Childhood allergies affect health-related quality of life

Corina Covaciu1, Anna Bergström, Tomas Lind

  • 1Centre for Occupational and Environmental Medicine, Stockholm County Council, Stockholm, Sweden. corina.covaciu@sll.se

Insights

Allergic diseases, especially asthma, significantly impact children's quality of life. Asthma symptom control is crucial for improving health-related quality of life (HRQoL) in pediatric populations.

Area of Science:

  • Pediatric Allergy and Immunology
  • Quality of Life Research
  • Public Health

Background:

  • Most studies examine single allergic conditions and disease-specific quality of life measures.
  • A comprehensive understanding of how various childhood allergies affect overall well-being is lacking.

Purpose of the Study:

  • To comparatively assess the impact of asthma, rhinitis, eczema, and food hypersensitivity on health-related quality of life (HRQoL) in Swedish 8-year-olds.
  • To analyze the influence of specific allergic conditions on a general HRQoL instrument.

Main Methods:

  • Utilized data from the Swedish BAMSE birth cohort.
  • Collected HRQoL data using the EQ-5D instrument from parents of 3236 children at age 8.
  • Gathered information on allergic symptoms, sensitization, and lung function.

Main Results:

  • Children with allergic diseases reported lower EQ visual analog scale (VAS) scores compared to healthy children.
  • Asthma was associated with the lowest median EQ VAS (90) and highest "pain or discomfort" prevalence (18.2%).
  • Frequent and effort-induced wheezing correlated with increased "anxiety or depression" (23.3% and 15.4%).

Conclusions:

  • Swedish 8-year-olds generally have good HRQoL, but allergic diseases significantly diminish it, particularly asthma.
  • Asthma symptoms are key factors affecting pediatric HRQoL.
  • Effective asthma symptom management is essential for enhancing children's quality of life.
Abstract

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