Evidence map›Paper›PMID 34127557›Full record

ArticleThorax2022

Breathlessness across generations: results from the RHINESSA generation study.

Magnus Ekström, Ane Johannessen, Michael J Abramson, Bryndis Benediktsdottir, Karl Franklin, Thorarinn Gislason, Francisco Gómez Real, Mathias Holm, Christer Janson, Rain Jogi and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Thorax, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Global disparities in chronic dyspnoea prevalence in population-based studies: a comprehensive literature review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 13 institutions in 7 countries.

Magnus EkströmDepartment of Respiratory Medicine and Allergology, Lund University, Lund, Sweden pmekstrom@gmail.com.
Ane JohannessenDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Michael J AbramsonSchool of Public Health & Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-9954-0538
Bryndis BenediktsdottirDepartment of Sleep, Landspitali University Hospital, Reykjavik, Iceland.
Karl FranklinDepartment of Surgery and Perioperative Sciences, Umeå University, Umeå, Sweden.
Thorarinn GislasonDepartment of Sleep, Landspitali University Hospital, Reykjavik, Iceland.
Francisco Gómez RealDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Mathias HolmOccupational and Environmental Medicine, University of Gothenburg, Gothenburg, Sweden.
Christer JansonDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-5093-6980
Rain JogiThe Lung Clinic, Tartu University Hospital, Tartu, Estonia.
Adrian LoweMelbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
Andrei MalinovschiDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-4098-7765
Jesús Martínez-MoratallaServicio de Pneumologıa del Complejo Hospitalario Universitario de Albacete (CHUA), Servicio de Salud de Castilla-La Mancha (SESCAM), Albacete, Spain.
Anna OudinDepartment of Public Health and Clinical Medicine, Sustainable Health, Umeå University, Umeå, Sweden.
José Luis Sánchez-RamosNursing Department, University of Huelva, Huelva, Spain.
Vivi SchlünssenDepartment of Public Health, Environment, Work and Health, Danish Ramazzini Center, Aarhus University, Aarhus, Denmark.
Cecilie SvanesDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Haukeland University Hospital · NOReykjavík University · ISUmeå University · SEUppsala University · SEAarhus University · DKLund University · SEMonash University · AUServicio de Salud de Castilla La Mancha · ESTartu University Hospital · EEThe University of Melbourne · AUUniversidad de Huelva · ESUniversity of Bergen · NOUniversity of Gothenburg · SE

Funding

Medical Research Council
6 · The paper itself

Abstract

backgroundBreathlessness is a major cause of suffering and disability globally. The symptom relates to multiple factors including asthma and lung function, which are influenced by hereditary factors. No study has evaluated potential inheritance of breathlessness itself across generations.

methodsWe analysed the association between breathlessness in parents and their offspring in the Respiratory Health in Northern Europe, Spain and Australia generation study. Data on parents and offspring aged ≥18 years across 10 study centres in seven countries included demographics, self-reported breathlessness, asthma, depression, smoking, physical activity level, measured Body Mass Index and spirometry. Data were analysed using multivariable logistic regression accounting for clustering within centres and between siblings.

resultsA total of 1720 parents (mean age at assessment 36 years, 55% mothers) and 2476 offspring (mean 30 years, 55% daughters) were included. Breathlessness was reported by 809 (32.7%) parents and 363 (14.7%) offspring. Factors independently associated with breathlessness in parents and offspring included obesity, current smoking, asthma, depression, lower lung function and female sex. After adjusting for potential confounders, parents with breathlessness were more likely to have offspring with breathlessness, adjusted OR 1.8 (95% CI 1.1 to 2.9). The association was not modified by sex of the parent or offspring.

conclusionParents with breathlessness were more likely to have children who developed breathlessness, after adjusting for asthma, lung function, obesity, smoking, depression and female sex in both generations. The hereditary components of breathlessness need to be further explored.

Indexed as

AsthmaDyspneaEuropeFemaleHumansSpainSpirometryasthmaclinical epidemiologyperception of asthma/breathlessness

Identifiers

PMID34127557
PMCPMC8762033
OpenAlexW3170744526

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.