Abstract
A questionnaire of respiratory symptoms and diseases completed by 6610 adults in 3 age cohorts (35–36 y; 50–51 y and 65–66 y) in northern Sweden was followed-up by interview and lung function testing of 1243 subjects with asthmatic or bronchitic symptoms and 263 subjects assessed from the postal questionnaire as being healthy. We report the results of this follow-up study.
According to the criteria used, 292 subjects (5.1% of the original study sample) were diagnosed as having asthma. Out of the 1243 subjects 334 (5.9% of the original study population) were diagnosed as having chronic bronchitis.
However, examination of the 263 subjects who were healthy according to the postal questionnaire showed that elderly smokers, in particular, under-reported bronchitic symptoms; taking this into account, the prevalence of chronic bronchitis is estimated to be of the order of 9%. Diagnostic difficulties were noted in 70 subjects (corresponding to 1.2% of the original study sample) in whom asthma or chronic bronchitis were strongly suspected. Further investigation of these subjects was considered necessary. In this cross-sectional study, FEV1 <80% of predicted values was found in 36% of subjects diagnosed as having asthma and in 31% of those with chronic bronchitis. Among subjects with attacks of breathlessness and wheezing, diagnostic criteria often used for asthma in questionnaire studies, 70% were diagnosed as having asthma. Of those with chronic productive cough, 62% were diagnosed as having chronic bronchitis. We consider that trained nurses provide reliable data that may be used in epidemiological surveys of obstructive lung diseases.
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References
ÅbergN. (1989): Asthma and allergic rhinitis in Swedish conscripts - Clin. Allergy 19: 59–63.
American Thoracic Society (1962): Chronic bronchitis, asthma and pulmonary emphysema - Am. Rev. Respir. Dis. 85: 762.
American Thoracic Society (1979): Standardization of spirometry - Am. Rev. Respir. Dis. 119: 831–838.
BerglundE., BirathG., GrimbyG., KjellmerI., SandqvistL. and SöderholmB. (1963): Spirometric studies in normal subjects. I Forced expirograms in subjects between 7 and 70 years of age - Acta Med. Scand. 173: 185–192.
BronnimannS. and BurrowsB. (1986): A prospective study of the natural history of asthma - Chest 90:480–484.
Burney P. and Chinn S. (1987): Developing a new questionnaire for measuring the prevalence and distribution of asthma - Chest 91S : 79s–83s.
Burney P., Detels R., Higgins M., Peckham C., Samet J.M. and Tager I.B. (1987): Recommendations for research in the epidemiology of asthma — Chest 91S: 194s–195s.
BurneyP.G.J. (1988): Asthma deaths in England and Wales 1931–1985, evidence for a true increase in asthma mortality - J. Epidemiol. Comm. Health 42: 316–320.
BurrM.L., ButlandB.K., KingS. and Vaughan-WilliamsE. (1989): Changes in asthma prevalence: two surveys 15 years apart - Arch. Dis. Child. 64: 1452–1456.
Causes of Death (1988): Stockholm, Swedish Statistics, 1970, 1971,... 1988 (In Swedish).
CerveriL, BruschiC., RicciardiM.et al. (1987): Epidemiological diagnosis of asthma: methodological considerations of prevalence evaluation - Eur. J. Epidemiol. 3: 202–205.
CharpinD., VervloetD. and CharpinJ. (1988): Epidemiology of asthma in western Europe - Allergy 43: 481–492.
DalphinJ.C., BildsteinF., PernetD., DubiezA. and Depierrea. (1989): Prevalence of chronic bronchitis and respiratory function in a group of dairy farmers in the French Doubs province - Chest 95:1244–1247.
EnarsonD., VedalS., SchulzerM., DybuncioA. and Chan-YeungM. (1987): Asthma, asthma-like symptoms, chronic bronchitis and the degree of bronchial hyperresponsiveness epidemiologic surveys - Am. Rev. Respir. Dis. 136: 613–617.
FletcherC., PetoR., TinkerC. and SpeizerF.E. (1976): The natural history of chronic bronchitis and emphysema - Oxford, Oxford University Press.
Forsberg B. and Pettersson U. (1986): Besvärsstudie i Piteå (Symptom study in the town of Piteå). State County Administration in Norrbotten, Luleå, Report 1/86, (in Swedish).
GulsvikA. (1979): Prevalence of respiratory symptoms in the city of Oslo - Scand. J. Respir. Dis. 60: 275–285.
HigginsM.W. and KellerJ.B. (1989): Trends in COPD morbidity and mortality in Tecumseh, Michigan -Am. Rev. Respir. Dis. 140: S42-S48.
HuhtiE. (1965): Prevalence of respiratory symptoms, chronic bronchitis and pulmonary emphysema in a Finnish rural population - Acta Tuberc. Pneumonol. Scand. 76 (Suppl): 1–76.
