Association Between Asthma and Obesity Among Immigrant Asian Americans, California Health Interview Survey, 2001-2011.

Association Between Asthma and Obesity Among Immigrant Asian Americans, California Health Interview Survey, 2001-2011.

Prev Chronic Dis. 2014;11:E209

Authors: Becerra BJ, Scroggins CM, Becerra MB

Abstract
Our objective was to study the comorbidity of asthma and obesity among foreign-born Asian Americans, by subgroups. Public data from the California Health Interview Survey, 2001-2011, were analyzed by using independent logistic regressions, yielding the association between asthma and obesity (Asian and standard cutoffs for body mass index [BMIs]) of 19,841 Asian American immigrant respondents. Chinese, Filipino, South Asian, and Japanese immigrants had a positive association between lifetime asthma and obesity, whereas among Korean immigrants, a positive association was found between lifetime asthma and overweight status (standard BMI cutoffs). Routine screening for this comorbidity is warranted among immigrant Asian Americans.

PMID: 25427317 [PubMed – as supplied by publisher]

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Large CDC survey detects drop in asthma rates, but researchers cautious about … – Minneapolis Star Tribune


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Large CDC survey detects drop in asthma rates, but researchers cautious about
Minneapolis Star Tribune
NEW YORK — A new survey suggests asthma in the U.S. may finally be on the decline. But the results are so surprising that health officials are cautious about claiming a downturn. "I wouldn't say it's good news — yet," said the study's lead author
Study Suggest Asthma Is On The Decline, Doctors Are CautiousABC6OnYourSide.com

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US CDC survey shows reported decline in asthma, but experts wary – Thomson Reuters Foundation (blog)

US CDC survey shows reported decline in asthma, but experts wary
Thomson Reuters Foundation (blog)
NEW YORK, June 19 (Reuters) – Self-reported U.S. asthma rates have fallen significantly for the first time in four years to a nine-year low, according to a survey released on Thursday, but researchers cautioned that the numbers may not mean the disease

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Indians highest users of asthma medicines yet quality of life low: survey – Indian Express

Indians highest users of asthma medicines yet quality of life low: survey
Indian Express
Though the use of medicines to treat asthma is the highest in india, the country also reported the lowest levels of controlled asthmatics. India has the highest levels of overnight hospitalisations. Majority of the respondents said they had to leave

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Is Clinical Judgment of Asthma Control Adequate?: A prospective survey in a tertiary hospital pulmonary clinic.

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Is Clinical Judgment of Asthma Control Adequate?: A prospective survey in a tertiary hospital pulmonary clinic.

Sultan Qaboos Univ Med J. 2013 Feb;13(1):63-8

Authors: Baddar S, Jayakrishnan B, Al-Rawas O, George J, Al-Zeedy K

Abstract
OBJECTIVES: Asthma control is often difficult to measure. The aim of this study was to compare physicians’ personal clinical assessments of asthma control with the Global Initiative for Asthma (GINA) scoring.
METHODS: Physicians in the adult pulmonary clinics of a tertiary hospital in Oman first documented their subjective judgment of asthma control on 157 consecutive patients. Immediately after that and in the same proforma, they selected the individual components from the GINA asthma control table as applicable to each patient.
RESULTS: The same classification of asthma control was achieved by physicians’ clinical judgment and GINA classification in 106 cases (67.5%). In the other 32.5% (n = 51), the degree of control by clinical judgment was one level higher than the GINA classification. The agreement was higher for the pulmonologists (72%) as compared to non-pulmonologists (47%; P = 0.009). Physicians classified 76 patients (48.4%) as well-controlled by clinical judgment compared to 48 (30.6%) using GINA criteria (P <0.001). Conversely, they classified 34 patients (21.7%) as uncontrolled as compared to 57 (36.3%) by GINA criteria (P <0.001). In the 28 patients who were clinically judged as well-controlled but, by GINA criteria, were only partially controlled, low peak expiratory flow rate (PEFR) (46.7%) and limitation of activity (21.4%) were the most frequent parameters for downgrading the level of control.
CONCLUSION: Using clinical judgment, physicians overestimated the level of asthma control and underestimated the uncontrolled disease. Since management decisions are based on the perceived level of control, this could potentially lead to under-treatment and therefore sub-optimal asthma control.

PMID: 23573384 [PubMed – in process]

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Reduced Blood Lead Levels, Increasing Cases of Asthma in Children: Survey – Counsel & Heal


Counsel & Heal

Reduced Blood Lead Levels, Increasing Cases of Asthma in Children: Survey
Counsel & Heal
According to recent figures disclosed by the government's Environment Protection Agency (EPA), there is an unprecedented reduction in the levels of lead in blood; however, there is also a marked increase in asthma cases among children. "The latest

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