Outcome in adulthood of asymptomatic airway hyperresponsiveness to histamine and exercise-induced bronchospasm in childhood

Studies of the clinical outcome in adulthood of asymptomatic airway hyperresponsiveness (AHR) to histamine or exercise-induced bronchospasm (EIB) detected in childhood in general population samples are sparse and have produced conflicting results. To describe the outcome of asymptomatic AHR to hista...

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Veröffentlicht in:Annals of Allergy, Asthma & Immunology Asthma & Immunology, 2005-08, Vol.95 (2), p.137-142
Hauptverfasser: Porsbjerg, Celeste, von Linstow, Marie-Louise, Ulrik, Charlotte Slrik, Nepper-Christensen, Steen Christian, Backer, Vibeke
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container_issue 2
container_start_page 137
container_title Annals of Allergy, Asthma & Immunology
container_volume 95
creator Porsbjerg, Celeste
von Linstow, Marie-Louise
Ulrik, Charlotte Slrik
Nepper-Christensen, Steen Christian
Backer, Vibeke
description Studies of the clinical outcome in adulthood of asymptomatic airway hyperresponsiveness (AHR) to histamine or exercise-induced bronchospasm (EIB) detected in childhood in general population samples are sparse and have produced conflicting results. To describe the outcome of asymptomatic AHR to histamine and EIB. Data from a 12-year follow-up study of a random population sample of individuals aged 7 to 17 years at enrollment were analyzed; only individuals without asthma at enrollment were included in the analysis. AHR to inhaled histamine, EIB, lung function, and sensitization to aeroallergens were measured. Among the 281 nonasthmatic participants studied, 58 (22%) had AHR to histamine, 33 (12%) had EIB, and 82 (29%) had AHR to histamine and/or EIB. At follow-up, 37.9% of individuals with AHR to histamine and 30% of individuals with EIB had developed current asthma, compared with only 5% of individuals in whom these test results were negative. In patients with AHR to histamine, parental asthma (odds ratio [OR], 12.6; 95% confidence interval [CI], 1.5-108.5), furred pets ownership (OR, 6.0; 95% CI, 1.2-19.6), and dermatitis and/or rhinitis in childhood (OR, 2.2; 95% CI, 1.1-5.1) predicted the subsequent development of asthma, whereas no risk factors for the development of asthma could be identified in individuals with EIB . Asymptomatic AHR to histamine and EIB in childhood predict the subsequent development of asthma in adulthood. A genetic disposition to asthma, furred pets ownership, and concomitant rhinitis or dermatitis increase the risk of asthma development in individuals with AHR to histamine.
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subjects Adolescent
Asthma - etiology
Asthma - immunology
Asthma, Exercise-Induced - complications
Asthma, Exercise-Induced - immunology
Biological and medical sciences
Bronchial Hyperreactivity - complications
Bronchial Hyperreactivity - immunology
Child
Chronic obstructive pulmonary disease, asthma
Denmark
Exercise Test
Female
Follow-Up Studies
Histamine - administration & dosage
Histamine - immunology
Humans
Immunopathology
Male
Medical sciences
Multivariate Analysis
Pneumology
Regression Analysis
Respiratory Function Tests
Risk Factors
Skin Tests
title Outcome in adulthood of asymptomatic airway hyperresponsiveness to histamine and exercise-induced bronchospasm in childhood
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