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Asthma and proinflammatory conditions: a population-based retrospective matched cohort study
Hyun D Yun1, Erin Knoebel, Yilma Fenta
1Department of Medicine, Harbor Hospital, Baltimore, MD, USA.
Mayo Clinic Proceedings
|September 18, 2012
Summary
Asthma is linked to higher risks of developing diabetes mellitus (DM) and coronary heart disease (CHD). This study highlights the need for physicians to monitor these increased risks in asthma patients.
Area of Science:
- Immunology
- Epidemiology
- Public Health
Background:
- Asthma is characterized as a T-helper cell type 2-predominant condition.
- Emerging evidence suggests potential links between asthma and other inflammatory conditions.
Purpose of the Study:
- To investigate the association between a diagnosis of asthma and the subsequent development of specific proinflammatory conditions.
- To determine if asthma increases the risk for inflammatory bowel disease (IBD), rheumatoid arthritis (RA), diabetes mellitus (DM), and coronary heart disease (CHD).
Main Methods:
- A population-based, retrospective, matched cohort study was conducted.
- Asthmatic patients and age- and sex-matched nonasthmatic controls were identified from Rochester, Minnesota residents (1964-1983).
- Follow-up data were analyzed using Cox proportional hazards models to assess risks of IBD, RA, DM, and CHD.
Main Results:
- The study included 2392 asthmatic patients and 4784 controls.
- Asthma was significantly associated with an increased risk of developing diabetes mellitus (HR, 2.11) and coronary heart disease (HR, 1.47).
- No significant association was found between asthma and increased risks of inflammatory bowel disease or rheumatoid arthritis.
Conclusions:
- Asthma, despite its T-helper type 2 profile, may be associated with an increased risk of T-helper type 1-polarized proinflammatory conditions like CHD and DM.
- Healthcare providers should be aware of and address the elevated risks of DM and CHD in patients with asthma.
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