Prevalence of asthma-like symptoms with ageing - CNRS - Centre national de la recherche scientifique Accéder directement au contenu
Article Dans Une Revue Thorax Année : 2018

Prevalence of asthma-like symptoms with ageing

Debbie Jarvis
  • Fonction : Auteur
Roger Newson
  • Fonction : Auteur
Christer Janson
Angelo Corsico
  • Fonction : Auteur
Josep M. Anto
  • Fonction : Auteur
Michael J. Abramson
  • Fonction : Auteur
Anne-Marie Kirsten
  • Fonction : Auteur
Jan Paul Zock
  • Fonction : Auteur
Roberto Bono
  • Fonction : Auteur
Thorarinn Gislason
  • Fonction : Auteur
Vivi Schlünssen
  • Fonction : Auteur
Cecilie Svanes
  • Fonction : Auteur
John Watkins
  • Fonction : Auteur
Joost Weyler
  • Fonction : Auteur
Antonio Pereira-Vega
  • Fonction : Auteur
Isabel Urrutia
  • Fonction : Auteur
Jose A. Gullón
  • Fonction : Auteur
Bertil Forsberg
  • Fonction : Auteur
Nicole Probst-Hensch
  • Fonction : Auteur
H. Marike Boezen
  • Fonction : Auteur
Roberto De Marco
  • Fonction : Auteur
Peter Burney
  • Fonction : Auteur

Résumé

BACKGROUND: Change in the prevalence of asthma-like symptoms in populations of ageing adults is likely to be influenced by smoking, asthma treatment and atopy. METHODS: The European Community Respiratory Health Survey collected information on prevalent asthma-like symptoms from representative samples of adults aged 20-44 years (29 centres in 13 European countries and Australia) at baseline and 10 and 20 years later (n=7844). Net changes in symptom prevalence were determined using generalised estimating equations (accounting for non-response through inverse probability weighting), followed by meta-analysis of centre level estimates. FINDINGS: Over 20 years the prevalence of 'wheeze' and 'wheeze in the absence of a cold' decreased (-2.4%, 95% CI -3.5 to -1.3%; -1.5%, 95% CI -2.4 to -0.6%, respectively) but the prevalence of asthma attacks, use of asthma medication and hay fever/nasal allergies increased (0.6%, 95% CI 0.1 to 1.11; 3.6%, 95% CI 3.0 to 4.2; 2.7%, 95% CI 1.7 to 3.7). Changes were similar in the first 10 years compared with the second 10 years, except for hay fever/nasal allergies (increase seen in the first 10 years only). Decreases in these wheeze-related symptoms were largely seen in the group who gave up smoking, and were seen in those who reported hay fever/nasal allergies at baseline. INTERPRETATION: European adults born between 1946 and 1970 have, over the last 20 years, experienced less wheeze, although they were more likely to report asthma attacks, use of asthma medication and hay fever. Decrease in wheeze is largely attributable to smoking cessation, rather than improved treatment of asthma. It may also be influenced by reductions in atopy with ageing.
Fichier principal
Vignette du fichier
37.full.pdf (1.37 Mo) Télécharger le fichier
Origine : Fichiers éditeurs autorisés sur une archive ouverte
Loading...

Dates et versions

hal-02348858 , version 1 (10-02-2020)

Identifiants

Citer

Debbie Jarvis, Roger Newson, Christer Janson, Angelo Corsico, Joachim Heinrich, et al.. Prevalence of asthma-like symptoms with ageing. Thorax, 2018, 73 (1), pp.37--48. ⟨10.1136/thoraxjnl-2016-209596⟩. ⟨hal-02348858⟩
105 Consultations
54 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More