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Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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The geriatric asthma: pitfalls and challenges.

Alida Benfante1, Nicola Scichilone1,2

  • 1Dipartimento Biomedico di Medicina Interna e Specialistica, University of Palermo, Istituto Euro-Mediterraneo di Scienza e Tecnologia, via Trabucco 180, 90146 Palermo, Italy.

Asthma Research and Practice
|December 15, 2016
PubMed
Summary
This summary is machine-generated.

Asthma affects older adults as frequently as younger populations, yet it is often under-recognized and misdiagnosed. A multidimensional approach is crucial for managing geriatric asthma effectively.

Keywords:
Airflow obstructionComorbiditiesGeriatric asthmaLung function testsSenile lung

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Area of Science:

  • Geriatric Medicine
  • Pulmonology
  • Epidemiology

Background:

  • Asthma is often incorrectly perceived as a disease primarily affecting younger individuals.
  • Respiratory symptoms in older adults are frequently misattributed to conditions like COPD, leading to under-diagnosis of asthma.
  • Epidemiological data indicate that asthma prevalence in older populations is comparable to that in younger groups.

Approach:

  • This review synthesizes current knowledge on asthma in the aged, addressing under-recognition, misdiagnosis, and under-treatment.
  • It highlights the scarcity of research specifically targeting geriatric asthma, often due to exclusion from clinical trials.
  • The paper advocates for a revised terminology, preferring "geriatric asthma" over "senile asthma" or "asthma in the elderly".

Key Points:

  • Geriatric asthma is under-recognized and misdiagnosed, despite similar prevalence to younger populations.
  • Exclusion of older adults with comorbidities from clinical trials limits research and understanding of asthma in this demographic.
  • A multidimensional management strategy is recommended to accurately assess severity and complexity in elderly asthmatics.

Conclusions:

  • Asthma is a significant condition in older adults, requiring specific attention and research.
  • The term "geriatric asthma" is proposed to better characterize asthma in this age group, considering age-related changes and comorbidities.
  • Effective management necessitates a comprehensive, multidimensional approach tailored to the unique needs of elderly asthmatics.