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Associations Between Obesity and the Severity of Occupational Allergic Rhinitis: A Cross-Sectional Study
Imène Kacem1,2,3, Amen Moussa4, Chaima Sridi1,3,5
1Faculty of Medicine of Sousse, University of Sousse, Sousse 4000, Tunisia.
International Journal of Environmental Research and Public Health
|October 29, 2025
Summary
Obesity is linked to more severe occupational allergic rhinitis (OAR) symptoms. Managing weight may improve OAR patient quality of life and symptom severity.
Area of Science:
- Occupational Medicine
- Allergology
- Public Health
Background:
- Occupational allergic rhinitis (OAR) significantly impacts worker health and productivity.
- Non-occupational factors, like obesity, are understudied in OAR severity.
Purpose of the Study:
- To investigate the association between obesity and the severity of occupational allergic rhinitis.
Main Methods:
- Cross-sectional study combining retrospective and prospective data from OAR patients.
- Utilized medical records and telephone interviews for data collection.
- Assessed OAR severity using the PAREO score and rhinomanometry.
Main Results:
- Obesity showed a significant association with increased OAR symptom severity (p < 0.001; OR = 5.4).
- This association remained significant after adjusting for age, sex, and occupational seniority.
- Severe OAR was reported in 59.2% of patients, with nasal obstruction and sneezing being most common.
Conclusions:
- Obesity is identified as a modifiable risk factor for OAR severity.
- Weight management integration into OAR treatment may enhance symptom relief and quality of life.
- Further longitudinal research is recommended to validate findings and explore mechanisms.
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