Association between severe asthma and changes in the stomatognathic system
Identifieur interne : 003029 ( Pmc/Curation ); précédent : 003028; suivant : 003030Association between severe asthma and changes in the stomatognathic system
Auteurs : Mayra Carvalho-Oliveira ; Cristina Salles ; Regina Terse ; Argemiro D'OliveiraSource :
- Jornal Brasileiro de Pneumologia [ 1806-3713 ] ; 2016.
Abstract
To describe orofacial muscle function in patients with severe asthma.
This was a descriptive study comparing patients with severe controlled asthma (SCA) and severe uncontrolled asthma (SUA). We selected 160 patients, who completed a sociodemographic questionnaire and the 6-item Asthma Control Questionnaire (ACQ-6), as well as undergoing evaluation of orofacial muscle function.
Of the 160 patients evaluated, 126 (78.8%) and 34 (21.2%) presented with SCA and SUA, respectively, as defined by the Global Initiative for Asthma criteria. Regardless of the level of asthma control, the most frequent changes found after evaluation of muscle function were difficulty in chewing, oronasal breathing pattern, below-average or poor dental arch condition, and difficulty in swallowing. When the sample was stratified by FEV1 (% of predicted), was significantly higher proportions of SUA group patients, compared with SCA group patients, showed habitual open-mouth chewing (24.8% vs. 7.7%; p < 0.02), difficulty in swallowing water (33.7% vs. 17.3%; p < 0.04), and voice problems (81.2% vs. 51.9%; p < 0.01). When the sample was stratified by ACQ-6 score, the proportion of patients showing difficulty in swallowing bread was significantly higher in the SUA group than in the SCA group (66.6% vs. 26.6%; p < 0.01).
The prevalence of changes in the stomatognathic system appears to be high among adults with severe asthma, regardless of the level of asthma control. We found that some such changes were significantly more common in patients with SUA than in those with SCA.
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DOI: 10.1590/S1806-37562015000600006
PubMed: 28117472
PubMed Central: 5344090
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Mayra Carvalho-Oliveira<affiliation><nlm:aff id="aff2">. Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal da Bahia, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff3">. Escola Bahiana de Medicina e Saúde Pública, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff4">. Departamento de Pediatria, Faculdade de Medicina, Universidade Federal da Bahia, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff2">. Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal da Bahia, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff5">. Programa de Pós-Graduação em Medicina e Saúde, Universidade Federal da Bahia, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff5">. Programa de Pós-Graduação em Medicina e Saúde, Universidade Federal da Bahia, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Association between severe asthma and changes in the stomatognathic system</title><author><name sortKey="Carvalho Oliveira, Mayra" sort="Carvalho Oliveira, Mayra" uniqKey="Carvalho Oliveira M" first="Mayra" last="Carvalho-Oliveira">Mayra Carvalho-Oliveira</name><affiliation><nlm:aff id="aff1">. Programa de Controle da Asma e Rinite Alérgica da Bahia - ProAR - Salvador (BA) Brasil.</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">. Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal da Bahia, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation></author><author><name sortKey="Salles, Cristina" sort="Salles, Cristina" uniqKey="Salles C" first="Cristina" last="Salles">Cristina Salles</name><affiliation><nlm:aff id="aff3">. Escola Bahiana de Medicina e Saúde Pública, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation></author><author><name sortKey="Terse, Regina" sort="Terse, Regina" uniqKey="Terse R" first="Regina" last="Terse">Regina Terse</name><affiliation><nlm:aff id="aff4">. Departamento de Pediatria, Faculdade de Medicina, Universidade Federal da Bahia, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation></author><author><name sortKey="D Oliveira, Argemiro" sort="D Oliveira, Argemiro" uniqKey="D Oliveira A" first="Argemiro" last="D'Oliveira">Argemiro D'Oliveira</name><affiliation><nlm:aff id="aff2">. Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal da Bahia, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff5">. Programa de Pós-Graduação em Medicina e Saúde, Universidade Federal da Bahia, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28117472</idno><idno type="pmc">5344090</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5344090</idno><idno type="RBID">PMC:5344090</idno><idno type="doi">10.1590/S1806-37562015000600006</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">003029</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003029</idno><idno type="wicri:Area/Pmc/Curation">003029</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003029</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Association between severe asthma and changes in the stomatognathic system</title><author><name sortKey="Carvalho Oliveira, Mayra" sort="Carvalho Oliveira, Mayra" uniqKey="Carvalho Oliveira M" first="Mayra" last="Carvalho-Oliveira">Mayra Carvalho-Oliveira</name><affiliation><nlm:aff id="aff1">. Programa de Controle da Asma e Rinite Alérgica da Bahia - ProAR - Salvador (BA) Brasil.</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">. Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal da Bahia, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation></author><author><name sortKey="Salles, Cristina" sort="Salles, Cristina" uniqKey="Salles C" first="Cristina" last="Salles">Cristina Salles</name><affiliation><nlm:aff id="aff3">. Escola Bahiana de Medicina e Saúde Pública, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation></author><author><name sortKey="Terse, Regina" sort="Terse, Regina" uniqKey="Terse R" first="Regina" last="Terse">Regina Terse</name><affiliation><nlm:aff id="aff4">. Departamento de Pediatria, Faculdade de Medicina, Universidade Federal da Bahia, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation></author><author><name sortKey="D Oliveira, Argemiro" sort="D Oliveira, Argemiro" uniqKey="D Oliveira A" first="Argemiro" last="D'Oliveira">Argemiro D'Oliveira</name><affiliation><nlm:aff id="aff2">. Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal da Bahia, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff5">. Programa de Pós-Graduação em Medicina e Saúde, Universidade Federal da Bahia, Salvador (BA) Brasil.</nlm:aff><wicri:noCountry code="subfield">Salvador (BA) Brasil.</wicri:noCountry></affiliation></author></analytic><series><title level="j">Jornal Brasileiro de Pneumologia</title><idno type="ISSN">1806-3713</idno><idno type="eISSN">1806-3756</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>ABSTRACT</title><sec><title>Objective:</title><p>To describe orofacial muscle function in patients with severe asthma. </p></sec><sec><title>Methods:</title><p>This was a descriptive study comparing patients with severe controlled asthma (SCA) and severe uncontrolled asthma (SUA). We selected 160 patients, who completed a sociodemographic questionnaire and the 6-item Asthma Control Questionnaire (ACQ-6), as well as undergoing evaluation of orofacial muscle function. </p></sec><sec><title>Results:</title><p>Of the 160 patients evaluated, 126 (78.8%) and 34 (21.2%) presented with SCA and SUA, respectively, as defined by the Global Initiative for Asthma criteria. Regardless of the level of asthma control, the most frequent changes found after evaluation of muscle function were difficulty in chewing, oronasal breathing pattern, below-average or poor dental arch condition, and difficulty in swallowing. When the sample was stratified by FEV<sub>1</sub> (% of predicted), was significantly higher proportions of SUA group patients, compared with SCA group patients, showed habitual open-mouth chewing (24.8% vs. 7.7%; p < 0.02), difficulty in swallowing water (33.7% vs. 17.3%; p < 0.04), and voice problems (81.2% vs. 51.9%; p < 0.01). When the sample was stratified by ACQ-6 score, the proportion of patients showing difficulty in swallowing bread was significantly higher in the SUA group than in the SCA group (66.6% vs. 26.6%; p < 0.01). </p></sec><sec><title>Conclusions:</title><p>The prevalence of changes in the stomatognathic system appears to be high among adults with severe asthma, regardless of the level of asthma control. We found that some such changes were significantly more common in patients with SUA than in those with SCA.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Salles, C" uniqKey="Salles C">C Salles</name></author><author><name sortKey="Cruz, Aa" uniqKey="Cruz A">AA Cruz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kairaitis, K" uniqKey="Kairaitis K">K Kairaitis</name></author><author><name sortKey="Garlick, Sr" uniqKey="Garlick S">SR Garlick</name></author><author><name sortKey="Wheatley, Jr" uniqKey="Wheatley J">JR Wheatley</name></author><author><name sortKey="Amis, Tc" uniqKey="Amis T">TC Amis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Felicio, Cm" uniqKey="De Felicio C">CM de Felicio</name></author><author><name sortKey="De Oliveira, Mm" uniqKey="De Oliveira M">MM de Oliveira</name></author><author><name sortKey="Da 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uniqKey="Wenzel S">SE Wenzel</name></author><author><name sortKey="Brozek, Jl" uniqKey="Brozek J">JL Brozek</name></author><author><name sortKey="Bush, A" uniqKey="Bush A">A Bush</name></author><author><name sortKey="Castro, M" uniqKey="Castro M">M Castro</name></author><author><name