Rhinitis in the geriatric population

Pinto, Jayant M.; Jeswani, Seema

doi:10.1186/1710-1492-6-10

Cited by 50 publications

(53 citation statements)

References 110 publications

(163 reference statements)

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“…Cross-sectional and longitudinal studies have shown that rhinitis symptoms become milder with age (24)(25)(26). However, in this study, more than 40% of the elders with rhinitis presented moderate-severe disease.…”

Section: Discussioncontrasting

confidence: 42%

“…This may be due to concomitant age-related changes in nasal physiology in the elderly (nasal glandular atrophy, vascular changes, decreased nasal humidification, decreased mucociliary clearance, and structural changes of the nose) (7,8,10,23), which may contribute to more frequent rhinorrhea. In fact, it is likely that several mechanisms underlie the pathogenesis of rhinitis in the elderly, with potential interaction between inflammatory conditions and the influence of aging on nasal physiology (24).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and classification of rhinitis in the elderly: a nationwide survey in Portugal

Morais‐Almeida¹,

Pité²,

Pereira³

et al. 2013

Allergy

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Background: Nationwide epidemiologic data on rhinitis in the elderly do not exist. This study aimed to estimate the prevalence of rhinitis in the population aged 65 years or above in mainland Portugal and to characterize and classify rhinitis in this age group. Methods: Cross-sectional, nationwide, population-based survey of citizens aged 65 years or above, living in mainland Portugal. Current rhinitis (CR) was defined as the presence of at least two symptoms: 'repeated sneezing and itchy nose', 'blocked nose for more than one whole hour', or 'runny nose when not having a cold or flu', either usually or in the last 12 months.Rhinitis severity was assessed using a visual analogue scale; rhinitis was classified according to ARIA. Results: Data were obtained from 3678 responders (92.5% response rate). The prevalence of CR was 29.8% (95% confidence interval (CI): 28.4%-31.3%): 49.1% had mild intermittent, 7.0% mild persistent, 27.5% moderate-severe intermittent, and 16.4% moderate-severe persistent rhinitis. Only 38.6% of patients with CR had been physician diagnosed and 38.7% were under treatment for this disease in the previous year. Allergic conjunctivitis symptoms were referred by 68.6% of subjects with CR (rhinoconjunctivitis population prevalence, 20.5% (95% CI: 19.2%-21.8%)). Conclusions: Rhinitis and rhinoconjunctivitis are common but underdiagnosed and undertreated diseases in the geriatric population. This was the first nationwide epidemiological survey classifying rhinitis according to ARIA guidelines in this age group. More than 40% of old-age patients presented moderate-severe disease.

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Section: Discussioncontrasting

confidence: 42%

Section: Discussionmentioning

confidence: 99%

Prevalence and classification of rhinitis in the elderly: a nationwide survey in Portugal

Morais‐Almeida¹,

Pité²,

Pereira³

et al. 2013

Allergy

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“…The 2005 National Center for Health Statistics Report noted the prevalence of AR as 10.7% in individuals aged 45-64 years, 7.8% in those 65-75 years old, and 5.4% in those older than 75 [40]. AR is an inflammatory disorder of the nasal mucosa characterized by nasal congestion, rhinorrhea, and itching, often accompanied by sneezing and conjunctival irritation.…”

Section: Ar In the Elderlymentioning

confidence: 99%

Allergic Disorders at a Venerable Age: A Mini-Review

Milgrom

Huang

2013

Gerontology

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This review focuses on 3 allergic disorders of persons coming up against venerable age: asthma, allergic rhinitis, and atopic dermatitis. The prevalence of allergic diseases in the elderly ranges from 5 to 10% and appears to be rising. A gradual decline in immune function, termed immunosenescence, and age-related changes in tissue structure influence the development of these disorders. Common complications are comorbidities, polypharmacy, and adverse effects of drugs. The elderly have difficulty mounting protective immune responses against newly encountered antigens. The integrity of epithelial barriers is compromised, leading to a chronic, subclinical inflammatory state and an enhanced Th2 (allergic) immune response. Undiagnosed asthma is frequent in elderly persons (about 8%) and still more commonplace in those with respiratory symptoms. Poorly controlled asthma in the elderly undermines their functional status and leads to a loss of autonomy and social isolation that may delay seeking medical services. Aggravation of allergic rhinitis coincides with exacerbation of asthma, whereas treatment of nasal inflammation improves control of the asthma. Atopic dermatitis is a chronically relapsing inflammatory skin disease often associated with respiratory allergy.

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“…In fact, vasomotor rhinitis is the most common form of nonallergic rhinitis, particularly in elderly adults. 42 The present study has several limitations. First, a cross-sectional design was used; thus, causal or temporal relations could not be addressed.…”

Section: Discussionmentioning

confidence: 86%