Event Abstract

The effect of zinc supplementation on the improvement of clinical symptoms and the quality of life of persistent moderate severe allergic rhinitis patients

  • 1 Diponegoro University, Indonesia

Background The aim of Allergic Rhinitis (AR) therapy is to overcome the symptoms in the early and late phases allergic reactions. The ARIA 2008 guideline recommends intranasal corticosteroids and antihistamine for 2 to 4 weeks for persistent moderate severe AR patients. Zinc as an anti-inflammatory is expected to be an alternative for intranasal corticosteroid replacement therapy. The aims of this study is to determine the effect of zinc supplementation on the improvement of clinical symptoms and the quality of life of persistent moderate severe AR patients. Methods It was an interventional study with pretest and posttest design. Administration of 40mg/day zinc tablets in patients with persistent moderate severe AR treated with cetirizine (treatment group) was compared with cetirizine only (control group). Assessment was done by Total Symptom Score and Quality of Life Score questionnaires at the beginning of therapy and second week after therapy. Statistical tests used were t test, Wilcoxon, and Mann Whitney test. Results There were 34 persistent moderate severe AR patients. Administration of zinc 40 mg/day for two weeks showed a significant reduction of mean total symptom score (treatment group 2,65 ± 2,499 and control group 5,12 ± 2,956, p: 0,012) and mean quality of life score (treatment group 9,12 ± 11,230 and control group 24,24 ± 14,237, p: 0,002). Conclusion Zinc supplements is useful to improve clinical symptoms and quality of life for moderate severe persistent AR patients.

References

1. Bausquet J, Khaltaev N, Cruz A, Denburg J, Fokkens WJ, Togias A et al. Review rhinitis allergy its impact on asthma (ARIA) 2008. J Allergy Clin Immunol 2008;86 Supl:8-160. 2. Brunet C, Bedard P, Lavoie A, Jobin M dan Hebert J. Allergic rhinitis to ragweed pollen. Modulation of histamine-releasing factor production by specific immunotherapy. J Allergy Clin Immunol 1992;89:87-94 3. Celikel S, Isik Sr, Demir AU, Karakaya G, Kalyoncu AF. Risk factor for asthma and other allergic rhinitis disese in seaonal rhinitis. J Asthma. 2008;45(8):710-4. 4. Suprihati. The prevalence of Allergic rhinitis and its relation to some risk factors among 13-14 year old student in Semarang, Indonesia. Otolaryngologica Indonesiana. 2005;XXXV(2):37-70. 5. Durham SR. Mecanism and treatment of allergic rhinitis. In Kerr AG, editor. Scott-Browns Otolaryngology Rhinology. Six ed. Oxford; Btterworth 1997:4/6/1-3. 6. Tuong-Tran AQ, Carter J, Ruffin R, Zalewski PD. New insights into the role of zinc in the respiratory epithelium. Immunology and Cell Biology. 2001;2001:170-7. 7. Peck R, Smith P. Beyond genetic-stratified and personalized medicines using multiple parameter Review. Pharmacoitical 2010;3:1637-51. 8. Zalewskia PD, Truong-Tranb AQ, Grossera D, Lata Jayarama, Murgiac C, Ruffin RE. Zinc metabolism in airway epithelium and airway inflammation: basic mechanisms and clinical targets. A review. Pharmacology & Therapeutics. 2005;105(127-149). 9. Michelle Science JJ, Daniel E. Roth, Gordon Guyatt, Mark Loeb. Zinc for the treatment of the common cold: a systematic review and meta-analysis of randomized controlled trials. Canadian Medical Association. 2012;184(10):E551-61. 10. Biltagi MA, Baset AA, Bassiouny M, Kasrawi MA, Attia M. Omega-3 fatty acids, vitamin C and Zn supplementation in asthmatic children: a randomized self-controlled study. Acta Pædiatrica. 2009;98(737-742). 11. Sudiro M, Madiadipoera TH, Purwanto B. Eosinofil Kerokan Mukosa Hidung Sebagai Diagnostik Rinitis Alergi. MKB. 2010;42(1):6-11. 12. Reinhard, Palandeng, Pelealu. Rinitis alergi di poliklinik THT-KL BLU RSU PROF. DR. R. D. Kandau Manado periode Januari 2010 – Desember 2012. (Tesis). Manado: Universitas Sam Ratulangi Manado 2012. 13. Canonica GW, Mullol J, Pradalier A, Didier A. Patient Perceptions of Allergic Rhinitis and Quality of Life Findings From a Survey Conducted in Europe and the United States. WAO Journal 2008:138-44. 14. Suprayogi B. Manfaat Mometasone Furoate semprot hidung dosis 100 µg/hari terhadap gejala dan tanda penderita rinitis alergi persisten sedang berat. (Tesis). Semarang: Universitas Diponegoro 2011. 15. Tjahyadewi S. Efektifitas klinik penggunaan triamsinolone acetonide 220 µg/hari pada penderita rinitis alergi perennial. (Tesis). Semarang: Universitas Diponegoro 2003. [homepage in the internet]; last modified 2010 Jun 17;[cited 2011 Mei 30] available from URL: http://eprints.undip.ac.id/14749/. 16. Haye R, Høye K, Berg O, Frønes S, degard T. Morning versus evening dosing of desloratadine in seasonal allergic rhinitis: a randomized controlled study. Clinical and Molecular Allergy. 2005;3(3):1-6. 17. Morgan CI, Ledford JR, Zhou P, Page K. Zinc supplementation alters airway inflammation and airway hyperresponsiveness to a common allergen. Journal of Inflammation. 2011;8(36):1-10. 18. Lang C, Murgia C, Leong M, Tan L-W, Perozzi G, Knight D. Anti-inflammatory effects of zinc and alterations in zinc inflammation transporter mRNA in mouse models of allergic. Am J Physiol Lung Cell Mol Physiol 2007;292: :577–84. 19. Skoner DP, LaForce CF, Nathan RA, Urdaneta ER, Zielinski MA, Sacavage SD. Effect of cetirizine on symptom severity and quality of life in perennial allergic rhinitis. Allergy and Asthma Proceedings. 2014;35(4):338-45.

Keywords: zinc supplementation, Moderate Severe Persistent, allergic rhinitis, quality of life score (QOLS), Total symptom score

Conference: International Conference on Drug Discovery and Translational Medicine 2018 (ICDDTM '18) “Seizing Opportunities and Addressing Challenges of Precision Medicine”, Putrajaya, Malaysia, 3 Dec - 5 Feb, 2019.

Presentation Type: Oral Presentation

Topic: Inflammatory diseases

Citation: Dewi AM, Setyorini DI and - S (2019). The effect of zinc supplementation on the improvement of clinical symptoms and the quality of life of persistent moderate severe allergic rhinitis patients. Front. Pharmacol. Conference Abstract: International Conference on Drug Discovery and Translational Medicine 2018 (ICDDTM '18) “Seizing Opportunities and Addressing Challenges of Precision Medicine”. doi: 10.3389/conf.fphar.2018.63.00084

Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters.

The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated.

Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed.

For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions.

Received: 05 Nov 2018; Published Online: 17 Jan 2019.

* Correspondence: Dr. Anna M Dewi, Diponegoro University, Semarang, Indonesia, anna_drtht@fk.undip.ac.id