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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2002-11-4
pubmed:abstractText
The authors investigated changes in asthma prevalence and perception of bronchoconstriction over 6 yrs in adults of Newcastle-upon-Tyne. Postal questionnaires were sent to 6,000 subjects aged 20-44 yrs in 1992-1993 and 1998-1999. Random samples of 600 responders had assessments of atopy, airway responsiveness, and their ability to perceive methacholine-induced bronchoconstriction. The prevalences of asthmatic symptoms, physician-diagnosis, and medication use increased by an average of 4.4%, particularly in subjects aged <30 yrs (8.7 versus 2.7). Atopy prevalence increased from 25% to 31% but atopics and nonatopics had similar mean changes in questionnaire data (5.2 versus 3.4). The probability of a positive methacholine test decreased as did the mean methacholine dose/response slope (0.00527 to 0.00379), indicating lower levels of airway responsiveness. This can be largely explained by an increase in use of inhaled corticosteroids (5.0-9.3%). The proportion of subjects perceiving bronchoconstriction during methacholine tests increased from 63 to 77%. The authors conclude that current changes in asthma epidemiology in adults may result from increased awareness of symptoms (and/or an increased willingness to report them), and from an increased willingness of physicians to make the diagnosis and prescribe treatment, not from increased disease prevalence.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0903-1936
pubmed:author
pubmed:issnType
Print
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
826-33
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:12412671-Adolescent, pubmed-meshheading:12412671-Adult, pubmed-meshheading:12412671-Age Distribution, pubmed-meshheading:12412671-Aged, pubmed-meshheading:12412671-Asthma, pubmed-meshheading:12412671-Bronchial Provocation Tests, pubmed-meshheading:12412671-Chi-Square Distribution, pubmed-meshheading:12412671-Child, pubmed-meshheading:12412671-Female, pubmed-meshheading:12412671-Great Britain, pubmed-meshheading:12412671-Humans, pubmed-meshheading:12412671-Linear Models, pubmed-meshheading:12412671-Logistic Models, pubmed-meshheading:12412671-Male, pubmed-meshheading:12412671-Methacholine Chloride, pubmed-meshheading:12412671-Middle Aged, pubmed-meshheading:12412671-Population Surveillance, pubmed-meshheading:12412671-Prevalence, pubmed-meshheading:12412671-Probability, pubmed-meshheading:12412671-Questionnaires, pubmed-meshheading:12412671-Respiratory Function Tests, pubmed-meshheading:12412671-Risk Factors, pubmed-meshheading:12412671-Severity of Illness Index, pubmed-meshheading:12412671-Sex Distribution
pubmed:year
2002
pubmed:articleTitle
Apparent but not real increase in asthma prevalence during the 1990s.
pubmed:affiliation
Dept of Respiratory Medicine, Royal Victoria Infirmary, University of Newcastle-upon-Tyne, UK.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't