scholarly journals Association between Allergic Rhinitis and Asthma Control in Peruvian School Children: A Cross-Sectional Study

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Justo Padilla ◽  
Mónica Uceda ◽  
Otto Ziegler ◽  
Felipe Lindo ◽  
Eder Herrera-Pérez ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Asthma Control ◽  
School Children ◽  
Score Test ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Asthma Control Test ◽  
Cross Sectional ◽  
Prevalence Ratios

Background. Asthma and allergic rhinitis are highly prevalent conditions that cause major illness worldwide. This study aimed to assess the association between allergic rhinitis and asthma control in Peruvian school children.Methods. A cross-sectional study was conducted among 256 children with asthma recruited in 5 schools from Lima and Callao cities. The outcome was asthma control assessed by the asthma control test. A score test for trend of odds was used to evaluate the association between allergic rhinitis severity and the prevalence of inadequate asthma control. A generalized linear regression model was used to estimate the adjusted prevalence ratios of inadequate asthma control.Results. Allergic rhinitis was present in 66.4% of the population with asthma. The trend analysis showed a positive association between allergic rhinitis and the probability of inadequate asthma control (). It was associated with an increased prevalence of inadequate asthma control, with adjusted prevalence ratios of 1.53 (95% confidence interval: 1.19−1.98).Conclusion. This study indicates that allergic rhinitis is associated with an inadequate level of asthma control, giving support to the recommendation of evaluating rhinitis to improve asthma control in children.

scholarly journals Asthma control and management among schoolchildren in urban Uganda: results from a cross-sectional study

2019 ◽  
Vol 4 ◽  
pp. 168 ◽  
Author(s):  
Harriet Mpairwe ◽  
Pius Tumwesige ◽  
Milly Namutebi ◽  
Marble Nnaluwooza ◽  
Tonny Katongole ◽  
...  
Keyword(s):  
Asthma Control ◽  
Asthma Management ◽  
Cross Sectional Study ◽  
P Value ◽  
Asthma Diagnosis ◽  
Sectional Study ◽  
Asthma Control Test ◽  
Cross Sectional ◽  
Children With Asthma ◽  
Control And Management

Background: Children from low- and middle-income countries have poor asthma control, mainly because of poor management. The extent of this problem in Uganda is not well known, but such information would be useful to guide policy and practice. We therefore conducted a cross-sectional study among schoolchildren with asthma in urban Uganda, to assess the level of asthma control and management. Methods: Schoolchildren aged 5-17 years were enrolled, asthma was diagnosed by the study medical team. Asthma control was assessed using the Asthma Control Test and the childhood Asthma Control Test. Data on previous asthma management was obtained using interviewer-led questionnaires. Data were analysed using multiple linear and multiple logistic regression. Results: We enrolled 561 children with asthma, of whom only 56% had ever had an asthma diagnosis. We categorised asthma as well-controlled (55.5%), partly-controlled (29.5%) and poorly-controlled (15.0%). Poor asthma control was associated with increasing age (adjusted regression coefficient [95% confidence interval], p-value: -1.07 [-1.20, -0.94], p<0.0001), concurrent allergic rhinitis (-1.33 [-2.28, -0.38], p=0.006), and city residence in early life (-1.99 [-3.69, -0.29], p=0.06). Regular use of inhaled asthma medication in the last 12 months was very low; 18.1% for salbutamol and 6.7% for inhaled corticosteroids. The main barriers to inhaled asthma medication use were lack of prescription (47.6%) and inaccurate diagnosis (38.8%). Increased inhaler use was associated with tertiary education of the fathers (adjusted odds ratio [95% confidence interval], p-value: 5.19 [2.39-11.28], p<0.0001), city residence in early life (4.66 [1.79-12.43], 0.002) and an asthma diagnosis prior to enrolment (11.39 [6.35-20.43], p<0.0001). Conclusions: This study confirms that children with asthma in Uganda generally have inadequate asthma control, which is attributable to poor asthma management. This could be improved through re-training of medical workers and patient education, and by increasing availability and affordability of essential asthma medications.

scholarly journals Cross-sectional study assessing the performance of the Arabic translated childhood asthma control test

