Factors influencing asthma remission: a longitudinal study from childhood to middle age
Identifieur interne : 006267 ( Main/Exploration ); précédent : 006266; suivant : 006268Factors influencing asthma remission: a longitudinal study from childhood to middle age
Auteurs : John A. Burgess [Australie] ; Melanie C. Matheson [Australie] ; Lyle C. Gurrin [Australie] ; Graham B. Byrnes [France] ; Kristie S. Adams [Australie] ; Cathryn L. Wharton [Australie] ; Graham G. Giles [Australie] ; Mark A. Jenkins [Australie] ; John L. Hopper [Australie] ; Michael J. Abramson [Australie] ; E Haydn Walters [Australie] ; Shyamali C. Dharmage [Australie]Source :
- Thorax [ 0040-6376 ] ; 2011-06.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Adult asthma, Adult life, Adult smoking, Aggressive treatment, Allergic, Allergic rhinitis, Allergy, Anesthesia, Asthma, Asthma incidence, Asthma onset, Asthma remission, Body mass index, Bronchitis, Cardiology, Child, Childhood asthma, Childhood immunisation, Childhood pneumonia, Circulatory system, Cohort, Cohort study, Current asthma, Current study, Eczema, Health study, Last asthma attack, Life stage, Longitudinal study, Lower status, Lung function, Maternal asthma, Melbourne, Middle age, Multivariable, Multivariable model, Natural history, Negative association, Passive smoking, Remission, Rhinitis, Risk factors, Severe childhood asthma, Smoking, Tasmanian, Thorax.
- Teeft :
- Adult asthma, Adult life, Adult smoking, Aggressive treatment, Allergic, Allergic rhinitis, Allergy, Asthma, Asthma incidence, Asthma onset, Asthma remission, Body mass index, Bronchitis, Childhood asthma, Childhood immunisation, Childhood pneumonia, Cohort, Cohort study, Current asthma, Current study, Eczema, Health study, Last asthma attack, Life stage, Longitudinal study, Lower status, Lung function, Maternal asthma, Melbourne, Multivariable, Multivariable model, Natural history, Negative association, Passive smoking, Remission, Rhinitis, Risk factors, Severe childhood asthma, Smoking, Tasmanian, Thorax.
Abstract
Objective To examine asthma remission from childhood to middle age. Methods This was a population-based cohort study. In 1968 the Tasmanian Longitudinal Health Study enrolled 8583 7-year-old Tasmanian schoolchildren who were re-surveyed in 2004. Those reporting ever having asthma when last surveyed completed another questionnaire in 2007 ascertaining age at last asthma attack and asthma medication use. The main outcome measure was asthma remission, defined as no asthma attack for 2 years and no current asthma medication use, or no self-reported asthma in adult life but with parent-reported childhood asthma. Results Of 5729 respondents to the 2004 survey, 1238 self-reported asthma. A further 573 denied asthma, but had parent-reported childhood asthma, giving a study sample of 1811. Asthma had remitted in 1177 (65.0%) of whom 649 (55.1%) were male. Childhood (OR 0.38, 95% CI 0.25 to 0.58) and later-onset allergic rhinitis (0.42, 0.29 to 0.63), childhood (0.66, 0.47 to 0.94) and later-onset eczema (0.66, 0.47 to 0.92), maternal asthma (0.66, 0.47 to 0.92) and childhood chronic bronchitis (0.56, 0.41 to 0.76) were negatively associated with remission. There was weaker evidence for a negative association between passive smoking (0.75, 0.54 to 1.04) and lower socio-economic status (p-trend 0.09) and remission. Childhood-onset asthma (3.76, 2.58 to 5.49) was more likely to remit than adult-onset asthma. Adult smoking was positively associated with remission in childhood-onset asthma (1.49, 1.06 to 2.09). Sex did not influence remission. Conclusion While inherited factors cannot be changed, the effect of allergic rhinitis or eczema on asthma remission might be altered by early, aggressive treatment. Every effort should be made to lessen passive exposure to tobacco smoke.
