asthma control;
control questionnaire;
smoking;
spirometry;
D O I:
10.1111/j.1398-9995.2007.01538.x
中图分类号:
R392 [医学免疫学];
学科分类号:
100102 ;
摘要:
Cigarette smoking in asthma increases the severity and accelerates the decline in lung function. The relative role of symptoms and lung function in determining asthma control in smokers with asthma is not known. The aim of this study was to compare asthma control in smokers vs never-smokers with asthma, using the validated Juniper asthma control questionnaire (ACQ), and assess if any difference was because of a particular symptom or the forced expiratory volume in one second (FEV1) value. This was a cross-sectional study of 134 asthmatics (74 never-smokers and 60 smokers) with >= 15% reversibility in FEV1 after salbutamol. All subjects completed the ACQ, recording FEV1 and asthma symptoms (night awakening, morning symptoms, dyspnoea, wheeze, activity limitation and use of reliever inhaler). Compared with the never-smokers, smokers with asthma had significantly worse median (IQR) total asthma control score [1.6 (1.1-2.3) vs 2.8 (1.7-3.4); (P < 0.0001)] and in each of the six individual symptom question scores (P < 0.001), but no difference in FEV1 levels (P = 0.908). Asthma control is significantly worse in asthmatics who smoke compared with never-smokers, with all symptoms related to asthma control uniformly worse in smokers, independent of FEV1.
机构:
Univ Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, JapanUniv Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, Japan
Yamada, Hideyasu
Masuko, Hironori
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机构:
Univ Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, JapanUniv Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, Japan
Masuko, Hironori
Yatagai, Yohei
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机构:
Univ Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, JapanUniv Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, Japan
Yatagai, Yohei
Sakamoto, Tohru
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h-index: 0
机构:
Univ Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, JapanUniv Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, Japan
Sakamoto, Tohru
Kaneko, Yoshiko
论文数: 0引用数: 0
h-index: 0
机构:
Univ Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, JapanUniv Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, Japan
Kaneko, Yoshiko
Iijima, Hiroaki
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h-index: 0
机构:
Tsukuba Med Ctr, Tsukuba, Ibaraki, JapanUniv Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, Japan
Iijima, Hiroaki
Naito, Takashi
论文数: 0引用数: 0
h-index: 0
机构:
Tsukuba Med Ctr, Tsukuba, Ibaraki, JapanUniv Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, Japan
Naito, Takashi
Noguchi, Emiko
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h-index: 0
机构:
Univ Tsukuba, Grad Sch Comprehens Human Sci, Dept Med Genet, Tsukuba, Ibaraki, JapanUniv Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, Japan
Noguchi, Emiko
Konno, Satoshi
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h-index: 0
机构:
Inst Phys & Chem Res, Ctr Genom Med, Lab Resp Dis, Tsurumi, Kanagawa, JapanUniv Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, Japan
Konno, Satoshi
Nishimura, Masaharu
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h-index: 0
机构:
Inst Phys & Chem Res, Ctr Genom Med, Lab Resp Dis, Tsurumi, Kanagawa, JapanUniv Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, Japan
Nishimura, Masaharu
Hirota, Tomomitsu
论文数: 0引用数: 0
h-index: 0
机构:
Hokkaido Univ, Sch Med, Dept Med 1, Sapporo, Hokkaido 060, JapanUniv Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, Japan
Hirota, Tomomitsu
Tamari, Mayumi
论文数: 0引用数: 0
h-index: 0
机构:
Hokkaido Univ, Sch Med, Dept Med 1, Sapporo, Hokkaido 060, JapanUniv Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, Japan
Tamari, Mayumi
Hizawa, Nobuyuki
论文数: 0引用数: 0
h-index: 0
机构:
Univ Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, JapanUniv Tsukuba, Dept Pulmonol, Grad Sch Comprehens Human Sci, Tsukuba, Ibaraki, Japan
机构:
CHRU, Hop Jeanne de Flandre, Unite Pneumol & Allergol Pediat, F-59037 Lille, FranceCHRU, Hop Jeanne de Flandre, Unite Pneumol & Allergol Pediat, F-59037 Lille, France
Deschildre, A
Morillon, S
论文数: 0引用数: 0
h-index: 0
机构:
CHRU, Hop Jeanne de Flandre, Unite Pneumol & Allergol Pediat, F-59037 Lille, FranceCHRU, Hop Jeanne de Flandre, Unite Pneumol & Allergol Pediat, F-59037 Lille, France
Morillon, S
Pouessel, G
论文数: 0引用数: 0
h-index: 0
机构:
CHRU, Hop Jeanne de Flandre, Unite Pneumol & Allergol Pediat, F-59037 Lille, FranceCHRU, Hop Jeanne de Flandre, Unite Pneumol & Allergol Pediat, F-59037 Lille, France
Pouessel, G
Scalbert, M
论文数: 0引用数: 0
h-index: 0
机构:
CHRU, Hop Jeanne de Flandre, Unite Pneumol & Allergol Pediat, F-59037 Lille, FranceCHRU, Hop Jeanne de Flandre, Unite Pneumol & Allergol Pediat, F-59037 Lille, France
Scalbert, M
Santos, C
论文数: 0引用数: 0
h-index: 0
机构:
CHRU, Hop Jeanne de Flandre, Unite Pneumol & Allergol Pediat, F-59037 Lille, FranceCHRU, Hop Jeanne de Flandre, Unite Pneumol & Allergol Pediat, F-59037 Lille, France
Santos, C
Thumerelle, C
论文数: 0引用数: 0
h-index: 0
机构:
CHRU, Hop Jeanne de Flandre, Unite Pneumol & Allergol Pediat, F-59037 Lille, FranceCHRU, Hop Jeanne de Flandre, Unite Pneumol & Allergol Pediat, F-59037 Lille, France
Thumerelle, C
REVUE FRANCAISE D ALLERGOLOGIE ET D IMMUNOLOGIE CLINIQUE,
2004,
44
(07):
: 608
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613