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Langer, S.* ; Horn, J.* ; Kluttig, A.* ; Mikolajczyk, R.* ; Karrasch, S. ; Schulz, H. ; Wichmann, H.-E. ; Linseisen, J. ; Jaeschke, L.* ; Pischon, T.* ; Fricke, J.* ; Keil, T.* ; Ahrens, W.* ; Günther, K.* ; Kuß, O.* ; Schikowski, T.* ; Schmidt, B.* ; Jöckel, K.H.* ; Michels, K.B.* ; Franzke, C.W.* ; Becher, H.* ; Jagodzinski, A.* ; Castell, S.* ; Kemmling, Y.* ; Lieb, W.* ; Waniek, S.* ; Wirkner, K.* ; Löffler, M.* ; Kaaks, R.* ; Greiser, K.H.* ; Berger, K.* ; Legath, N.* ; Meinke-Franze, C.* ; Schipf, S.* ; Leitzmann, M.* ; Baurecht, H.* ; Weigl, K.* ; Amitay, E.* ; Gottschick, C.*

Häufigkeit von Asthma bronchiale und Alter bei der Erstdiagnose - erste Ergebnisse der NAKO-Gesundheitsstudie.

Occurrence of bronchial asthma and age at initial asthma diagnosis-first results of the German National Cohort.

Bundesgesundheitsbl.-Gesund. 63, 397-403 (2020)
Postprint DOI PMC
Open Access Green
Background: Asthma 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 Methods: Our 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. Results: In 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. Conclusion: The 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.

Background Asthma 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 Methods Our 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. Results In 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. Conclusion The 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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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter Asthma ; Chronic Diseases ; Cohort Study ; General Population ; Respiratory Diseases; Adult-onset Asthma; Prevalence; Gender; Risk
Sprache deutsch
Veröffentlichungsjahr 2020
HGF-Berichtsjahr 2020
ISSN (print) / ISBN 1436-9990
e-ISSN 1437-1588
Quellenangaben Band: 63, Heft: , Seiten: 397-403 Artikelnummer: , Supplement: ,
Verlag Springer
Verlagsort One New York Plaza, Suite 4600, New York, Ny, United States
Begutachtungsstatus Peer reviewed
Institut(e) Institute of Epidemiology (EPI)
Independent Research Group Clinical Epidemiology (KEPI)
POF Topic(s) 30202 - Environmental Health
80000 - German Center for Lung Research
Forschungsfeld(er) Genetics and Epidemiology
PSP-Element(e) G-504000-009
G-502900-001
G-501800-401
Scopus ID 85081552731
PubMed ID 32125462
Erfassungsdatum 2020-03-24