TABLE 3.
MULTIVARIABLE ANALYSIS OF THE RAW VARIABLE SET IN RELATION TO ASTHMA SEVERITY (MILD VS. MODERATE–SEVERE)
Variable | Full Covariate Set Models |
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Model 1 (AIC = 383) |
Model 2 (AIC = 300) |
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OR | 95% CI | P Value | OR | 95% CI | P Value | |
Age, yr | 1.09 | 0.97–1.23 | 0.1336 | 1.01 | 0.86–1.19 | 0.8864 |
Sex, female vs. male | 1.17 | 0.64–2.16 | 0.6085 | 1.15 | 0.52–2.52 | 0.7358 |
Age of asthma onset, yr | 0.86 | 0.78–0.95 | 0.0031 | 0.9 | 0.79–1.03 | 0.1293 |
BMI, obese vs. normal | 2.11 | 0.66–6.78 | 0.2101 | 1.55 | 0.38–6.28 | 0.5389 |
BMI, overweight vs. normal | 0.35 | 0.14–0.85 | 0.0208 | 0.25 | 0.08–0.8 | 0.0192 |
Allergic rhinitis | 1 | 0.5–2 | 0.9987 | 0.75 | 0.3–1.85 | 0.5273 |
Allergic conjunctivitis | 0.59 | 0.08–4.32 | 0.6052 | 0.5 | 0.05–4.97 | 0.5557 |
Eczema | 1.63 | 0.36–7.43 | 0.5297 | 2.44 | 0.39–15.19 | 0.3405 |
Maternal allergic rhinitis | 0.72 | 0.23–2.29 | 0.5838 | 1 | 0.26–3.88 | 0.9964 |
Maternal eczema | 0.93 | 0.12–7.03 | 0.9456 | 1.3 | 0.11–15.66 | 0.8378 |
Paternal allergic rhinitis | 0.48 | 0.11–2.17 | 0.3403 | 0.81 | 0.11–5.78 | 0.833 |
Paternal eczema | 3.58 | 0.43–29.76 | 0.2375 | 1.65 | 0.05–52.19 | 0.7753 |
Maternal asthma | 0.69 | 0.17–2.74 | 0.5982 | 1.12 | 0.16–7.73 | 0.9077 |
Paternal asthma | 3.51 | 1.16–10.64 | 0.0264 | 2.92 | 0.69–12.39 | 0.147 |
Exposure to tobacco smoke | 1.34 | 0.72–2.5 | 0.355 | 1.09 | 0.49–2.39 | 0.8383 |
Presence of animals or pets in the home | 0.79 | 0.24–2.59 | 0.7026 | 0.8 | 0.17–3.64 | 0.769 |
IgE, per log higher | 0.84 | 0.64–1.09 | 0.191 | 0.77 | 0.55–1.09 | 0.1387 |
Eosinophil, % | 1.02 | 0.93–1.12 | 0.7172 | 1.03 | 0.91–1.16 | 0.6615 |
Atopy | 1.44 | 0.69–3.03 | 0.3349 | 1.19 | 0.46–3.07 | 0.7165 |
FEV1, % predicted | 0.94 | 0.9–0.98 | 0.0035 | |||
FVC, % predicted | 0.93 | 0.9–0.96 | <0.0001 | 0.95 | 0.92–0.98 | 0.0021 |
FEV1/FVC ratio | 0.9 | 0.84–0.96 | 0.0022 | 0.92 | 0.85–1 | 0.0374 |
FEF25-75, % predicted | 0.99 | 0.97–1.01 | 0.2101 | 0.98 | 0.96–1.01 | 0.1558 |
% Fall in FEV1 after exercise (Q1 vs. Q4) | 0.42 | 0.03–6.27 | 0.5324 | 0.09 | 0–5.52 | 0.2554 |
% Fall in FEV1 after exercise (Q2 vs. Q4) | 0.35 | 0.06–2.21 | 0.2644 | 0.53 | 0.05–5.73 | 0.6037 |
% Fall in FEV1 after exercise (Q3 vs. Q4) | 0.51 | 0.13–2.04 | 0.3421 | 0.57 | 0.09–3.56 | 0.5515 |
