Prevalence and Risk Factors of Chronic Rhinosinusitis in the Elderly Population of Korea

Chi Sang Hwang, Hye Sun Lee, Si Nae Kim, Ji Hyung Kim, Dong Joon Park, Kyung Su Kim

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Although a significant number of the clinical features and pathophysiologic mechanisms of chronic rhinosinusitis (CRS) have been described, only a few studies have been published on characterization of CRS in the field of aging. Objective: We investigated the prevalence and risk factors of CRS in elderly (≥65 years old) Koreans using large-scale nationwide epidemiological data and compared the risk factors of elderly with those of younger adult participants (19–64 years old). Methods: Data from 25 529 participants who completed the 2008–2012 Korean National Health and Nutrition Examination Survey were analyzed. Diagnosis of CRS was done according to the EP3OS 2012 guideline for epidemiologic study. Risk factors of CRS were compared in the aspects of sociodemographics, general health behaviors, clinical characteristics, and comorbidities of participants. Results: The prevalence of CRS was significantly higher in 5590 elderly than in 19 939 younger adults (6.55% vs 5.69%; P =.016. Some variables of socioeconomic status and mental health in the adult group were associated with increased risk of CRS but did not show association in the elderly group. We observed a significant association between CRS prevalence and comorbid allergic rhinitis, asthma, and atopic dermatitis in both groups (P <.05). However, in the elderly group, the associations were significantly weaker with regard to allergic rhinitis (P-interaction =.03) and asthma (P-interaction =.002). Conclusion: These results suggest that elderly populations have distinct pathophysiology and clinical presentations from adult CRS, and management for elderly patients with CRS may require different or additional therapeutic approaches.

Original languageEnglish
Pages (from-to)240-246
Number of pages7
JournalAmerican Journal of Rhinology and Allergy
Volume33
Issue number3
DOIs
Publication statusPublished - 2019 May 1

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Korea
Population
Young Adult
Asthma
Nutrition Surveys
Health Behavior
Atopic Dermatitis
Social Class
Comorbidity
Epidemiologic Studies
Mental Health
Guidelines

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Otorhinolaryngology

Cite this

Hwang, Chi Sang ; Lee, Hye Sun ; Kim, Si Nae ; Kim, Ji Hyung ; Park, Dong Joon ; Kim, Kyung Su. / Prevalence and Risk Factors of Chronic Rhinosinusitis in the Elderly Population of Korea. In: American Journal of Rhinology and Allergy. 2019 ; Vol. 33, No. 3. pp. 240-246.
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abstract = "Background: Although a significant number of the clinical features and pathophysiologic mechanisms of chronic rhinosinusitis (CRS) have been described, only a few studies have been published on characterization of CRS in the field of aging. Objective: We investigated the prevalence and risk factors of CRS in elderly (≥65 years old) Koreans using large-scale nationwide epidemiological data and compared the risk factors of elderly with those of younger adult participants (19–64 years old). Methods: Data from 25 529 participants who completed the 2008–2012 Korean National Health and Nutrition Examination Survey were analyzed. Diagnosis of CRS was done according to the EP3OS 2012 guideline for epidemiologic study. Risk factors of CRS were compared in the aspects of sociodemographics, general health behaviors, clinical characteristics, and comorbidities of participants. Results: The prevalence of CRS was significantly higher in 5590 elderly than in 19 939 younger adults (6.55{\%} vs 5.69{\%}; P =.016. Some variables of socioeconomic status and mental health in the adult group were associated with increased risk of CRS but did not show association in the elderly group. We observed a significant association between CRS prevalence and comorbid allergic rhinitis, asthma, and atopic dermatitis in both groups (P <.05). However, in the elderly group, the associations were significantly weaker with regard to allergic rhinitis (P-interaction =.03) and asthma (P-interaction =.002). Conclusion: These results suggest that elderly populations have distinct pathophysiology and clinical presentations from adult CRS, and management for elderly patients with CRS may require different or additional therapeutic approaches.",
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Prevalence and Risk Factors of Chronic Rhinosinusitis in the Elderly Population of Korea. / Hwang, Chi Sang; Lee, Hye Sun; Kim, Si Nae; Kim, Ji Hyung; Park, Dong Joon; Kim, Kyung Su.

In: American Journal of Rhinology and Allergy, Vol. 33, No. 3, 01.05.2019, p. 240-246.

Research output: Contribution to journalArticle

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