Background:
Asthma exits with comorbidities which can affect the quality of life of
children with asthma. Objective: To identify the common comorbidities with
asthma, identify factors associated with the presence of specific comorbidities
and evaluate their impact on asthma severity and control among children
attending the respiratory clinic in the Rivers State University Teaching
Hospital. Materials & Methods: All asthma cases seen in the paediatric
respiratory clinic, from 1st November 2014 to 30th October 2019 were consecutively recruited. Results: Of 264 children with
asthma, 190 (72.0%) had other comorbidities with a F:M ratio of 1.56:1.
Difficulty in breathing, chest pain, and the degree of asthma control were significantly associated with having other
comorbidities while SPO2 at 1st consult was significantly
lower in children with comorbidities, P value<0.05. Allergic rhinitis 116 (43.9%), adenotonsillar hypertrophy 99 (37.5%),
atopic dermatitis 54 (20.5%), allergic conjunctivitis 37 (14%), food allergy 27
(10.2) and Gastroesophageal reflux14 (5.3%) were the commonest comorbidities
identified. Majority (24, 88.9%) had allergy to one type of food.
Children < 3years and those whose age at diagnosis was <2years were significantly at lower risk of having atopic dermatitis.
Gastroesophageal reflux disease was significantly more likely to be seen in
children aged > 11years, overweight children, and those
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