Comorbid conditions that may worsen asthma control

Comorbidity	Potential interventions
Obesity	Counseling regarding nutrition and physical activity Referral for specialized weight loss management
Smoking	Counseling regarding smoking cessation Pharmacologic aids for those interested in quitting Referral to smoking cessation programs and counseling
Obstructive sleep apnea	Any treatment to prevent apneic episodes (eg, continuous positive airway pressure devices, mandibular advancement devices) may improve nocturnal dyspnea and choking sensations
Allergic rhinitis	Allergen avoidance Intranasal glucocorticoids Antihistamines ± decongestants ± anti-leukotrienes Allergen immunotherapy
Chronic rhinosinusitis (particularly with nasal polyposis)	Intranasal glucocorticoids Antimicrobial agents, in some patients Aspirin desensitization, in some patients Otolaryngology referral for consideration of surgical intervention
Gastroesophageal reflux disease	Treatment of symptomatic disease with acid-suppressing agents
Inducible laryngeal obstruction	Referral to otolaryngology for diagnosis and speech therapy for treatment
Anxiety and depression	Counseling and/or pharmacologic management

Common comorbid conditions that may negatively impact asthma control, accompanied by possible mitigation strategies. Please refer to additional UpToDate content on the evaluation and management of these comorbid conditions for additional details.

References:

National Heart, Lung, and Blood Institute. National Asthma Education and Prevention Program: Expert panel report III: Guidelines for the diagnosis and management of asthma. Revised August 2007 (NIH publication no. 07-4051). Available at: https://www.nhlbi.nih.gov/health-topics/guidelines-for-diagnosis-management-of-asthma (Accessed November 3, 2023).
National Heart, Lung, and Blood Institute. 2020 focused updates to the asthma management guidelines: A report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group. December 2020 (NIH publication no. 20-HL-8140). Available at: https://www.nhlbi.nih.gov/health-topics/asthma-management-guidelines-2020-updates (Accessed November 3, 2023).
Global Initiative for Asthma (GINA). Global strategy for asthma management and prevention, 2023. Updated July 2023. Available at: https://ginasthma.org/2023-gina-main-report/ (Accessed November 8, 2023).

Graphic 143334 Version 1.0

خرید پکیج

Comorbid conditions that may worsen asthma control