Effect of active smoking on asthma symptoms, pulmonary function, and BHR in adolescents

Yoo, Sun Mi; Kim, H.B.; Lee, S.Y.; Kim, B.S.; Kim, J.H.; Yu, Jihion; Lee, D.H.; Seong, Moon Woo; Hong, Soo Jong

doi:10.1002/ppul.21066

Cited by 41 publications

(38 citation statements)

References 33 publications

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“…Our results are in accordance with the two previous studies on nasal obstruction analyzed by acoustic rhinometry [5,6] and a recently published study [21] reporting a reduced mucosal decongestion in smokers. Signs of lower airway obstruction were found in adolescents with active smoking habits [22][23][24][25], which also is in agreement with our findings. Our study indicates that the very low exposure dose in adolescent smokers with occasional habits may result in a functional disorder with a reduced plasticity of the airways.…”

Section: Discussionsupporting

confidence: 95%

Acoustic rhinometry, spirometry and nitric oxide in relation to airway allergy and smoking habits in an adolescent cohort

Irander¹,

Borres

Palm

2011

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionsupporting

confidence: 95%

Acoustic rhinometry, spirometry and nitric oxide in relation to airway allergy and smoking habits in an adolescent cohort

Irander¹,

Borres

Palm

2011

International Journal of Pediatric Otorhinolaryngology

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“…These included maternal smoking during pregnancy [23] or during the 1 st year of life [24], mother smoking in general [19], and heavily smoking parents (67% among non-atopic asthmatics vs 40% among non-asthmatics) [44]. Active smoking by the adolescent was identified as a significant risk in two studies [45,46]. Inconsistent results were reported for second-hand smoking: one study estimated a risk [23], whereas another one reported no effect [38].…”

Section: Resultsmentioning

confidence: 99%

Risk factors for non-atopic asthma/wheeze in children and adolescents: a systematic review

Strina

Barreto

Cooper

et al. 2014

Emerg Themes Epidemiol

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BackgroundThe study of non-atopic asthma/wheeze in children separately from atopic asthma is relatively recent. Studies have focused on single risk factors and had inconsistent findings.ObjectiveTo review evidence on factors associated with non-atopic asthma/wheeze in children and adolescents.MethodsA review of studies of risk factors for non-atopic asthma/wheeze which had a non-asthmatic comparison group, and assessed atopy by skin-prick test or allergen-specific IgE.ResultsStudies of non-atopic asthma/wheeze used a wide diversity of definitions of asthma/wheeze, comparison groups and methods to assess atopy. Among 30 risk factors evaluated in the 43 studies only 3 (family history of asthma/rhinitis/eczema, dampness/mold in the household, and lower respiratory tract infections in childhood) showed consistent associations with non-atopic asthma/wheeze. No or limited period of breastfeeding was less consistently associated with non-atopic asthma/wheeze. The few studies examining the effects of overweight/obesity and psychological/social factors showed consistent associations. We used a novel graphical presentation of different risk factors for non-atopic asthma/wheeze, allowing a more complete perception of the complex pattern of effects.ConclusionsMore research using standardized methodology is needed on the causes of non-atopic asthma.

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“…Adolescents with asthma are expected to avoid smoking because it might initiate or aggravate asthmatic symptoms [6]. Further, asthmatics who smoke have more asthma attacks, worse pulmonary function and higher rates of hospitalization [7].…”

Section: Introductionmentioning

confidence: 99%

Association between high school students’ cigarette smoking, asthma and related beliefs: a population-based study

2016

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BackgroundSmoking has a detrimental effect on the symptoms and severity of asthma, a common chronic disease among adolescents. The purpose of this study was to examine the association between asthma and smoking among high school students and assess provider-patient communication with asthmatic adolescents regarding smoking and adolescents’ beliefs about the harms of smoking.MethodsIn fall 2014, data from high school students, ages 14–18 years, completing the 2009-2010 Virginia Youth Tobacco Survey (N = 1796) were used in descriptive analyses and multivariable logistic regression models adjusting for model-specific confounders as appropriate.ResultsOverall, an estimated 19 % of high school students in Virginia smoked and 16 % had asthma. Odds of smoking did not differ by asthma status; however, asthmatics had 1.5 times higher odds of being asked if they smoke (95 % CI 1.06–2.13) and being advised not to smoke by a health professional (95 % CI 1.10–2.14) compared to non-asthmatics. Asthmatics who believed second-hand smoke or smoking 1–5 cigarettes/day was not harmful had respectively 4.2 and 2.8 times higher odds of smoking than those who thought each was harmful. Further, asthmatics who thought smoking 1−2 years is safe had 3.4 times higher odds of smoking than those who did not (95 % CI 1.57–10.1).ConclusionsWhile asthmatic adolescents are just as likely to smoke as non-asthmatics, less healthy beliefs about the risks of smoking increase the odds of smoking among asthmatics. Thus, targeted asthma-specific smoking prevention and education to change attitudes and beliefs could be an effective tool for adolescents.

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Effect of active smoking on asthma symptoms, pulmonary function, and BHR in adolescents

Abstract: Current smoking was significantly associated with symptoms of asthma, such as having recent wheezing and recent exercise-induced wheezing, especially for non-atopics, in Korean adolescent population. Current smoking was further associated with lower pulmonary function, but not BHR.

Cited by 41 publications

References 33 publications

Acoustic rhinometry, spirometry and nitric oxide in relation to airway allergy and smoking habits in an adolescent cohort

Acoustic rhinometry, spirometry and nitric oxide in relation to airway allergy and smoking habits in an adolescent cohort

Risk factors for non-atopic asthma/wheeze in children and adolescents: a systematic review

Association between high school students’ cigarette smoking, asthma and related beliefs: a population-based study

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