Skip to main content
British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1982 Feb 6;284(6313):380–382. doi: 10.1136/bmj.284.6313.380

Asthma from childhood at age 21: the patient and his disease.

A J Martin, L I Landau, P D Phelan
PMCID: PMC1495972  PMID: 6800466

Abstract

Information was obtained from 336 21-year-olds who had begun wheezing before the age of 7 about their knowledge of asthma and its effect on their current life style. Two-thirds of the subjects were still symptomatic. A control group of 62 subjects was available for comparison. Knowledge about asthma was poor, particularly among those with less troublesome symptoms. Half of those with frequent episodic asthma and one-third with persistent asthma did not regard excess use of bronchodilator aerosols as potentially dangerous. Over three-quarters of those with persistent asthma were not receiving adequate treatment. One-third of third of those with persistent asthma were missing substantial time from work because of respiratory illness, and a similar proportion were restricting sporting activities. The incidence of smoking was disturbingly high in all asthma groups. The higher the number of cigarettes ever smoked and the higher the current tobacco consumption the less satisfactory was the progress of asthma. Both cigarette smoking and severity of asthma contributed to chronic production of sputum. Children and teenagers with asthma should be educated to seek more appropriate medical help and thereby reduce morbidity.

Full text

PDF
380

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barter C. E., Campbell A. H. Relationship of constitutional factors and cigarette smoking to decrease in 1-second forced expiratory volume. Am Rev Respir Dis. 1976 Mar;113(3):305–314. doi: 10.1164/arrd.1976.113.3.305. [DOI] [PubMed] [Google Scholar]
  2. Barter C. E., Campbell A. H., Tandon M. K. Factors affecting the decline of FEV1 in chronic bronchitis. Aust N Z J Med. 1974 Aug;4(4):339–345. doi: 10.1111/j.1445-5994.1974.tb03201.x. [DOI] [PubMed] [Google Scholar]
  3. Bierman E. W., Kawabori I., Pierson W. E. Incidence of exercise-induced asthma in children. Pediatrics. 1975 Nov;56(5 PT-2):847–850. [PubMed] [Google Scholar]
  4. Burrows B., Knudson R. J., Cline M. G., Lebowitz M. D. Quantitative relationships between cigarette smoking and ventilatory function. Am Rev Respir Dis. 1977 Feb;115(2):195–205. doi: 10.1164/arrd.1977.115.2.195. [DOI] [PubMed] [Google Scholar]
  5. Burrows B., Lebowitz M. D., Knudson R. J. Epidemiologic evidence that childhood problems predispose to airways disease in the adult (an association between adult and pediatric respiratory disorders). Pediatr Res. 1977 Mar;11(3 Pt 2):218–220. [PubMed] [Google Scholar]
  6. Colley J. R., Douglas J. W., Reid D. D. Respiratory disease in young adults: influence of early childhood lower respiratory tract illness, social class, air pollution, and smoking. Br Med J. 1973 Jul 28;3(5873):195–198. doi: 10.1136/bmj.3.5873.195. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Graham P. J., Rutter M. L., Yule W., Pless I. B. Childhood asthma: a psychosomatic disorder? Some epidemiological considerations. Br J Prev Soc Med. 1967 Apr;21(2):78–85. doi: 10.1136/jech.21.2.78. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Holland W. W., Halil T., Bennett A. E., Elliott A. Factors influencing the onset of chronic respiratory disease. Br Med J. 1969 Apr 26;2(5651):205–208. doi: 10.1136/bmj.2.5651.205. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Kuperman A. S., Riker J. B. The variable effect of smoking on pulmonary function. Chest. 1973 May;63(5):655–660. doi: 10.1378/chest.63.5.655. [DOI] [PubMed] [Google Scholar]
  10. Martin A. J., Landau L. I., Phelan P. D. Lung function in young adults who had asthma in childhood. Am Rev Respir Dis. 1980 Oct;122(4):609–616. doi: 10.1164/arrd.1980.122.4.609. [DOI] [PubMed] [Google Scholar]
  11. Martin A. J., McLennan L. A., Landau L. I., Phelan P. D. The natural history of childhood asthma to adult life. Br Med J. 1980 Jun 14;280(6229):1397–1400. doi: 10.1136/bmj.280.6229.1397. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. McNichol K. N., Williams H. E., Allan J., McAndrew I. Spectrum of asthma in children. 3. Psychological and social components. Br Med J. 1973 Oct 6;4(5883):16–20. doi: 10.1136/bmj.4.5883.16. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Mcnicol K. N., Macnicol K. N., Williams H. B. Spectrum of asthma in children. I. Clinical and physiological components. Br Med J. 1973 Oct 6;4(5883):7–11. doi: 10.1136/bmj.4.5883.7. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Mitchell R. G., Dawson B. Educational and social characteristics of children with asthmna. Arch Dis Child. 1973 Jun;48(6):467–471. doi: 10.1136/adc.48.6.467. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Peckham C., Butler N. A national study of asthma in childhood. J Epidemiol Community Health. 1978 Jun;32(2):79–85. doi: 10.1136/jech.32.2.79. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Sanerkin N. G. Terminology and classification of 'bronchial asthma' and 'chronic bronchitis': a reappraisal and redefinition. Ann Allergy. 1971 Apr;29(4):187–194. [PubMed] [Google Scholar]
  17. Silverman M., Anderson S. D. Standardization of exercise tests in asthmatic children. Arch Dis Child. 1972 Dec;47(256):882–889. doi: 10.1136/adc.47.256.882. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Speight A. N. Is childhood asthma being underdiagnosed and undertreated? Br Med J. 1978 Jul 29;2(6133):331–332. doi: 10.1136/bmj.2.6133.331. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Williams H., McNicol K. N. Prevalence, natural history, and relationship of wheezy bronchitis and asthma in children. An epidemiological study. Br Med J. 1969 Nov 8;4(5679):321–325. doi: 10.1136/bmj.4.5679.321. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Woolcock A. J., Leeder S. R., Peat J. K., Blackburn C. R. The influence of lower respiratory illness in infancy and childhood and subsequent cigarette smoking on lung function in Sydney schoolchildren. Am Rev Respir Dis. 1979 Jul;120(1):5–14. doi: 10.1164/arrd.1979.120.1.5. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal (Clinical research ed.) are provided here courtesy of BMJ Publishing Group

RESOURCES