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Increased prevalence of exercise-induced airway symptoms: A five-year follow-up from adolescence to young adulthood
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Lung- allergy- and sleep research. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical Physiology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Otolaryngology and Head and Neck Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical Physiology.ORCID iD: 0000-0002-4098-7765
2019 (English)In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 154, p. 76-81Article in journal (Refereed) Published
Abstract [en]

Background: Exercise-induced airway symptoms are common in adolescents. Little is known about the development of symptoms from adolescence to early adulthood. Therefore, we studied the prevalence, incidence, and remission of exercise-induced airway symptoms (including wheeze, cough, chest and throat tightness, hoarseness, and stridor) in adolescents, over a five-year period.

Methods: In 2011, all adolescents aged 12-13 years in Uppsala (n=3 838) were invited to answer a questionnaire on exercise-induced airway symptoms. All responding adolescents (n=2 309) were invited to answer the same questionnaire again after five years. In total, 1 002 adolescents responded (43.4%).

Results: The prevalence of exercise-induced airway symptoms increased from 25% at baseline to 49% at follow-up (p<0.001). More females than males reported symptoms at both time points. The incidence of airway symptoms was 42.2%, with no sex differences. More males than females reported symptom remission (20.2 vs. 10.7%, p<0.001). Females reported a higher asthma prevalence at follow-up than at baseline (7.6 vs. 15.2%), while males did not (10.9 vs. 8.0%), leading to a sex difference in prevalence at follow-up (p<0.001). Smoking and baseline respiratory symptoms were associated with an increased risk of reporting symptoms at follow-up.

Conclusions: A twofold increase in the prevalence of exercise-induced airway symptoms over a five-year period was found in this cohort. Females were more likely to report symptoms at both time points. Knowledge of these age-related changes in symptoms and their association to female gender is useful for future studies and healthcare providers.

Place, publisher, year, edition, pages
2019. Vol. 154, p. 76-81
Keywords [en]
Adolescence, Exercise: airway symptoms, Prevalence, Gender
National Category
Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:uu:diva-390991DOI: 10.1016/j.rmed.2019.06.011ISI: 000474821800012PubMedID: 31226623OAI: oai:DiVA.org:uu-390991DiVA, id: diva2:1343843
Available from: 2019-08-19 Created: 2019-08-19 Last updated: 2019-08-19Bibliographically approved

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Johansson, HenrikNorlander, KatarinaMalinovschi, Andrei

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