Prevalence of asthma symptoms based on the European Community Respiratory Health Survey questionnaire and FENO in university students gender differences in symptoms and FENO 英文参考文献.docVIP
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Prevalence of asthma symptoms based on the European Community Respiratory Health Survey questionnaire and FENO in university students gender differences in symptoms and FENO 英文参考文献
Ishizukaetal.Allergy,AsthmaClinicalImmunology2011,7:15
/content/7/1/15
ALLERGY, ASTHMA CLINICAL
IMMUNOLOGY
RESEARCH
OpenAccess
Prevalenceofasthmasymptomsbasedonthe
EuropeanCommunityRespiratoryHealthSurvey
questionnaireandFENOinuniversitystudents:
genderdifferencesinsymptomsandFENO
TamotsuIshizuka1*,ShinichiMatsuzaki1,HarukaAoki1,MasakiyoYatomi1,YosukeKamide1,TakeshiHisada1,
TakahiroTsuburai2,KunioDobashi3,KihachiOhshima4,KazuoAkiyama2andMasatomoMori1
Abstract
Background:Thefractionalconcentrationofnitricoxideinexhaledair(FENO)isusedasabiomarkerof
eosinophilicairwayinflammation.FENOisincreasedinpatientswithasthma.Therelationshipbetweensubjective
asthmasymptomsandairwayinflammationisanimportantissue.Weexpectedthatthesubjectiveasthma
symptomsinwomenmightbedifferentfromthoseinmen.Therefore,weinvestigatedthegenderdifferencesof
asthmasymptomsandFENOinasurveyofasthmaprevalenceinuniversitystudents.
Methods:TheinformationaboutasthmasymptomswasobtainedfromanswerstotheEuropeanCommunity
RespiratoryHealthSurvey(ECRHS)questionnaire,andFENOwasmeasuredbyanofflinemethodin640students
whowereinformedofthisstudyandconsentedtoparticipate.
Results:Theprevalenceofasthmasymptomsonthebasisofdataobtainedfrom584students(266menand318
women),ranginginagefrom18to24years,wasanalyzed.Wheeze,chesttightness,anattackofshortnessofbreath,or
anattackofcoughwithinthelastyearwasobservedin13.2%of584students.When38.0ppbwasusedasthecut-off
valueofFENOtomakethediagnosisofasthma,thesensitivitywas86.8%andthespecificitywas74.0%.FENOwas≥38.0
ppbin32.7%ofstudents.FENOwashigherinmenthaninwomen.Theprevalenceofasthmasymptomsestimatedby
consideringFENOwas7.2%;theprevalencewasgreaterinmen(9.4%)thanwomen(5.3%).AFENO≥38.0ppbwas
commoninstudentswhoreportedwheeze,butnotinstudents,especiallywomen,whoreportedcoughattacks.
Conclusions:Theprevalenceofasthmasymptomsinuniversitystudentsage18to24yearsinJapanwas
estimatedtobe7.2%onthebasisofFENOlevelsaswellassubjectivesymptoms.Genderdifferenceswere
observedinbothFENOlevelsandas
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