Häufigkeit von Asthma bronchiale und Alter bei der Erstdiagnose – erste Ergebnisse der NAKO Gesundheitsstudie View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2020-03-03

AUTHORS

Susan Langer, Johannes Horn, Alexander Kluttig, Rafael Mikolajczyk, Stefan Karrasch, Holger Schulz, Heinz-Erich Wichmann, Jakob Linseisen, Lina Jaeschke, Tobias Pischon, Julia Fricke, Thomas Keil, Wolfgang Ahrens, Kathrin Günther, Oliver Kuß, Tamara Schikowski, Börge Schmidt, Karl-Heinz Jöckel, Karin B. Michels, Claus-Werner Franzke, Heiko Becher, Annika Jagodzinski, Stefanie Castell, Yvonne Kemmling, Wolfgang Lieb, Sabina Waniek, Kerstin Wirkner, Markus Löffler, Rudolf Kaaks, Karin Halina Greiser, Klaus Berger, Nicole Legath, Claudia Meinke-Franze, Sabine Schipf, Michael Leitzmann, Hansjörg Baurecht, Korbinian Weigl, Efrat Amitay, Cornelia Gottschick

ABSTRACT

BackgroundAsthma is one of the most common chronic diseases in both children and adults. Asthma first occurring in adulthood (adult-onset asthma, AOA) is associated with poorer prognosis compared to childhood-onset asthma (COA), which urgently calls for more research in this area. The aim of this work was to analyze the data on asthma collected in the German National Cohort and compare it with the German Health Interview and Examination Survey for Adults (DEGS), in particular regarding AOA.Material and MethodsOur analysis was based on the dataset of the main questionnaire at mid-term of the German National Cohort baseline examination, comprising 101,723 participants. Variables considered in the analyses were self-reported diagnosis of asthma, age at first diagnosis, asthma treatment in the past 12 months, age, and sex.ResultsIn the midterm dataset, 8.7% of women and 7.0% of men in the German National Cohort reported that they had ever been diagnosed with asthma. Approximately one third of participants with asthma received their initial diagnosis before their 18th birthday. COA affected 2.2% of women and 2.8% of men, whereas AOA affected 6.5% of women and 4.2% of men. During the previous 12 months, 33% of COA cases and 60% of AOA cases were medically treated.ConclusionThe proportion of persons affected by asthma in the German National Cohort, as well as observed patterns regarding age and gender, corresponds to other data sources such as DEGS. However, in our analysis, the proportion of individuals with AOA was higher than described in the literature. The increase in cumulative asthma diagnoses with age is markedly steeper in younger participants, indicating a rising trend over time. More... »

PAGES

397-403

References to SciGraph publications

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  • Author Affiliations

  • Institut für Medizinische Epidemiologie, Biometrie und Informatik, Martin-Luther-Universität Halle-Wittenberg, Magdeburger Str. 8, 06112, Halle (Saale), Deutschland
  • Comprehensive Pneumology Center Munich (CPC-M), Mitglied des Deutschen Zentrums für Lungenforschung (DZL), München, Deutschland
  • Institut für Epidemiologie, Helmholtz Zentrum München, Deutsches Forschungszentrum für Gesundheit und Umwelt, München, Deutschland
  • Klinische Epidemiologie, Helmholtz Zentrum München, Deutsches Forschungszentrum für Gesundheit und Umwelt, München, Deutschland
  • Forschergruppe Molekulare Epidemiologie, Max-Delbrück-Centrum für Molekulare Medizin in der Helmholtz-Gemeinschaft (MDC), Berlin, Deutschland
  • MDC/BIH Biobank, Max-Delbrück-Centrum für Molekulare Medizin in der Helmholtz-Gemeinschaft (MDC) und Berlin Institute of Health (BIH), Berlin, Deutschland
  • Institut für Sozialmedizin, Epidemiologie und Gesundheitsökonomie, Charité Universitätsmedizin Berlin, Berlin, Deutschland
  • Landesinstitut für Gesundheit, Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Bad Kissingen, Deutschland
  • Institut für Statistik, Fachbereich Mathematik und Informatik, Universität Bremen, Bremen, Deutschland
  • Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Bremen, Deutschland
  • Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Institut für Biometrie und Epidemiologie, Deutsches Diabetes-Zentrum (DDZ), Düsseldorf, Deutschland
  • IUF – Leibniz-Institut für umweltmedizinische Forschung gGmbH, Düsseldorf, Deutschland
  • Institut für Medizinische Informatik, Biometrie und Epidemiologie, Universitätsklinikum Essen, Essen, Deutschland
  • Institut für Prävention und Tumorepidemiologie, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Freiburg, Deutschland
  • Institut für Medizinische Biometrie und Epidemiologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
  • Epidemiologisches Studienzentrum, Universitätsklinikum Hamburg – Eppendorf, Hamburg, Deutschland
  • Helmholtz-Zentrum für Infektionsforschung, Braunschweig, Deutschland
  • Institut für Epidemiologie, Christian-Albrechts-Universität Kiel, Kiel, Deutschland
  • LIFE-Forschungszentrum für Zivilisationskrankheiten, Universität Leipzig, Leipzig, Deutschland
  • Abteilung Epidemiologie von Krebserkrankungen, Deutsches Krebsforschungszentrum (DKFZ), Heidelberg, Deutschland
  • Institut für Epidemiologie und Sozialmedizin, Westfälische Wilhelms-Universität Münster, Münster, Deutschland
  • Institut für Community Medicine, Universitätsmedizin Greifswald, Greifswald, Deutschland
  • Institut für Epidemiologie und Präventivmedizin, Universität Regensburg, Regensburg, Deutschland
  • Abt. Klinische Epidemiologie und Alternsforschung, Deutsches Krebsforschungszentrum (DKFZ), Heidelberg, Deutschland
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00103-020-03105-y

    DOI

    http://dx.doi.org/10.1007/s00103-020-03105-y

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1125334129

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/32125462


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        "description": "BackgroundAsthma is one of the most common chronic diseases in both children and adults. Asthma first occurring in adulthood (adult-onset asthma, AOA) is associated with poorer prognosis compared to childhood-onset asthma (COA), which urgently calls for more research in this area. The aim of this work was to analyze the data on asthma collected in the German National Cohort and compare it with the German Health Interview and Examination Survey for Adults (DEGS), in particular regarding AOA.Material and MethodsOur analysis was based on the dataset of the main questionnaire at mid-term of the German National Cohort baseline examination, comprising 101,723 participants. Variables considered in the analyses were self-reported diagnosis of asthma, age at first diagnosis, asthma treatment in the past 12\u00a0months, age, and sex.ResultsIn the midterm dataset, 8.7% of women and 7.0% of men in the German National Cohort reported that they had ever been diagnosed with asthma. Approximately one third of participants with asthma received their initial diagnosis before their 18th birthday. COA affected 2.2% of women and 2.8% of men, whereas AOA affected 6.5% of women and 4.2% of men. During the previous 12\u00a0months, 33% of COA cases and 60% of AOA cases were medically treated.ConclusionThe proportion of persons affected by asthma in the German National Cohort, as well as observed patterns regarding age and gender, corresponds to other data sources such as DEGS. However, in our analysis, the proportion of individuals with AOA was higher than described in the literature. The increase in cumulative asthma diagnoses with age is markedly steeper in younger participants, indicating a rising trend over time.", 
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