Summary
Aim: Quality of life (QoL) has been widely researched among children with asthma in Western countries, but there is a lack of data from eastern Europe, where the prevalence is relatively low, but hospital admission rates are higher. We evaluated the overall level and major determinants of QoL in Lithuanian children aged 5–11 years with asthma. Methods: This study was carried out in six asthma outpatient clinics in the two largest cities of Lithuania from January 2015 to July 2016. The children’s QoL was measured using the Pediatric Quality of Life Inventory (PedsQL) asthma module, which was completed by the child and one parent.
Results: We collected questionnaires from 226 children (68% boys) with a mean age of eight (
2) years: 65% had mild asthma, 31% had moderate asthma and 4% had severe asthma. One in 10 had been hospitalised in the preceding 6 months. The mean self- reported QoL score was 74 and the parent-reported QoL score was 73. QoL was associated with asthma severity and control, shortness of breath and the child’s general health, but not socioeconomic factors.
Conclusion: The overall level and major determinants of QoL in children with asthma in Lithuania were comparable with Western populations.

Relevance
This study investigated the QoL of children aged 5–11 with asthma in Lithuania, as independently determined by the children and their parents. We also tested the hypoth- esis that QoL would be poorer in Lithuania than in Western countries.