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Related Experiment Videos

Asthma and airway hyperresponsiveness among Belgian conscripts, 1978-91

P Dubois1, E Degrave, O Vandenplas

  • 1Medical Service of the Belgian Armed Forces, Queen Astrid Military Hospital, Brussels, Belgium.

Thorax
|June 13, 1998
PubMed
Summary

Asthma prevalence in young Belgian adults significantly increased from 1978 to 1991. This rise in reported asthma was not linked to reporting bias, as objective airway hyperresponsiveness measures remained stable.

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Area of Science:

  • Epidemiology
  • Respiratory Medicine
  • Public Health

Background:

  • Childhood asthma prevalence has risen, but adult trends are unclear.
  • Investigating adult asthma trends is crucial for public health.
  • This study focuses on young Belgian adults.

Purpose of the Study:

  • To determine if asthma prevalence has changed in young Belgian adults.
  • To analyze trends in asthma diagnosis and airway responsiveness.

Main Methods:

  • Retrospective analysis of Belgian Armed Forces data (1978-1991).
  • Standardized assessment of airway responsiveness in conscripts with asthma history.
  • Asthma diagnosis for military exemption based on objective airway hyperresponsiveness.

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Main Results:

  • Mean annual conscript examination: 48,331 (ages 17-31).
  • Reported asthma prevalence increased from 2.4% (1978) to 7.2% (1991).
  • Proportion of asthmatics with airway hyperresponsiveness remained stable (48.4% to 51.4%).

Conclusions:

  • The increase in reported asthma is supported by objective measures.
  • The rise in asthma symptoms is unlikely due to reporting bias alone.
  • Findings suggest a genuine increase in asthma in young adults.