Bronchodilator reversibility (Q1 vs. Q4) | 1.65 | 0.43–6.4 | 0.467 | 3.36 | 0.58–19.26 | 0.1745 |
Bronchodilator reversibility (Q2 vs. Q4) | 2.12 | 0.91–4.97 | 0.0831 | 2.18 | 0.69–6.88 | 0.1852 |
Bronchodilator reversibility (Q3 vs. Q4) | 0.68 | 0.3–1.54 | 0.3529 | 0.99 | 0.36–2.71 | 0.9829 |
PC20 methacholine (Q1 vs. Q4) | 2.52 | 0.19–32.96 | 0.4803 | 0.4 | 0.01–11.9 | 0.599 |
PC20 methacholine (Q2 vs. Q4) | 1.45 | 0.05–39.25 | 0.8264 | 0.08 | 0–1428.31 | 0.6191 |
PC20 methacholine (Q3 vs. Q4) | 1.49 | 0.11–19.81 | 0.7638 | 1.49 | 0.07–29.86 | 0.7961 |
Asthma symptoms within the last 4 wk | 2.52 | 0.94–6.74 | 0.0655 | |||
No. of exacerbations within the last year | 1.05 | 0.95–1.16 | 0.3488 | 1 | 0.87–1.15 | 0.9753 |
No. of hospitalizations | 0.94 | 0.46–1.93 | 0.868 | 0.95 | 0.42–2.16 | 0.9025 |
ICS > 300 μg* vs. none | 3.58 | 1.37–9.36 | 0.0093 | |||
ICS ≤ 300 μg* vs. none | 0.98 | 0.38–2.58 | 0.9743 | |||
LABA | 56.33 | 11.38–278.94 | <0.0001 | |||
Montelukast | 7.08 | 1.59–31.44 | 0.0101 | |||
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Stepwise-selected Variable |
Stepwise Models |
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Model 3 (AIC = 357) |
Model 4 (AIC = 260) |
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OR | 95% CI | P Value | OR | 95% CI | P Value | |
Age of asthma onset, yr | 0.89 | 0.81–0.97 | 0.0057 | |||
FEV1, % predicted | 0.95 | 0.92–0.97 | 0.0003 | |||
FVC, % predicted | 0.93 | 0.91–0.95 | <0.0001 | 0.96 | 0.94–0.99 | 0.0018 |
FEV1/FVC ratio | 0.88 | 0.85–0.91 | <0.0001 | |||
FEF25-75, % predicted | 0.97 | 0.95–0.98 | <0.0001 | |||
Asthma symptoms within the last 4 wk | 3.01 | 1.35–6.72 | 0.0071 | |||
ICS >300 μg* vs. none | 4.26 | 1.91–9.5 | 0.0004 | |||
ICS ≤300 μg* vs. none | 1.35 | 0.6–3.05 | 0.4694 | |||
LABA | 34.02 | 9.51–121.7 | <0.0001 | |||
Montelukast | 6.6 | 1.69–25.84 | 0.0067 |
Definition of abbreviations: AIC = Akaike Information Criterion; BMI = body mass index; CI = confidence interval; FEF = forced expiratory flow; ICS = inhaled corticosteroids; LABA = long-acting β2-agonists; OR = odds ratio; Q1 = 1st quartile; Q2 = 2nd quartile; Q3 = 3rd quartile; Q4 = 4th quartile; SABA = short-acting β2-agonists.
Logistic regression models: Model 1 excluded FEV1, symptoms within the last 4 weeks, and medication step as they were used to define severity; Model 2 included all variables; Model 3 and 4 were stepwise of 1 and 2.
Betamethasone-equivalent dosage.