2018 ◽  
Vol 28 (1) ◽  
Author(s):  
Majid AlTeneiji ◽  
Alia AlKalbani ◽  
Huda Nasser ◽  
Durdana Iram ◽  
Afaf Alblooshi ◽  
...  
Keyword(s):  
Asthma Control ◽  
Childhood Asthma ◽  
Cross Sectional Study ◽  
Control Test ◽  
Sectional Study ◽  
Asthma Control Test ◽  
Cross Sectional

scholarly journals Sensitization to inhaled allergens in asthmatic children in southern Jordan: a cross-sectional study

2019 ◽  
Vol 14 ◽  
Author(s):  
Enas M. Al-Zayadneh ◽  
Nedal Awad Alnawaiseh ◽  
Areej Hamed Altarawneh ◽  
Ibrahim Hamed Aldmour ◽  
Eman M. Albataineh ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Asthma Control ◽  
Bronchial Asthma ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Systemic Steroids ◽  
The Past ◽  
Allergic Condition ◽  
History Of

Background: Sensitization to inhaled allergens in children with bronchial asthma significantly affects asthma pathogenesis, severity and persistence into late childhood and adulthood. The present study determined the prevalence of sensitization to inhaled allergens in children with bronchial asthma and wheezing episodes in order to investigate the effect of positive sensitization on the severity and control of asthma symptoms and to screen for other associated allergic conditions. Methods: A cross-sectional study was conducted, including children between 6 months and 14 years of age attending the chest clinic of Al-Karak, south of Jordan, between November 2013 and February 2016. Skin prick tests (SPTs) using 11 standardized allergen extracts were conducted in 277 children. The severity of asthma was determined based on the Global Initiative for Asthma (GINA) assessment and the Childhood Asthma Control Test (C-ACT) in addition to the history of use of systemic steroids and hospital admissions within the past 12 months. Results: Sixty-seven percent of children with bronchial asthma reported sensitization to one or more of the inhaled allergens. The most common allergens were olive pollens (18%), cat fur (13.5%), and Dermatophagoides pteronyssinus (11.9%). There was a significant increase in allergen sensitization with age (p < 0.001). The most common concomitant allergic condition among children was allergic rhinitis (71.5%); however, allergic conjunctivitis was the only allergic condition that correlated with the skin test reactivity (p = 0.01). A family history of bronchial asthma was confirmed in 40.4% of children. Children with positive SPTs had lower ACT scores and reported more frequent use of systemic steroids and admissions to hospital within the past 12 months; however, this effect was not statistically significant (p > 0.05). Conclusions: Sensitization to inhaled allergens is highly prevalent in children with asthma and wheezing episodes in southern Jordan and may be correlated with the severity of the disease. Therefore, appropriate measures to recognize and avoid these allergens are highly recommended. Most children in our study suffered from concomitant allergic rhinitis, indicating that an appropriate diagnosis and treatment of allergic rhinitis could significantly improve asthma control and thus the quality of life of these children.

scholarly journals Assessment of asthma control using asthma control test in chest clinics in Cameroon: a cross-sectional study

2016 ◽  
Vol 23 ◽  
Author(s):  
Mbatchou Ngahane Bertrand ◽  
Pefura-Yone Eric ◽  
Mama Maïmouna ◽  
Nganda Motto Malea ◽  
Olinga Ubald ◽  
...  
Keyword(s):  
Asthma Control ◽  
Cross Sectional Study ◽  
Control Test ◽  
Sectional Study ◽  
Asthma Control Test ◽  
Cross Sectional

scholarly journals Asthma Control in Hospital Tengku Ampuan Afzan, Kuantan, Malaysia: A Cross-sectional Study

2020 ◽  
Vol 14 (2) ◽  
Author(s):  
Kuan YC ◽  
Tan CH ◽  
Hong CM ◽  
How SH
Keyword(s):  
Asthma Control ◽  
Bronchial Asthma ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Fixed Dose ◽  
Sectional Study ◽  
Act Scores ◽  
Asthma Control Test ◽  
Cross Sectional ◽  
Chest Clinic