IversenM., DahlR., KorsgaardJ., HallasT. and JensenE.J. (1988): Respiratory symptoms in Danish farmers: an epidemiological study of risk factors -Thorax 43: 872–877.
KiviloogJ., IrnellL. and EklundG. (1974): The prevalence of bronchial asthma and chronic bronchitis is smokers and non-smokers in a representative Swedish population - Scand. J. Resp. Dis. 55: 262–276.
KongerudJ., ValeJ.R. and Aalen0.0. (1989): Questionnaire reliability and validity for aluminium potroom workers - Scand. J. Work Environ. Health 15: 364–370.
JosephsI.K., GreggI., BainD.J.G. and HolgateS.T. (1987): A longitudinal study of non-specific bronchial responsiveness in asthma - Thorax 42: 711.
LebowitzM.D. (1977): Smoking habits and changes in smoking habits as they relate to chronic conditions and respiratory symptoms - Am. J. Epidemiol. 105: 534–543.
LebowitzM.D. (1989): The trends in airway obstructive disease morbidity in the Tucson Epidemiological Study - Am. Rev. Respir. Dis. 140: S35-S41.
LiardR., ChansinR., NeukirchF., LevalloisM. and LeproxP. (1988): Prevalence of asthma among teenagers attending school in Tahiti - J. Epidemiol. Community Health 42: 149–151.
LittlejohnsP., EbrahimS. and AndersonR. (1989): Prevalence and diagnosis of chronic respiratory symptoms in adults - Br. Med. J. 298: 1556–1560.
LundbåkB., NyströmL., RosenhallL. and StjernbergN. (1991): Obstructive lung disease in northern Sweden. Respiratory symptoms assessed in a postal survey - Eur. Respir. J. 4: 257–266.
Medical Research Council's Committee on the aetiology of chronic bronchitis (1960): Standardised questionnaires on respiratory symptoms - Br. Med. J. ii: 1665.
NicklassR.A. (1989): Perspective on asthma mortality 1989 - Ann. Allergy 63 (pt II): 578–584.
Paoletti P., Carmignani G., Yiegi G. et al. (1989): Prevalence of asthma and asthma symptoms in a general population sample of North Italy - Eur. Respir. J. 2 (Suppl 6): 527s–531s.
PattemoreP.K., AsherM.I., HarrisonA.C., MitchellE.A., ReaH.H. and StewartA.W. (1990): The interrelationship among bronchial hyper-responsiveness, the diagnosis of asthma, and asthma symptoms - Am. Rev. Respir. Dis. 142: 549–554.
PedersenP.A. and WeekeE.R. (1987): Epidemiology of asthma in Denmark - Chest 91 (supp): 107–113.
SearsM.R. (1986): Epidemiology of asthma. In: Recent Advances in Respiratory Medicine, Vol. 4 (Flenley D.C., Petty T.L., eds) - Edinburgh, Chruchill Livingstone pp. 1–11.
SearsM.R. (1987): Asthma morbidity and mortality in New Zealand - J. Allergy Clin. Immunol. 80:383–388.
SniderG.L. (1989): Chronic Obstructive Pulmonary Disease: a definition and implications of structural determinants of airflow obstruction for epidemiology- Am. Rev. Respir. Dis. 140: S3-S8.
StjernbergN., EklundA., NyströmL., RosenhallL., EmmelinA. and StrömqvistL.H. (1985): Prevalence of bronchial asthma and chronich bronchitis in a community in northern Sweden: relation to environmental and occupational exposure to sulfur dioxide - Eur. J. Resp. Dis. 67: 41–49.
Svensk Läkemedelsstatistik (Drug Sales Statistics in Sweden) (1989): Stockholm: Apoteksbolaget, 1977–1978,... 1989 (In Swedish).
Thom T.J. (1989): International comparisons in COPD mortality - Am. Rev. Respir. Dis. 140: S27-S34.
VesterinenE., KaprioJ. and KoskenvouM. (1988): Prospective study of asthma in relation to smoking habits among 14729 adults - Thorax 43: 534–539.
WoolcockA.J., DowseG.K., TempleK., StanleyH., AlpersM.P. and TurnerK.J. (1983): The prevalence of asthma in the South-Fiore people of Papua-New Guinea - Eur. J. Respir. Dis. 64: 571–581.
World Health Organization (1961): Definition and diagnosis of pulmonary diseases with special reference to chronic bronchitis and emphysema. In: Chronic Cor Pulmonarye. Report of an Expert Committee - Tech. Resp. Ser. No. 213 Geneva.
World Health Statistics Annual (1986): WHO -Geneva.
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Lundbäck, B., Stjernberg, N., Nyström, L. et al. An interview study to estimate prevalence of asthma and chronic bronchitis. Eur J Epidemiol 9, 123–133 (1993). https://doi.org/10.1007/BF00158781
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DOI: https://doi.org/10.1007/BF00158781