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Factors associated with asthma control.

Marjolein P de Vries1, L van den Bemt, S Lince

  • 1Department of General Practice, Research Institute Caphri, Maastricht University, Maastricht, The Netherlands. marjolein.devries@hag.unimaas.nl

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|November 4, 2005
PubMed
Summary

Asthma control is poorer in patients with low socioeconomic status, current smoking, high inhaled corticosteroid doses, and perceived hyperresponsiveness to triggers. Lifestyle changes like smoking cessation and trigger avoidance significantly impact asthma management.

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Area of Science:

  • Pulmonology
  • Allergy and Immunology
  • Public Health

Background:

  • Asthma control is a key goal in managing the condition.
  • Several patient-related and environmental factors may influence asthma control.
  • Identifying these factors is crucial for effective treatment strategies.

Purpose of the Study:

  • To investigate factors associated with asthma control in adults with mild to moderate asthma.
  • To determine the independent predictors of poor asthma control using a multivariate model.

Main Methods:

  • Cross-sectional study of 311 patients aged 16-60 years with mild to moderate asthma.
  • Asthma control assessed using the Asthma Control Questionnaire (ACQ).
  • Multivariate analysis including socioeconomic status, smoking, perceived hyperresponsiveness (PHR), allergy, and medication use.

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Main Results:

  • Low socioeconomic status, current smoking, high-dose inhaled corticosteroids, and perceived hyperresponsiveness to increasing numbers of triggers were independent predictors of poorer asthma control.
  • Forced expiratory volume in 1 second (FEV1) was measured but not detailed as a primary predictor in the abstract's conclusion.
  • Mean ACQ score was 1.39, indicating suboptimal control in the study population.

Conclusions:

  • Socioeconomic status, smoking, and perceived hyperresponsiveness significantly impact asthma control.
  • Beyond medication, smoking cessation and trigger avoidance are vital for improving asthma control.