Smoking, environmental tobacco smoke and occupational irritants increase the risk of chronic rhinitis.

Autor: Hisinger-Mölkänen H; 1Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland., Piirilä P; 2HUS Medical Imaging Center, Helsinki University Hospital, Helsinki, Finland., Haahtela T; Skin and Allergy Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland., Sovijärvi A; HUS Medical Imaging Center, Helsinki University Hospital, and University of Helsinki, Helsinki, Finland., Pallasaho P; Espoo City Health Services, Helsinki, Finland.
Jazyk: angličtina
Zdroj: The World Allergy Organization journal [World Allergy Organ J] 2018 Mar 14; Vol. 11 (1), pp. 6. Date of Electronic Publication: 2018 Mar 14 (Print Publication: 2018).
DOI: 10.1186/s40413-018-0184-5
Abstrakt: Background: Allergic and non-allergic rhinitis cause a lot of symptoms in everyday life. To decrease the burden more information of the preventable risk factors is needed. We assessed prevalence and risk factors for chronic nasal symptoms, exploring the effects of smoking, environmental tobacco smoke, exposure to occupational irritants, and their combinations.
Methods: In 2016, a postal survey was conducted among a random population sample of 8000 adults in Helsinki, Finland with a 50.5% response rate.
Results: Smoking was associated with a significant increase in occurrence of chronic rhinitis (longstanding nasal congestion or runny nose), but not with self-reported or physician diagnosed allergic rhinitis. The highest prevalence estimates of nasal symptoms, 55.1% for chronic rhinitis, 49.1% for nasal congestion, and 40.7% for runny nose, were found among smokers with occupational exposure to gases, fumes or dusts.Besides active smoking, also exposure to environmental tobacco smoke combined with occupational exposure increased the risk of nasal symptoms.
Conclusions: Smoking, environmental tobacco smoke, and occupational irritants are significant risk factors for nasal symptoms with an additive pattern. The findings suggest that these factors should be systematically inquired in patients with nasal symptoms for appropriate preventive measures. (192 words).
Competing Interests: Not applicable.The authors declare that they do not have any competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Databáze: MEDLINE
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