Hyperreactive Airway Disease in Adults : Data from a National Study in Lebanon

Salamé, Joseph; Tyan, Paul; Salameh, Pascale

doi:10.12816/0006215

Cited by 5 publications

(6 citation statements)

References 17 publications

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“…The positive association between allergic rhinitis and asthma was repeatedly found in the literature [ 22 , 36 , 37 ]. Moreover, the positive associations between a family history of chronic respiratory diseases and lung problems during childhood and asthma were expected and are in line with previous studies conducted to determine the prevalence and determinants of asthma [ 13 , 36 ]. Thus, special attention should be given to health problems during childhood, especially respiratory ones.…”

Section: Discussionsupporting

confidence: 88%

“…Although it is not reliable to compare the prevalence of asthma in adults to that found among children, we believe that recently there is an increase in physicians’ awareness of asthma disease in Lebanon. Additionally, a previous study had reported a prevalence of physician-diagnosed asthma among Lebanese adults 40 years old or above of 4.6% in 2014 [ 13 ]. Lebanon has suffered from rising pollution, especially after the waste crisis in 2015, which might explain this increase in the prevalence of asthma among adults.…”

Section: Discussionmentioning

confidence: 99%

“…Although our prevalence is within the range reported from surrounding countries, possible interpretations of the variation include the changing in the definition of current asthma across many study settings and the effect of gene-environment interactions [ 35 ]. A study conducted among Lebanese adults 40 years or above reported a prevalence of hyperreactive airways at 9.9% [ 13 ]. In our study, the prevalence of current asthma was estimated according to the most up-to-date definition; therefore, we believe that it reflects the real situation among Lebanese adults.…”

Section: Discussionmentioning

confidence: 99%

“…In Lebanon, previous studies have assessed asthma prevalence in specific age groups, mainly among students 3–15 [ 10 ], 5–12 [ 11 ], or 13–14 years old [ 12 ], and adults 40 years of age or older [ 13 ]. Other studies have explored correlated factors [ 14 – 18 ], but to our knowledge, none has assessed asthma prevalence at the national level, and by including adults 16 years old or above.…”

Section: Introductionmentioning

confidence: 99%

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Asthma prevalence and associated factors among lebanese adults: the first national survey

et al. 2021

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Background No national research has yet explored the prevalence of asthma among adults in Lebanon. This study aims to evaluate the prevalence of physician-diagnosed asthma and current asthma, and their determinants among Lebanese adults 16 years old or above. Methods A cross-sectional study was carried out using a multistage cluster sampling. The questionnaire used collected information on asthma, respiratory symptoms, and risk factors. Results The prevalence of physician-diagnosed asthma was 6.7% (95% CI 5–8.7%), and that of current asthma was 5% (95% CI 3.6–6.9%). Chronic symptoms such as cough, wheezing, and shortness of breath were worst at night. Factors positively associated with physician-diagnosed asthma were a secondary educational level (adjusted OR, aOR = 4.45), a family history of chronic respiratory diseases (aOR = 2.78), lung problems during childhood (15.9), and allergic rhinitis (4.19). Additionally, consuming fruits and vegetables less than once per week (3.36), a family history of chronic respiratory diseases (3.92), lung problems during childhood (9.43), and allergic rhinitis (8.12) were positively associated with current asthma. Conclusions The prevalence of asthma was within the range reported from surrounding countries. However, repeated cross-sectional studies are necessary to evaluate trends in asthma prevalence in the Lebanese population.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Asthma prevalence and associated factors among lebanese adults: the first national survey

et al. 2021

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“…The prevalence of asthma in Lebanese adults, expressed as the prevalence of hyper-reactive airways is estimated at 9% [3]. While effective asthma treatment is available, a meta-analysis including 300 million patients found that 20% of patients worldwide had severe illness despite adequate treatment [4].…”

Section: Introductionmentioning

confidence: 99%

Obesity/overweight and asthma control in LEBANESE adults: a cross-sectional study

et al. 2019

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Background Studies exploring the association between weight and asthma are not conclusive. Both obesity and asthma have been increasing in Lebanon, their association is not yet documented. The aim of this study is to explore the effect of weight on asthma control in adults. Methods This is a cross-sectional study, involving all consecutive asthma patients presenting to the outpatient allergy clinic at the Hotel-Dieu de France (HDF) University Hospital between January 1, 2014 and December 30, 2016. Patients included were those who consented to fill the Asthma Control Test (ACT) after 3 months of therapy. BMI was reported at the same time of the questionnaire. Results A total of 183 records of diagnosed asthma cases in adults were included. Sixty-three (34.4%) were males and 120 (65.6%) females, with a mean age of 38.5 (SD = 14.3). Ninety patients (49.2%) were of normal weight, 65 (35.5%) overweight and 28 (15.3%) obese. Seventy-one percent had an ACT score ≤ 19, which corresponds to poor asthma control. Patients who were overweight or obese were more likely to have poor asthma control compared to patients who had a normal weight at the time of evaluation. Conclusion In conclusion, our study showed a significant association between asthma control as assessed by the ACT and high BMI defining overweight or obesity. This is the first national study exploring the association between asthma and overweight/obesity in Lebanon. A larger study with sampling from different specialists’ sites is needed to draw more conclusions about this association.

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Socio-economic status and chronic disease in the West Bank and the Gaza Strip: in and outside refugee camps

Jonassen

Shaheen

Duraidi³

et al. 2018

Int J Public Health

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Hyperreactive Airway Disease in Adults : Data from a National Study in Lebanon

Cited by 5 publications

References 17 publications

Asthma prevalence and associated factors among lebanese adults: the first national survey

Asthma prevalence and associated factors among lebanese adults: the first national survey

Obesity/overweight and asthma control in LEBANESE adults: a cross-sectional study

Socio-economic status and chronic disease in the West Bank and the Gaza Strip: in and outside refugee camps

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