N Segura1, J Fraj2, J L Cubero2, M T Sobrevía2, A Lezaun2, L Ferrer2, A Sebastián3, C Colás2. 1. Allergy Department, University Hospital Lozano Blesa of Zaragoza, Avda. San Juan Bosco, 15, 50009 Zaragoza, Spain; Aragon Health Research Institute (IIS Aragón), Centro de Investigación Biomédica de Aragón (CIBA), Avda. San Juan Bosco, 13, 50009 Zaragoza, Spain. Electronic address: nseguraa@gmail.com. 2. Allergy Department, University Hospital Lozano Blesa of Zaragoza, Avda. San Juan Bosco, 15, 50009 Zaragoza, Spain; Aragon Health Research Institute (IIS Aragón), Centro de Investigación Biomédica de Aragón (CIBA), Avda. San Juan Bosco, 13, 50009 Zaragoza, Spain. 3. Pneumology Department, University Hospital Lozano Blesa of Zaragoza, Avda. San Juan Bosco, 15, 50009 Zaragoza, Spain; Aragon Health Research Institute (IIS Aragón), Centro de Investigación Biomédica de Aragón (CIBA), Avda. San Juan Bosco, 13, 50009 Zaragoza, Spain.
Abstract
OBJECTIVE: Examine the prevalence of asthma and associated predictive factors in a group of 468 students. PATIENTS AND METHODS: A descriptive, cross-sectional observational study in a randomly selected population of 468 children aged 10-12, in the city of Zaragoza. We used the ISAAC questionnaire on asthma completed by children under supervision of the investigators. We assessed the genetic risk (family history of asthma) and environmental risks. The risk for atopy was assessed by the presence of positive skin prick tests. RESULTS: 25.3% of the children had symptoms consistent with asthma in the city of Zaragoza. Among them 33.1% reported a history of asthma in close relatives (OR=1.78, p<0.001). The history of hospitalisations for lower respiratory tract illness was strongly associated with the presence of asthma (OR=6.72, p<0.0001). Positive skin tests to Alternaria (OR=2.00, p<0.0001) and grass pollen (OR=1.76, p<0.001) were predictors of asthma. 63.6% of asthmatic children had presented clinical rhinitis in the previous 12 months, compared with 32% of non-asthmatics, and this difference was statistically significant (OR=3.89, p<0.0001). 47% of asthmatics presented with or previously had eczema, whereas only 26.9% of non-asthmatics presented with or previously had these types of lesions (p<0.0001). CONCLUSION: The following are predictors of asthma: History of hospital admissions for lower respiratory tract illness, presence of rhinitis and/or eczema, positive prick test for certain aeroallergens, especially Alternaria and grass pollen, and family history of asthma.
OBJECTIVE: Examine the prevalence of asthma and associated predictive factors in a group of 468 students. PATIENTS AND METHODS: A descriptive, cross-sectional observational study in a randomly selected population of 468 children aged 10-12, in the city of Zaragoza. We used the ISAAC questionnaire on asthma completed by children under supervision of the investigators. We assessed the genetic risk (family history of asthma) and environmental risks. The risk for atopy was assessed by the presence of positive skin prick tests. RESULTS: 25.3% of the children had symptoms consistent with asthma in the city of Zaragoza. Among them 33.1% reported a history of asthma in close relatives (OR=1.78, p<0.001). The history of hospitalisations for lower respiratory tract illness was strongly associated with the presence of asthma (OR=6.72, p<0.0001). Positive skin tests to Alternaria (OR=2.00, p<0.0001) and grass pollen (OR=1.76, p<0.001) were predictors of asthma. 63.6% of asthmatic children had presented clinical rhinitis in the previous 12 months, compared with 32% of non-asthmatics, and this difference was statistically significant (OR=3.89, p<0.0001). 47% of asthmatics presented with or previously had eczema, whereas only 26.9% of non-asthmatics presented with or previously had these types of lesions (p<0.0001). CONCLUSION: The following are predictors of asthma: History of hospital admissions for lower respiratory tract illness, presence of rhinitis and/or eczema, positive prick test for certain aeroallergens, especially Alternaria and grass pollen, and family history of asthma.
Authors: Yuying Zeng; Yun Zhang; Xinyan Huang; Lizhen Song; Katherine Polsky; Yifan Wu; Farrah Kheradmand; Yubiao Guo; Linda K Green; David B Corry; John M Knight Journal: Respir Res Date: 2021-10-10
Authors: Maria Luisa Somoza; Natalia Pérez-Sánchez; José Antonio Cornejo-García; Gabriela Canto; Miguel Blanca; Isabel Torres-Rojas; Laura Martín-Pedraza; Natalia Blanca-López; Laura Victorio Puche; Eva Abel Fernández González; José Damián López Sánchez; Javier Fernández-Sánchez; Enrique Fernández-Caldas; Mayte Villalba; Francisco Javier Ruano Journal: J Asthma Allergy Date: 2022-09-26