sortKey="Sterk, Pj" uniqKey="Sterk P">PJ Sterk</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stanton, Ae" uniqKey="Stanton A">AE Stanton</name></author><author><name sortKey="Sellars, C" uniqKey="Sellars C">C Sellars</name></author><author><name sortKey="Mackenzie, K" uniqKey="Mackenzie K">K Mackenzie</name></author><author><name sortKey="Mcconnachie, A" uniqKey="Mcconnachie A">A McConnachie</name></author><author><name sortKey="Bucknall, Ce" uniqKey="Bucknall C">CE Bucknall</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Leite, M" uniqKey="Leite M">M Leite</name></author><author><name sortKey="Ponte, Ev" uniqKey="Ponte E">EV Ponte</name></author><author><name sortKey="Petroni, J" uniqKey="Petroni J">J Petroni</name></author><author><name sortKey="D Oliveira, A" uniqKey="D Oliveira A">A D'Oliveira</name></author><author><name sortKey="Pizzichini, E" uniqKey="Pizzichini E">E Pizzichini</name></author><author><name sortKey="Cruz, Aa" uniqKey="Cruz A">AA Cruz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Campanha, Sm" uniqKey="Campanha S">SM Campanha</name></author><author><name sortKey="Freire, Lm" uniqKey="Freire L">LM Freire</name></author><author><name sortKey="Fontes, Mj" uniqKey="Fontes M">MJ Fontes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Campanha, Sm" uniqKey="Campanha S">SM Campanha</name></author><author><name sortKey="Fontes, Mj" uniqKey="Fontes M">MJ Fontes</name></author><author><name sortKey="Santos, Jl" uniqKey="Santos J">JL 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Silva</name></author><author><name sortKey="Nascimento, Gk" uniqKey="Nascimento G">GK Nascimento</name></author><author><name sortKey="Da Silva, Eg" uniqKey="Da Silva E">EG da Silva</name></author><author><name sortKey="Da Cunha, Ra" uniqKey="Da Cunha R">RA da Cunha</name></author><author><name sortKey="Regis, Rm" uniqKey="Regis R">RM Régis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oliveira, Rl" uniqKey="Oliveira R">RL Oliveira</name></author><author><name sortKey="Noronha, Wp" uniqKey="Noronha W">WP Noronha</name></author><author><name sortKey="Bonjardim, Lr" uniqKey="Bonjardim L">LR Bonjardim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Drozdz, Dr" uniqKey="Drozdz D">DR Drozdz</name></author><author><name sortKey="Costa, Cc" uniqKey="Costa C">CC Costa</name></author><author><name sortKey="Jesus, Pr" uniqKey="Jesus P">PR Jesus</name></author><author><name sortKey="Trindade, Ms" uniqKey="Trindade M">MS Trindade</name></author><author><name sortKey="Weiss, G" uniqKey="Weiss G">G Weiss</name></author><author><name sortKey="Neto, Ab" uniqKey="Neto A">AB Neto</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Bras Pneumol</journal-id><journal-id journal-id-type="iso-abbrev">J Bras Pneumol</journal-id><journal-id journal-id-type="publisher-id">jbpneu</journal-id><journal-title-group><journal-title>Jornal Brasileiro de Pneumologia</journal-title></journal-title-group><issn pub-type="ppub">1806-3713</issn><issn pub-type="epub">1806-3756</issn><publisher><publisher-name>Sociedade Brasileira de Pneumologia e Tisiologia</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28117472</article-id><article-id pub-id-type="pmc">5344090</article-id><article-id pub-id-type="doi">10.1590/S1806-37562015000600006</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Association between severe asthma and changes in the stomatognathic system</article-title><trans-title-group xml:lang="pt"><trans-title>Associação entre asma grave e alterações do sistema estomatognático</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name><surname>Carvalho-Oliveira</surname><given-names>Mayra</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Salles</surname><given-names>Cristina</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Terse</surname><given-names>Regina</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>D'Oliveira</surname><given-names>Argemiro</given-names><suffix>Júnior</suffix></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff5"><sup>5</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label>. Programa de Controle da Asma e Rinite Alérgica da Bahia - ProAR - Salvador (BA) Brasil.</aff><aff id="aff2"><label>2</label>. Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal da Bahia, Salvador (BA) Brasil.</aff><aff id="aff3"><label>3</label>. Escola Bahiana de Medicina e Saúde Pública, Salvador (BA) Brasil.</aff><aff id="aff4"><label>4</label>. Departamento de Pediatria, Faculdade de Medicina, Universidade Federal da Bahia, Salvador (BA) Brasil.</aff><aff id="aff5"><label>5</label>. Programa de Pós-Graduação em Medicina e Saúde, Universidade Federal da Bahia, Salvador (BA) Brasil.</aff><author-notes><corresp id="c1">Correspondence to: Mayra Carvalho-Oliveira. Centro Médico Hospital da Bahia, Clinica CEVEM, Avenida Professor Magalhães Neto, 1541, Sala 2010, Pituba, CEP 41810-011, Salvador, BA, Brasil. Tel./Fax: 55 71 2109-2210. E-mail: <email>mayrafono@hotmail.com</email></corresp></author-notes><pub-date pub-type="epub-ppub"><season>Nov-Dec</season><year>2016</year></pub-date><pmc-comment>Fake ppub date generated by PMC from publisher
pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub"><season>Nov-Dec</season><year>2016</year></pub-date><volume>42</volume><issue>6</issue><fpage>423</fpage><lpage>428</lpage><history><date date-type="received"><day>03</day><month>5</month><year>2015</year></date><date date-type="accepted"><day>31</day><month>5</month><year>2016</year></date></history><permissions><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License</license-p></license></permissions><abstract><title>ABSTRACT</title><sec><title>Objective:</title><p>To describe orofacial muscle function in patients with severe asthma. </p></sec><sec><title>Methods:</title><p>This was a descriptive study comparing patients with severe controlled asthma (SCA) and severe uncontrolled asthma (SUA). We selected 160 patients, who completed a sociodemographic questionnaire and the 6-item Asthma Control Questionnaire (ACQ-6), as well as undergoing evaluation of orofacial muscle function. </p></sec><sec><title>Results:</title><p>Of the 160 patients evaluated, 126 (78.8%) and 34 (21.2%) presented with SCA and SUA, respectively, as defined by the Global Initiative for Asthma criteria. Regardless of the level of asthma control, the most frequent changes found after evaluation of muscle function were difficulty in chewing, oronasal breathing pattern, below-average or poor dental arch condition, and difficulty in swallowing. When the sample was stratified by FEV<sub>1</sub> (% of predicted), was significantly higher proportions of SUA group patients, compared with SCA group patients, showed habitual open-mouth chewing (24.8% vs. 7.7%; p < 0.02), difficulty in swallowing water (33.7% vs. 17.3%; p < 0.04), and voice problems (81.2% vs. 51.9%; p < 0.01). When the sample was stratified by ACQ-6 score, the proportion of patients showing difficulty in swallowing bread was significantly higher in the SUA group than in the SCA group (66.6% vs. 26.6%; p < 0.01). </p></sec><sec><title>Conclusions:</title><p>The prevalence of changes in the stomatognathic system appears to be high among adults with severe asthma, regardless of the level of asthma control. We found that some such changes were significantly more common in patients with SUA than in those with SCA.</p></sec></abstract><trans-abstract xml:lang="pt"><title>RESUMO</title><sec><title>Objetivo:</title><p>Descrever os achados da avaliação miofuncional orofacial em pacientes com asma grave. </p></sec><sec><title>Métodos:</title><p>Estudo descritivo comparando pacientes com asma grave controlada (AGC) e asma grave não controlada (AGNC). Foram selecionados 160 participantes, que responderam a um questionário sociodemográfico e o Asthma Control Questionnaire com seis questões (ACQ-6) e realizaram avaliação miofuncional orofacial. </p></sec><sec><title>Resultados:</title><p>Na amostra estudada, 126 (78,8%) e 34 (21,2%) pacientes, respectivamente, apresentavam AGC e AGNC segundo os critérios da Global Initiative for Asthma. Independentemente do nível de controle da asma grave, as alterações mais frequentes observadas na avaliação miofuncional foram problemas de mastigação, padrão de respiração oronasal, estado de conservação da arcada dentária médio ou ruim e problemas na deglutição. Quando a amostra foi estratificada pelo VEF<sub>1</sub> (% do previsto), os resultados foram significativamente maiores no grupo AGNC que no grupo AGC quanto a mastigação habitual com boca aberta (24,8% vs. 7,7%; p < 0,02), deglutição de água com dificuldade (33,7% vs. 17,3%; p < 0,04) e problemas de voz (81,2% vs. 51,9%; p < 0,01). Quando estratificada pelo ACQ-6, os resultados do grupo AGNC foram significativamente maiores que no grupo AGC quanto à deglutição de pão com dificuldade (66,6% vs. 26,6%; p < 0,01). </p></sec><sec><title>Conclusões:</title><p>A prevalência de alterações do sistema estomatognático parece ser alta em adultos com asma grave independentemente do nível de controle da doença. No grupo AGNC, algumas dessas alterações foram significativamente mais frequentes que no grupo AGC.</p></sec></trans-abstract><kwd-group><title>Keywords:</title><kwd>Speech/physiology</kwd><kwd>Stomatognathic system/physiopathology</kwd><kwd>Asthma/complications</kwd><kwd>Deglutition disorders</kwd><kwd>Mastication/physiology</kwd></kwd-group><counts><fig-count count="6"></fig-count><table-count count="6"></table-count><equation-count count="0"></equation-count><ref-count count="20"></ref-count><page-count count="6"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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