Url:
DOI: 10.1136/thx.2010.146845
Affiliations:
- Australie, France
- Auvergne-Rhône-Alpes, Rhône-Alpes, Victoria (État)
- Lyon, Melbourne
- Université de Melbourne
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Dharmage</name><affiliation wicri:level="4"><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Molecular, Environmental, Genetic and Analytic Epidemiology, The University of Melbourne, Carlton, Victoria</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Thorax</title><title level="j" type="abbrev">Thorax</title><idno type="ISSN">0040-6376</idno><idno type="eISSN">1468-3296</idno><imprint><publisher>BMJ Publishing Group Ltd and British Thoracic Society</publisher><date type="published" when="2011-06">2011-06</date><biblScope unit="volume">66</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="508">508</biblScope></imprint><idno type="ISSN">0040-6376</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0040-6376</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult asthma</term><term>Adult life</term><term>Adult smoking</term><term>Aggressive treatment</term><term>Allergic</term><term>Allergic rhinitis</term><term>Allergy</term><term>Anesthesia</term><term>Asthma</term><term>Asthma incidence</term><term>Asthma onset</term><term>Asthma remission</term><term>Body mass index</term><term>Bronchitis</term><term>Cardiology</term><term>Child</term><term>Childhood asthma</term><term>Childhood immunisation</term><term>Childhood pneumonia</term><term>Circulatory system</term><term>Cohort</term><term>Cohort study</term><term>Current asthma</term><term>Current study</term><term>Eczema</term><term>Health study</term><term>Last asthma attack</term><term>Life stage</term><term>Longitudinal study</term><term>Lower status</term><term>Lung function</term><term>Maternal asthma</term><term>Melbourne</term><term>Middle age</term><term>Multivariable</term><term>Multivariable model</term><term>Natural history</term><term>Negative association</term><term>Passive smoking</term><term>Remission</term><term>Rhinitis</term><term>Risk factors</term><term>Severe childhood asthma</term><term>Smoking</term><term>Tasmanian</term><term>Thorax</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Age mûr</term><term>Anesthésie</term><term>Appareil circulatoire</term><term>Asthme</term><term>Cardiologie</term><term>Enfant</term><term>Rémission</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Adult asthma</term><term>Adult life</term><term>Adult smoking</term><term>Aggressive treatment</term><term>Allergic</term><term>Allergic rhinitis</term><term>Allergy</term><term>Asthma</term><term>Asthma incidence</term><term>Asthma onset</term><term>Asthma remission</term><term>Body mass index</term><term>Bronchitis</term><term>Childhood asthma</term><term>Childhood immunisation</term><term>Childhood pneumonia</term><term>Cohort</term><term>Cohort study</term><term>Current asthma</term><term>Current study</term><term>Eczema</term><term>Health study</term><term>Last asthma attack</term><term>Life stage</term><term>Longitudinal study</term><term>Lower status</term><term>Lung function</term><term>Maternal asthma</term><term>Melbourne</term><term>Multivariable</term><term>Multivariable model</term><term>Natural history</term><term>Negative association</term><term>Passive smoking</term><term>Remission</term><term>Rhinitis</term><term>Risk factors</term><term>Severe childhood asthma</term><term>Smoking</term><term>Tasmanian</term><term>Thorax</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Allergie</term><term>Enfant</term><term>Tabagisme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Objective To examine asthma remission from childhood to middle age. Methods This was a population-based cohort study. In 1968 the Tasmanian Longitudinal Health Study enrolled 8583 7-year-old Tasmanian schoolchildren who were re-surveyed in 2004. Those