Hyppighed af astma hos skolebørn. Er sygdommen underdiagnosticeret?

A H Høst, T Duus, T B Ibsen, A Høst

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

A cross sectional study of 1064 unselected school children aged 6-17 years obtained the following for 851 of them (80%): complete data from a questionnaire on current asthma diagnosed by a physician, information on previous recurrent wheezing and present exposure to tobacco smoking combined with measurement of peak expiratory flow rate (PEFR) before and after six minutes running. Seventy-five (8.8%) had had previous periods of recurrent wheezing, and 535 (62.7%) were exposed to tobacco smoking at home. A correlation was found between passive smoking and previous recurrent wheezing. Thirty-four (4.0%) suffered from current asthma. Thirty-one children (3.6%) without an earlier diagnosis of asthma showed a significant exercise-induced fall in PEFR) (at least 15%). Thirty of these 31 children were followed up, and at reinvestigation, 27 (95%) were confirmed to suffer from hyperreactive airways based on significant exercise-induced fall in PEFR and/or a significantly increased variability of PEFR of at least 15% as measured by home recordings of PEFR. In conclusion the point prevalence of asthma diagnosed by a physician was 4.0%. In addition at least 3.2% had reproducible significant bronchial hyperreactivity indicating a point prevalence of asthma/clinically significant bronchial hyperreactivity of at least 7.2%. Asthma seems to be underdiagnosed in school children. Furthermore, our results indicate an association between passive smoking and recurrent wheezing.

OriginalsprogDansk
TidsskriftUgeskrift for Laeger
Vol/bind155
Udgave nummer49
Sider (fra-til)3978-81
Antal sider4
ISSN0041-5782
StatusUdgivet - 6. dec. 1993

Fingeraftryk

Peak Expiratory Flow Rate
Bronchial Hyperreactivity
Smoking
Exercise
Physicians
Cross-Sectional Studies

Emneord

  • Adolescent
  • Age Factors
  • Asthma
  • Child
  • Cross-Sectional Studies
  • Denmark
  • Female
  • Humans
  • Male
  • Peak Expiratory Flow Rate
  • Prevalence

Citer dette

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title = "Hyppighed af astma hos skoleb{\o}rn. Er sygdommen underdiagnosticeret?",
abstract = "A cross sectional study of 1064 unselected school children aged 6-17 years obtained the following for 851 of them (80{\%}): complete data from a questionnaire on current asthma diagnosed by a physician, information on previous recurrent wheezing and present exposure to tobacco smoking combined with measurement of peak expiratory flow rate (PEFR) before and after six minutes running. Seventy-five (8.8{\%}) had had previous periods of recurrent wheezing, and 535 (62.7{\%}) were exposed to tobacco smoking at home. A correlation was found between passive smoking and previous recurrent wheezing. Thirty-four (4.0{\%}) suffered from current asthma. Thirty-one children (3.6{\%}) without an earlier diagnosis of asthma showed a significant exercise-induced fall in PEFR) (at least 15{\%}). Thirty of these 31 children were followed up, and at reinvestigation, 27 (95{\%}) were confirmed to suffer from hyperreactive airways based on significant exercise-induced fall in PEFR and/or a significantly increased variability of PEFR of at least 15{\%} as measured by home recordings of PEFR. In conclusion the point prevalence of asthma diagnosed by a physician was 4.0{\%}. In addition at least 3.2{\%} had reproducible significant bronchial hyperreactivity indicating a point prevalence of asthma/clinically significant bronchial hyperreactivity of at least 7.2{\%}. Asthma seems to be underdiagnosed in school children. Furthermore, our results indicate an association between passive smoking and recurrent wheezing.",
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Hyppighed af astma hos skolebørn. Er sygdommen underdiagnosticeret? / Høst, A H; Duus, T; Ibsen, T B; Høst, A.

I: Ugeskrift for Laeger, Bind 155, Nr. 49, 06.12.1993, s. 3978-81.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Hyppighed af astma hos skolebørn. Er sygdommen underdiagnosticeret?

AU - Høst, A H

AU - Duus, T

AU - Ibsen, T B

AU - Høst, A

PY - 1993/12/6

Y1 - 1993/12/6

N2 - A cross sectional study of 1064 unselected school children aged 6-17 years obtained the following for 851 of them (80%): complete data from a questionnaire on current asthma diagnosed by a physician, information on previous recurrent wheezing and present exposure to tobacco smoking combined with measurement of peak expiratory flow rate (PEFR) before and after six minutes running. Seventy-five (8.8%) had had previous periods of recurrent wheezing, and 535 (62.7%) were exposed to tobacco smoking at home. A correlation was found between passive smoking and previous recurrent wheezing. Thirty-four (4.0%) suffered from current asthma. Thirty-one children (3.6%) without an earlier diagnosis of asthma showed a significant exercise-induced fall in PEFR) (at least 15%). Thirty of these 31 children were followed up, and at reinvestigation, 27 (95%) were confirmed to suffer from hyperreactive airways based on significant exercise-induced fall in PEFR and/or a significantly increased variability of PEFR of at least 15% as measured by home recordings of PEFR. In conclusion the point prevalence of asthma diagnosed by a physician was 4.0%. In addition at least 3.2% had reproducible significant bronchial hyperreactivity indicating a point prevalence of asthma/clinically significant bronchial hyperreactivity of at least 7.2%. Asthma seems to be underdiagnosed in school children. Furthermore, our results indicate an association between passive smoking and recurrent wheezing.

AB - A cross sectional study of 1064 unselected school children aged 6-17 years obtained the following for 851 of them (80%): complete data from a questionnaire on current asthma diagnosed by a physician, information on previous recurrent wheezing and present exposure to tobacco smoking combined with measurement of peak expiratory flow rate (PEFR) before and after six minutes running. Seventy-five (8.8%) had had previous periods of recurrent wheezing, and 535 (62.7%) were exposed to tobacco smoking at home. A correlation was found between passive smoking and previous recurrent wheezing. Thirty-four (4.0%) suffered from current asthma. Thirty-one children (3.6%) without an earlier diagnosis of asthma showed a significant exercise-induced fall in PEFR) (at least 15%). Thirty of these 31 children were followed up, and at reinvestigation, 27 (95%) were confirmed to suffer from hyperreactive airways based on significant exercise-induced fall in PEFR and/or a significantly increased variability of PEFR of at least 15% as measured by home recordings of PEFR. In conclusion the point prevalence of asthma diagnosed by a physician was 4.0%. In addition at least 3.2% had reproducible significant bronchial hyperreactivity indicating a point prevalence of asthma/clinically significant bronchial hyperreactivity of at least 7.2%. Asthma seems to be underdiagnosed in school children. Furthermore, our results indicate an association between passive smoking and recurrent wheezing.

KW - Adolescent

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KW - Asthma

KW - Child

KW - Cross-Sectional Studies

KW - Denmark

KW - Female

KW - Humans

KW - Male

KW - Peak Expiratory Flow Rate

KW - Prevalence

M3 - Tidsskriftartikel

VL - 155

SP - 3978

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JO - Ugeskrift for Laeger

JF - Ugeskrift for Laeger

SN - 0041-5782

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ER -