Clinical Rhinology

Register      Login

VOLUME 9 , ISSUE 1 ( January-April, 2016 ) > List of Articles


A Clinical Study of Relationship of Body Mass Index with Allergic Rhinitis

SS Bist, Sanjeev Bhagat, Himanshu Kala

Keywords : Allergic rhinitis,Body mass index,Obesity

Citation Information : Bist S, Bhagat S, Kala H. A Clinical Study of Relationship of Body Mass Index with Allergic Rhinitis. Clin Rhinol An Int J 2016; 9 (1):33-36.

DOI: 10.5005/jp-journals-10013-1260

Published Online: 01-04-2016

Copyright Statement:  Copyright © 2016; The Author(s).



Although the association between obesity and bronchial asthma (BA) has been gaining more attention, few studies have been conducted concerning the relationship between body mass index (BMI) and other allergic diseases. The purpose of this study is to determine the relationship between allergic rhinitis (AR) and BMI.

Materials and methods

This was a retrospective study. Two hundred and ten patients of AR (138 males and 72 females) and 424 healthy controls were included in the study. The BMI of patients and controls were calculated and correlated.


The percentage of AR patients with a low BMI was 9.5%, whereas 57.6% had a normal BMI; 21% were preobese and 9.5% were obese. In the control group, 48.6% subjects had normal BMI range followed by preobese 21.2%, underweight 20.3%, and obese 9.9%. Among the overweight (preobese+ obese) category, the maximum number of subjects belonged to cases, i.e., 32.8% with an odds ratio (OR) of 0.95 (95% confidence interval (CI) 0.91-1.07). Thus, AR was not associated with high BMI. Among the underweight, the maximum number of subjects belonged to the control group, i.e., 20.3% with an OR of 2.13 (95% CI 1.24-3.68). Thus, AR had no relationship with lower BMI also. It was also observed that more of the female patients (18, 29.1, and 12.5% were underweight, preobese, and obese respectively) had deranged BMI than male patients (5.3, 20.2, and 7.9% were underweight, preobese, and obese respectively). A relative risk of 1.124 (95% CI 1.01-1.23) and 1.04 (95% CI 0.95-1.13) was present in female patients with low and high BMI respectively, which is statistically significant (p = 0.0008).


It was concluded that BMI was not associated with increased prevalence of AR. Among the underweight and overweight, AR was more common in females than in males. Thus, BMI had a significant association with AR among female patients. Overall, BMI had no significant association with AR.

How to cite this article

Kala H, Bhagat S, Varshney S, Bist SS. A Clinical Study of Relationship of Body Mass Index with Allergic Rhinitis. Clin Rhinol An Int J 2016;9(1):33-36.

PDF Share
  1. Allergic rhinitis and its impact on asthma update (ARIA 2008). The perspective from Spain. J Investig Allergol Clin Immunol 2008;18(5):327-334.
  2. Adiposity, asthma, and airway inflammation. J Allergy Clin Immunol 2007 Mar;119(3):634-639.
  3. The epidemiology of obesity and asthma. J Allergy Clin Immunol 2005 May;115(5):897-909.
  4. Body mass index, asthma and allergic rhinoconjunctivitis in Swedish conscripts -A national cohort study over 3 decades. Respir Med 2005 Aug;99(8):1010-1014.
  5. Relation of body mass index to asthma and atopy in children: The national health and nutrition examination study III. Thorax 2001 Nov;56(11):835-358.
  6. Body mass index and physical activity in relation to asthma and atopic diseases in young adults. Respir Med 2006 Sep;100(9):1518-1525.
  7. Asthma and atopy in overweight children. Thorax 2003 Dec;58(12):1031-1035.
  8. Association between body mass index and allergy in teenage girls in Taiwan. Clin Exp Allerg 1999 Mar;29(3):323-329.
  9. Body mass index, respiratory function and bronchial hyperreactivity in allergic rhinitis and asthma. Respir Med 2009 Feb 24;103(2):289-295.
  10. The effect of allergic rhinitis on growth, development and body mass indices in school children. Indian J Otolaryngol Head Neck Surg 2010 Jan;62(1):64-68.
  11. Increased body mass index and bronchial impairment in allergic rhinitis. Am J Rhinol Allergy 2013 Nov-Dec;27(6):e195-e201.
  12. Obesity: Insight into the origins of asthma. Nat Immunol 2005 Jun;6(6):537-539.
  13. Obesity. Preventing and managing the global epidemic. Report of a WHO consultation on obesity. Geneva: World Health Organization; 1998.
  14. ISAAC International Study of Asthma and Allergies in Childhood. Pediatr Pulmonol 2007 Jan;42(1):100.
  15. Association of body mass index with respiratory and atopy: results from European Community Respiratory Health Survey. Clin Exp Allergy 2002 Jun;32(6):831-837.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.