pesquisadora CNPQ/Associate Professor, Paediatrics
3 Professora Adjunta de Pediatria/Adjunct Professor, Paediatrics Universidade Federal de Pernambuco
4 Professor da Pós-Graduação em Saúde Materno Infantil do Instituto Materno Infantil Prof. Fernando Figueira/Post-Graduate Professor, Mother and Child Health, Instituto Materno Infantil Prof. Fernando Figueira
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Motta, Murilo C.A. Brito" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Rita de Cássia" "apellidos" => "CM Brito" "email" => array:1 [ 0 => "moraesdebrito@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Gisélia A.P." "apellidos" => "da Silva" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Maria E.F.A." "apellidos" => "Motta" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Murilo C.A." "apellidos" => "Brito" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Mestra em Saúde da Criança e do Adolescente/MsC, Child and Adolescent Health" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Professora Associada de Pediatria, Pesquisadora CNPQ/Associate Professor, Paediatrics" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Professora Adjunta de Pediatria/Adjunct Professor, Paediatrics Universidade Federal de Pernambuco" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Professor da Pós-Graduação em Saúde Materno Infantil do Instituto Materno Infantil Prof. Fernando Figueira/Post-Graduate Professor, Mother and Child Health, Instituto Materno Infantil Prof. Fernando Figueira" "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondence to/Correspondência: Rua Francisco Alves 325 sala 303 Edf Multimed Ilha Center Ilha do Leite Recife-PE." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Associação de sintomas de rinoconjuntivite e asma em adolescentes" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-09-28" "fechaAceptado" => "2009-02-17" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec160192" "palabras" => array:4 [ 0 => "Prevalence" 1 => "rhinoconjunctivitis" 2 => "asthma" 3 => "adolescents" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec160191" "palabras" => array:4 [ 0 => "Asma" 1 => "rinite" 2 => "adolescentes" 3 => "prevalência" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Our study aimed to determine the rate of association of rhinoconjunctivitis and asthma symptoms in adolescents to analyse whether asthma symptoms are more severe and frequent in asthmatics with concomitant allergic rhinitis and assess if adolescents are aware of having rhinoconjunctivitis.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional study, with two components: a study in prevalence and an inter-case study (rhinitis symptoms) with a comparison group (no rhinitis symptoms), based on information from questionnaires applied in phase 3 of ISAAC in Recife in 2002.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Associated rhinoconjunctivitis and probable asthma symptoms were observed in 5.1% of adolescents (48/940; CI 95%: 3.8%-6.6%), probable asthma alone in 10.9% (103/940; CI 95%: 9.1%-13.1%) and rhinoconjunctivitis alone in 9.7% (91/940; CI 95%: 7.9%-13%). Among the rhinitisbearing adolescents, almost 81.3% (39/48) had persistent probable asthma and 31.8% (48/151) of asthmatic patients rhinoconjunctivitis. 65.1% (86/132) of adolescents with diagnosed rhinitis were unaware of rhinitis symptoms.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The association of rhinoconjunctivitis and asthma symptoms is frequent and associated to more severe asthma symptoms. Adolescents’ unawareness of rhinitis symptoms reflects the underdiagnosis that can result in downplaying the symptoms, and the consequent undertreatment.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span class="elsevierStyleSectionTitle">Objectivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Determinar a prevalência da associação de sintomas de rinoconjuntivite e asma em adolescentes, analisar se os sintomas de asma são mais intensos e frequentes entre os adolescentes com sintomas de rinoconjuntivite alérgica e avaliar se os adolescentes reconhecem os sintomas de rinoconjuntivite.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Realizou-se um estudo do tipo corte transversal com dois componentes: um estudo de prevalência e um estudo entre casos (sintomas de rinoconjuntivite), com um grupo de comparação (ausência de sintomas de rinoconjuntivite) a partir de informações dos questionários aplicados na fase 3 do ISAAC, no ano de 2002, na cidade do Recife.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A prevalência da associação de sintomas de rinoconjuntivite e de provável asma foi de 5,1% (48/940; IC 95%: 3,8%-6,6%), apenas de asma de 10,9% (103/940; IC 95%: 9,1%-13,1%) e de rinoconjuntivite isolada foi de 9,7% (91/940; IC 95%: 7,9%-13%). Entre os adolescentes com sintomas de rinite, 81,3% (39/48) tinham <span class="elsevierStyleItalic">provável asma persistente</span>, 31,8% (48/151) dos com sintomas de asma referiam também sintomas de rinoconjuntivite. Não reconheciam os sintomas de rinoconjuntivite 65,1% (86/132) dos adolescentes que apresentavam esses sintomas.</p> <span class="elsevierStyleSectionTitle">Conclusão</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A associação de sintomas de rinoconjuntivite e asma é frequente e está associada à maior gravidade dos sintomas de asma. O facto de os adolescentes não reconhecerem os sintomas de rinoconjuntivite reflecte o subdiagnóstico, que pode resultar na desvalorização dos sintomas e, consequentemente, no tratamento inadequado.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography/Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:29 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Allergic rhinitis and its impact in asthma" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "Aria Workshop Group, World Health Organization" "etal" => false "autores" => array:3 [ 0 => "J. Bousquet" 1 => "P. Van Cauwenberg" 2 => "N. 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| Year/Month | Html | Total | |
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