Introduction: Various initiatives and medications have been introduced to achieve better control of bronchial asthma. However total control according to Global Initiative for Asthma (GINA) remains elusive even at tertiary referral hospitals. Our study is to determine the level of asthma control (according to GINA 2009), Asthma Control Test (ACT) scores and the types of medications used among patients with bronchial asthma in a large tertiary hospital. Methods: A cross-sectional study of all patients with bronchial asthma who attended the Chest Clinic at Hospital Tengku Ampuan Afzan (HTAA) from 2009 to 2011. Patient demographics, self-administered ACT scores, GINA-defined level of asthma control and medications were documented. Results: 208 patients were recruited. There were 23.2%, 46.3% and 30.5% of patients with controlled, partly controlled and uncontrolled asthma respectively. The median ACT scores was 19 [inter quartile range (IQR) 6]. The most frequently used preventer therapy was inhaled long-acting β-agonist/corticosteroids (LABA/ICS) fixed-dose combination (61.7%), and 9.6% were not on preventer therapy. 75% of patients with controlled asthma were on LABA/ICS compared to 58.5% of the partly controlled and uncontrolled groups (p=0.039). Conclusion: The majority of the asthmatic patients attending the Chest Clinic at HTAA did not have GINA-defined controlled asthma. Patients with higher ACT scores had better control of asthma. There were more patients with controlled asthma who were on LABA/ ICS combination.

scholarly journals A cross sectional study of patients with poorly controlled asthma at a referral centre

2019 ◽  
Vol 6 (2) ◽  
pp. 393
Author(s):  
Shobitha Rao
Keyword(s):  
Asthma Control ◽  
Cross Sectional Study ◽  
Control Measures ◽  
Sectional Study ◽  
Asthma Control Test ◽  
Cross Sectional ◽  
Common Chronic Disease ◽  
Dust Mite ◽  
Detailed Evaluation ◽  
Indoor And Outdoor

Background: Asthma is a common chronic disease of the airways. Poorly controlled asthma has significant impact on social and economic factors. This study was done to analyse the clinical profile of patients with poorly controlled asthma.Methods: This is an observational, cross sectional study. Total of 100 patients were evaluated. Data collected included symptomatology, assessment of asthma control by asthma control test scoring, spirometry, body mass index, co-morbidities and allergy testing report.Results: Among the 100 patients studied, 52% (n=52) were in the age group of 30 to 60 years. 48% (n=48) were males and 52% (n=52) were females. 76% (n=76) patients had adhered to treatment for bronchial asthma as advised which was in line with standard therapy. 86% (n=86) had co-existing illness. They included allergic rhinitis, obesity, GERD, anxiety, atopic dermatitis and chronic urticaria. 78% (n=78) of these cases were sensitized to indoor and outdoor allergens. 89% of sensitized cases were to house dust mite (n=70 of 78). This was followed by cockroach sensitization which was seen in 30.7% cases (n=24 of 78). Other allergens included pollens in 28.2% cases (n=22 of 78), aspergillus in 25.6% cases (n=20 of 78) and food allergens in 23% cases (n=18 of 78).Conclusions: Poorly controlled asthma cases require detailed evaluation of comorbid conditions and allergen sensitization profiles. Management of these conditions along with allergen control measures may benefit these patients along with step up of therapy.

Dental Arch Width in Children and Relationship to their Oral Habits

2019 ◽  
pp. 6-11
Author(s):  
Kohinur Akther ◽  
Md Zakir Hossain
Keyword(s):  
School Children ◽  
Cross Sectional Study ◽  
Primary School Children ◽  
Dental Arch ◽  
Sectional Study ◽  
Cross Sectional ◽  
Oral Habits ◽  
Arch Width ◽  
Bangladeshi Population ◽  
Dental Arch Width

Aim: Objectives: To analyze variations in dental arch width in relation to oral habits.   Materials and Methods : Cross sectional  study was carried out Department of Orthodontics & Dentofacial Orthopedics of Dhaka Dental College & Hospital, Dhaka with a total number of 600 primary school children of 3-6 years ages of Bangladeshi population. Results: This study was a cross sectional study conducted among the 600 children with 3-6 years old prima- ry school children of Bangladeshi population. According to present study, bottle feeding causes significant reduction in maxillary intercanine width and mouth breathers show significant reduction of both arches. Conclusion: It was observed that the children who had used a bottle had a significant reduction in maxillary intercanine width. Breathing through mouth appeared to be associated with a reduction in the size of both arches. This was more significant in the maxillary intercanine , mandibular  intercanine and mandibular molar widths. Therefore to prevent malocclusions, the public should be informed of the harm caused by certain oral habits, the benefits of breast-feeding, and the need to correct bad habits at early life. Ban J Orthod & Dentofac Orthop, April 2016; Vol-7 (1-2), P.6-11

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