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An interview study to estimate prevalence of asthma and chronic bronchitis

The Obstructive Lung Disease in Northern Sweden Study

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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

  1. ÅbergN. (1989): Asthma and allergic rhinitis in Swedish conscripts - Clin. Allergy 19: 59–63.

    Google Scholar 

  2. American Thoracic Society (1962): Chronic bronchitis, asthma and pulmonary emphysema - Am. Rev. Respir. Dis. 85: 762.

    Google Scholar 

  3. American Thoracic Society (1979): Standardization of spirometry - Am. Rev. Respir. Dis. 119: 831–838.

    Google Scholar 

  4. 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.

    Google Scholar 

  5. BronnimannS. and BurrowsB. (1986): A prospective study of the natural history of asthma - Chest 90:480–484.

    Google Scholar 

  6. Burney P. and Chinn S. (1987): Developing a new questionnaire for measuring the prevalence and distribution of asthma - Chest 91S : 79s–83s.

  7. 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.

  8. 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.

    Google Scholar 

  9. BurrM.L., ButlandB.K., KingS. and Vaughan-WilliamsE. (1989): Changes in asthma prevalence: two surveys 15 years apart - Arch. Dis. Child. 64: 1452–1456.

    Google Scholar 

  10. Causes of Death (1988): Stockholm, Swedish Statistics, 1970, 1971,... 1988 (In Swedish).

  11. CerveriL, BruschiC., RicciardiM.et al. (1987): Epidemiological diagnosis of asthma: methodological considerations of prevalence evaluation - Eur. J. Epidemiol. 3: 202–205.

    Google Scholar 

  12. CharpinD., VervloetD. and CharpinJ. (1988): Epidemiology of asthma in western Europe - Allergy 43: 481–492.

    Google Scholar 

  13. 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.

    Google Scholar 

  14. 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.

    Google Scholar 

  15. FletcherC., PetoR., TinkerC. and SpeizerF.E. (1976): The natural history of chronic bronchitis and emphysema - Oxford, Oxford University Press.

    Google Scholar 

  16. 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).

  17. GulsvikA. (1979): Prevalence of respiratory symptoms in the city of Oslo - Scand. J. Respir. Dis. 60: 275–285.

    Google Scholar 

  18. HigginsM.W. and KellerJ.B. (1989): Trends in COPD morbidity and mortality in Tecumseh, Michigan -Am. Rev. Respir. Dis. 140: S42-S48.

    Google Scholar 

  19. HuhtiE. (1965): Prevalence of respiratory symptoms, chronic bronchitis and pulmonary emphysema in a Finnish rural population - Acta Tuberc. Pneumonol. Scand. 76 (Suppl): 1–76.

    Google Scholar 

  20. IversenM., DahlR., KorsgaardJ., HallasT. and JensenE.J. (1988): Respiratory symptoms in Danish farmers: an epidemiological study of risk factors -Thorax 43: 872–877.

    Google Scholar 

  21. 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.

    Google Scholar 

  22. KongerudJ., ValeJ.R. and Aalen0.0. (1989): Questionnaire reliability and validity for aluminium potroom workers - Scand. J. Work Environ. Health 15: 364–370.

    Google Scholar 

  23. JosephsI.K., GreggI., BainD.J.G. and HolgateS.T. (1987): A longitudinal study of non-specific bronchial responsiveness in asthma - Thorax 42: 711.

    Google Scholar 

  24. 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.

    Google Scholar 

  25. LebowitzM.D. (1989): The trends in airway obstructive disease morbidity in the Tucson Epidemiological Study - Am. Rev. Respir. Dis. 140: S35-S41.

    Google Scholar 

  26. LiardR., ChansinR., NeukirchF., LevalloisM. and LeproxP. (1988): Prevalence of asthma among teenagers attending school in Tahiti - J. Epidemiol. Community Health 42: 149–151.

    Google Scholar 

  27. LittlejohnsP., EbrahimS. and AndersonR. (1989): Prevalence and diagnosis of chronic respiratory symptoms in adults - Br. Med. J. 298: 1556–1560.

    Google Scholar 

  28. 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.

    Google Scholar 

  29. Medical Research Council's Committee on the aetiology of chronic bronchitis (1960): Standardised questionnaires on respiratory symptoms - Br. Med. J. ii: 1665.

    Google Scholar 

  30. NicklassR.A. (1989): Perspective on asthma mortality 1989 - Ann. Allergy 63 (pt II): 578–584.

    Google Scholar 

  31. 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.

  32. 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.

    Google Scholar 

  33. PedersenP.A. and WeekeE.R. (1987): Epidemiology of asthma in Denmark - Chest 91 (supp): 107–113.

    Google Scholar 

  34. 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.

    Google Scholar 

  35. SearsM.R. (1987): Asthma morbidity and mortality in New Zealand - J. Allergy Clin. Immunol. 80:383–388.

    Google Scholar 

  36. 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.

    Google Scholar 

  37. 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.

    Google Scholar 

  38. Svensk Läkemedelsstatistik (Drug Sales Statistics in Sweden) (1989): Stockholm: Apoteksbolaget, 1977–1978,... 1989 (In Swedish).

  39. Thom T.J. (1989): International comparisons in COPD mortality - Am. Rev. Respir. Dis. 140: S27-S34.

    Google Scholar 

  40. VesterinenE., KaprioJ. and KoskenvouM. (1988): Prospective study of asthma in relation to smoking habits among 14729 adults - Thorax 43: 534–539.

    Google Scholar 

  41. 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.

    Google Scholar 

  42. 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.

  43. World Health Statistics Annual (1986): WHO -Geneva.

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Authors and Affiliations

  1. Department of Lung Medicine, Central Hospital, S-961 - 85, Boden, Sweden.

    B. Lundbäck, K. Lundbäck & M. Lindström

  2. National Institute of Occupational Health - Medical Division, Box 7654, S-907 13, Umeå, Sweden

    B. Lundbäck, N. Stjernberg & K. Lundbäck

  3. Department of Epidemiology and Health Care Research, Umeå University, S-901 87, Umeå, Sweden

    L. Nyström

  4. Department of Lung Medicine, University Hospital, S-901 - 85, Umeå, Sweden

    L. Rosenhall

Authors
  1. B. Lundbäck
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  2. N. Stjernberg
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  3. L. Nyström
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  4. K. Lundbäck
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  5. M. Lindström
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  6. L. Rosenhall
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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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