ArticleNPJ primary care respiratory medicine2015
Obesity, low levels of physical activity and smoking present opportunities for primary care asthma interventions: an analysis of baseline data from The Asthma Tools Study.
Article in NPJ primary care respiratory medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- A Systematic Review of the Effect of Physical Activity on Asthma Outcomes.The journal of allergy and clinical immunology. In practice · 2021Pooled it
- Use of Asthma APGAR Tools in Primary Care Practices: A Cluster-Randomized Controlled Trial.Annals of family medicine · 2018Trial
- Predictors of poor control in adults with bronchial asthma.Bioinformation · 2026Article
- Health behavior and psychological treatment utilization in adults with avoidant/restrictive food intake disorder symptoms.Journal of eating disorders · 2024Article
- Association between Asthma and Lower Levels of Physical Activity: Results of a Population-Based Case-Control Study in Spain.Journal of clinical medicine · 2024Article
- Sociodemographic factors, health behavior, parental or workplace smoking, and adult asthma risk in the United States.Work (Reading, Mass.) · 2024Article
- Basis of preventive and non-pharmacological interventions in asthma.Frontiers in public health · 2023Review
- A Cross-Sectional Study on Physical Activity and Psychological Distress in Adults with Asthma.Healthcare (Basel, Switzerland) · 2022Article
- Current unmet needs and potential solutions to uncontrolled asthma.European respiratory review : an official journal of the European Respiratory Society · 2022Review
- A comparative study of clinical profile and symptom control in overweight and normal weight school-age children with mild persistent asthma.Health science reports · 2021Article
- Trends and risk factors of mortality and disability adjusted life years for chronic respiratory diseases from 1990 to 2017: systematic analysis for the Global Burden of Disease Study 2017.BMJ (Clinical research ed.) · 2020Article
- Fatigue is Highly Prevalent in Patients with Asthma and Contributes to the Burden of Disease.Journal of clinical medicine · 2018Article
- Serum Total Magnesium Level and its Correlation with Symptom Control in Children with Mild Persistent Asthma.Indian journal of pediatrics · 2018Observational
- [Evolution of Asthma Prevalence and Sociodemographic and Health Factors Associated in Madrid Region (1996-2013)].Revista espanola de salud publica · 2017Article
- Obesity: systemic and pulmonary complications, biochemical abnormalities, and impairment of lung function.Multidisciplinary respiratory medicine · 2016Review
- Optimizing lifestyle interventions in adult patients with comorbid asthma and obesity.Therapeutic advances in respiratory diseaseReview
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAsthma prevalence, severity and outcomes are associated with various patient characteristics and lifestyle choices.
aimsTo identify potentially modifiable factors associated with poor asthma outcomes among US primary care patients.
methodsUsing baseline data from the Asthma Tools Study, we calculated cross-sectional frequencies of activity levels, smoking, secondhand smoke exposure and the presence of obesity, as well as rates of out-of-control asthma and asthma exacerbations. Frequencies were stratified by sex, and into three age groups: 5-11 years, 12-18 years and 19 years and older. Logistic regression was used to identify factors associated with each of the asthma outcomes.
resultsIn the 901 individuals enrolled in this asthma study, tobacco smoke exposure, obesity, low activity levels, poverty, inadequately controlled asthma and high asthma-related health-care utilisation were common. Across all age groups, obesity was associated with poorer asthma outcomes: either poor asthma control (odds ratio (OR)=2.3, 95% confidence interval (CI) 1.1-4.7 in 5- to 11-year-olds and OR=1.5, 95% CI 1.1-2.2 in adults) or asthma exacerbations (OR 2.9, 95% CI 1.6-5.1 in 12- to 18-year-olds and OR 1.7, 95% CI 1.1-2.5 in adults). Among adults, smoking was associated with both measures of poorer asthma outcomes; inadequate asthma control (OR=2.3, 95% CI 1.5-3.5), and asthma exacerbations (OR 1.7, 95% CI 1.1-2.6), and low physical activity were associated with poor asthma control (OR=1.5, 95% CI 1.1-2.2).
conclusionsObesity, low levels of physical activity and smoking are common, and they are associated with poor asthma outcomes in a sample of primary care patients, suggesting important targets for intervention.
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