Change in the symptom profile treated as asthma - two cross-sectional studies twenty years apart.

Autor: Pindus M; Institute of Family Medicine and Public Health, University of Tartu, Ravila 19, 50411, Tartu, Estonia., Orru H; Institute of Family Medicine and Public Health, University of Tartu, Ravila 19, 50411, Tartu, Estonia. hans.orru@umu.se.; Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, SE-901 87, Umeå, Sweden. hans.orru@umu.se., Jõgi R; Lung Clinic, Tartu University Hospital, Riia 167, 51014, Tartu, Estonia.
Jazyk: angličtina
Zdroj: Respiratory research [Respir Res] 2020 Feb 03; Vol. 21 (1), pp. 41. Date of Electronic Publication: 2020 Feb 03.
DOI: 10.1186/s12931-020-1308-3
Abstrakt: Aims: The aims of the study were to investigate prevalence trends of respiratory symptoms, asthma and asthma treatment among young adults in Estonia and to estimate changes in symptom profile among subjects who self-report asthma attacks or use asthma medications.
Methods: Two similar questionnaires on respiratory health were sent to subjects in Tartu, Estonia, aged between 20 and 44 years; first in 1993/94, and then in 2014/15. To study the impact of different respiratory symptoms on asthma diagnosis and treatment, the log-binomial regression was used to estimate the association between 'attack of asthma' (as a proxy for current asthma) and respiratory symptoms as well as asthma treatment and respiratory symptoms, adjusted for age, sex and smoking history.
Results: Self-reported prevalence of asthma attack, asthma medication use and nasal allergies increased over the twenty years between studies, whereas there was no change in prevalence of asthma-related symptoms, and the prevalence of most respiratory symptoms either decreased, or remained unchanged. For women experiencing asthma attacks, the prevalence of nasal allergies increased and waking with chest tightness decreased. For men using asthma medication, the prevalence of a wheeze without a cold decreased. Women using asthma medication reported decreased prevalence of waking with chest tightness.
Conclusion: Self-reported asthma attacks and asthma medication use has increased in last 20 years, while the prevalence of most respiratory symptoms either decreased or did not change. It is likely that changes in asthma symptom profile have had an impact on the prevalence of asthma and asthma treatment.
Databáze: MEDLINE
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