reporting ever having asthma when last surveyed completed another questionnaire in 2007 ascertaining age at last asthma attack and asthma medication use. The main outcome measure was asthma remission, defined as no asthma attack for 2 years and no current asthma medication use, or no self-reported asthma in adult life but with parent-reported childhood asthma. Results Of 5729 respondents to the 2004 survey, 1238 self-reported asthma. A further 573 denied asthma, but had parent-reported childhood asthma, giving a study sample of 1811. Asthma had remitted in 1177 (65.0%) of whom 649 (55.1%) were male. Childhood (OR 0.38, 95% CI 0.25 to 0.58) and later-onset allergic rhinitis (0.42, 0.29 to 0.63), childhood (0.66, 0.47 to 0.94) and later-onset eczema (0.66, 0.47 to 0.92), maternal asthma (0.66, 0.47 to 0.92) and childhood chronic bronchitis (0.56, 0.41 to 0.76) were negatively associated with remission. There was weaker evidence for a negative association between passive smoking (0.75, 0.54 to 1.04) and lower socio-economic status (p-trend 0.09) and remission. Childhood-onset asthma (3.76, 2.58 to 5.49) was more likely to remit than adult-onset asthma. Adult smoking was positively associated with remission in childhood-onset asthma (1.49, 1.06 to 2.09). Sex did not influence remission. Conclusion While inherited factors cannot be changed, the effect of allergic rhinitis or eczema on asthma remission might be altered by early, aggressive treatment. Every effort should be made to lessen passive exposure to tobacco smoke.</div></front></TEI><affiliations><list><country><li>Australie</li><li>France</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li><li>Victoria (État)</li></region><settlement><li>Lyon</li><li>Melbourne</li></settlement><orgName><li>Université de Melbourne</li></orgName></list><tree><country name="Australie"><region name="Victoria (État)"><name sortKey="Burgess, John A" sort="Burgess, John A" uniqKey="Burgess J" first="John A" last="Burgess">John A. Burgess</name></region><name sortKey="Abramson, Michael J" sort="Abramson, Michael J" uniqKey="Abramson M" first="Michael J" last="Abramson">Michael J. Abramson</name><name sortKey="Adams, Kristie S" sort="Adams, Kristie S" uniqKey="Adams K" first="Kristie S" last="Adams">Kristie S. Adams</name><name sortKey="Burgess, John A" sort="Burgess, John A" uniqKey="Burgess J" first="John A" last="Burgess">John A. Burgess</name><name sortKey="Dharmage, Shyamali C" sort="Dharmage, Shyamali C" uniqKey="Dharmage S" first="Shyamali C" last="Dharmage">Shyamali C. Dharmage</name><name sortKey="Giles, Graham G" sort="Giles, Graham G" uniqKey="Giles G" first="Graham G" last="Giles">Graham G. Giles</name><name sortKey="Giles, Graham G" sort="Giles, Graham G" uniqKey="Giles G" first="Graham G" last="Giles">Graham G. Giles</name><name sortKey="Gurrin, Lyle C" sort="Gurrin, Lyle C" uniqKey="Gurrin L" first="Lyle C" last="Gurrin">Lyle C. Gurrin</name><name sortKey="Hopper, John L" sort="Hopper, John L" uniqKey="Hopper J" first="John L" last="Hopper">John L. Hopper</name><name sortKey="Jenkins, Mark A" sort="Jenkins, Mark A" uniqKey="Jenkins M" first="Mark A" last="Jenkins">Mark A. Jenkins</name><name sortKey="Matheson, Melanie C" sort="Matheson, Melanie C" uniqKey="Matheson M" first="Melanie C" last="Matheson">Melanie C. Matheson</name><name sortKey="Walters, E Haydn" sort="Walters, E Haydn" uniqKey="Walters E" first="E Haydn" last="Walters">E Haydn Walters</name><name sortKey="Wharton, Cathryn L" sort="Wharton, Cathryn L" uniqKey="Wharton C" first="Cathryn L" last="Wharton">Cathryn L. Wharton</name></country><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Byrnes, Graham B" sort="Byrnes, Graham B" uniqKey="Byrnes G" first="Graham B" last="Byrnes">Graham B. Byrnes</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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