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Asthma in adults :
Asthma in adults : association of asthma symptoms and age at asthma diagnosis
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Hisinger-Molkanen, Hanna (författare)
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Honkamaki, Jasmin (författare)
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Kankaanranta, Hannu (författare)
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Tuomisto, Leena E. (författare)
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Sovijarvi, Anssi (författare)
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- Rönmark, Eva (författare)
- Umeå universitet,Avdelningen för hållbar hälsa
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Lundback, Bo (författare)
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Backman, Helena (författare)
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Andersen, Heidi (författare)
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Lindqvist, Ari (författare)
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Lehtimaki, Lauri (författare)
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Pallasaho, Paula (författare)
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Ilmarinen, Pinja (författare)
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Piirila, Paivi (författare)
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(creator_code:org_t)
- 2020-10-28
- 2020
- Engelska.
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Ingår i: European Respiratory Journal. - : ERS Publications. - 0903-1936 .- 1399-3003. ; 56:Suppl 64
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Asthma may begin at any age. However, knowledge about the relationship between age at asthma diagnosis and asthma symptoms is still scarce.Objectives: To test the hypothesis that among adults, asthma diagnosed in adulthood is associated with more symptoms than asthma diagnosed in childhood.Methods: A FinEsS postal survey was conducted in a random sample of 16000 20-69-year-old adults in Finland in 2016. Age 18 years was chosen to delineate child and adult-diagnosed asthma. Current asthma was defined as physician-diagnosed asthma and asthma medication use, attacks of breathlessness or wheezing in the past year.Results: Of responders (8199, 51,5%), 692 reported current asthma and age at diagnosis. Adult-diagnosed asthma was reported by 445 (64.3%) and child-diagnosed by 247 (35.7%) responders. Those with adult-diagnosed asthma had more attacks of breathlessness in the past year (82.9% vs. 74.1%, p=0.006), dyspnea (mMRC grade ≥2) (34.4% vs. 18.8%, p<0.001) and sputum production in the past three consecutive months (40.0% vs. 27.5%, p=0.001). Of responders with adult and child-diagnosed asthma, 22.5% and 28.3% were current smokers, and 91.7% and 84.2% used asthma medication, respectively. In a logistic regression model, risk factors for attacks of breathlessness were adult-diagnosis (OR=1.8, 95% CI 1.1-3.0) and exercising <2 times a week (OR=2.0, 1.2-3.2).Conclusion: Asthmatics with adult-diagnosed asthma had significantly more symptoms even though they smoked less and used asthma medication more often compared to those with child-diagnosed asthma. Recognizing adult onset asthma in clinical practise is important to direct precise clinical care and achieve better asthma control.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
Nyckelord
- Chronic diseases
- Asthma
- Adults
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Hisinger-Molkane ...
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Honkamaki, Jasmi ...
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Kankaanranta, Ha ...
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Tuomisto, Leena ...
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Sovijarvi, Anssi
-
Rönmark, Eva
-
visa fler...
-
Lundback, Bo
-
Backman, Helena
-
Andersen, Heidi
-
Lindqvist, Ari
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Lehtimaki, Lauri
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Pallasaho, Paula
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Ilmarinen, Pinja
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Piirila, Paivi
-
visa färre...
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