Prevalence of asthma and allergic diseases in adolescents: nine-year follow-up study (2003-2012)

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dc.contributor.author Solé, Dirceu [UNIFESP]
dc.contributor.author Rosario Filho, Nelson Augusto
dc.contributor.author Sarinho, Emanuel Sávio
dc.contributor.author Camelo-Nunes, Inês Cristina [UNIFESP]
dc.contributor.author Barreto, Bruno Acatauassú Paes [UNIFESP]
dc.contributor.author Medeiros, Mércia Lamenha [UNIFESP]
dc.contributor.author Franco, Jackeline Motta
dc.contributor.author Camargos, Paulo Augusto
dc.contributor.author Mallol, Javier
dc.contributor.author Gurgel, Ricardo
dc.contributor.author Andrade, Djanira Martins de [UNIFESP]
dc.contributor.author Furlan, Fernanda Patini [UNIFESP]
dc.contributor.author Silva, Almerinda Rêgo
dc.contributor.author Cardozo, Cristina
dc.contributor.author Andrade, Cláudia
dc.date.accessioned 2015-06-14T13:47:31Z
dc.date.available 2015-06-14T13:47:31Z
dc.date.issued 2015-02-01
dc.identifier http://dx.doi.org/10.1016/j.jped.2014.05.002
dc.identifier.citation Jornal de Pediatria. Sociedade Brasileira de Pediatria, v. 91, n. 1, p. 30-35, 2015.
dc.identifier.issn 0021-7557
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/8797
dc.description.abstract OBJECTIVE: To determine the prevalence of symptoms of asthma, rhinitis, and atopic eczema in adolescents (AD; 13-14 years) living in seven Brazilian cities, by applying the standardized written questionnaire (WQ) of the International Study of Asthma and Allergies in Childhood (ISAAC), and to evaluate the time trend nine years after the last assessment of ISAAC phase 3 (ISP3). METHODS: The ISAAC-WQ was answered by 20,099 AD from the Northern, Northeastern, Southeastern, and Southern Brazilian regions. Values obtained were compared to those observed in ISP3 using nonparametric (chi-squared or Fisher) tests, and the ratio of annual increment/decrement was established for each of the centers, according to the symptom assessed. RESULTS: Considering the national data and comparing to values of ISP3, there was a decrease in the mean prevalence of active asthma (18.5% vs. 17.5%) and an increase in the frequency of severe asthma (4.5% vs. 4.7%) and physician-diagnosed asthma (14.3% vs. 17.6%). An increase in prevalence of rhinitis, rhinoconjunctivitis, and atopic eczema was also observed. CONCLUSIONS: The prevalence of asthma, rhinitis, and atopic eczema in Brazil was variable; higher prevalence values, especially of asthma and eczema, were observed in regions located closer to the Equator. en
dc.description.abstract OBJETIVO: Determinar a prevalência de sintomas relacionados à asma, à rinite e ao eczema atópico em adolescentes (13-14 anos, AD) residentes em sete cidades brasileiras com o questionário escrito (QE) padronizado do International Study of Asthma and Allergies in Childhood (Isaac) e verificar a tendência temporal passados nove anos da última avaliação do Isaac fase 3 (ISF3). MÉTODOS: O QE Isaac foi respondido por 20.099 AD (13-14 anos) moradores em centros das regiões Norte, Nordeste, Sudeste e Sul. Os índices obtidos foram comparados aos do ISF3 com o teste não paramétrico (qui-quadrado ou Fisher) e foi estabelecida a taxa de incremento/decremento anual para cada um dos centros segundo o sintoma avaliado. RESULTADOS: Em relação ao ISF3, considerando-se os dados nacionais, houve queda da prevalência média de asma ativa (18,5% vs. 17,5%) com elevação da frequência de asma grave (4,5% vs. 4,7%) e de asma diagnosticada por médico (14,3% vs. 17,6%). Aumento da prevalência de rinite e rinoconjuntivite e de eczema flexural também ocorreram. CONCLUSÕES: A prevalência de asma, rinite e eczema atópico no Brasil foi variável. Valores mais altos, sobretudo de asma e eczema, foram observados nos centros localizados mais próximos ao Equador. pt
dc.format.extent 30-35
dc.language.iso eng
dc.publisher Sociedade Brasileira de Pediatria
dc.relation.ispartof Jornal de Pediatria
dc.rights Acesso aberto
dc.subject Asthma en
dc.subject Adolescent en
dc.subject Atopic eczema en
dc.subject Epidemiology en
dc.subject Allergic rhinitis en
dc.subject Rhinoconjunctivitis en
dc.subject Asma pt
dc.subject Adolescente pt
dc.subject Eczema atópico pt
dc.subject Epidemiologia pt
dc.subject Rinite alérgica pt
dc.subject Rinoconjuntivite pt
dc.title Prevalence of asthma and allergic diseases in adolescents: nine-year follow-up study (2003-2012) en
dc.title.alternative Prevalência de asma e doenças alérgicas em adolescentes: estudo evolutivo de nove anos (2003 a 2012) pt
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Universidade Federal do Paraná
dc.contributor.institution Universidade Federal de Pernambuco Department of Pediatrics
dc.contributor.institution Universidade Estadual do Pará
dc.contributor.institution Universidade Federal de Alagoas Department of Pediatrics
dc.contributor.institution Universidade Federal de Sergipe Department of Pediatrics
dc.contributor.institution Universidade Federal de Minas Gerais Department of Pediatrics
dc.contributor.institution Universidade de Santiago
dc.description.affiliation Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Department of Pediatrics
dc.description.affiliation Universidade Federal do Paraná
dc.description.affiliation Universidade Federal de Pernambuco Department of Pediatrics
dc.description.affiliation Universidade Estadual do Pará
dc.description.affiliation Universidade Federal de Alagoas Department of Pediatrics
dc.description.affiliation Universidade Federal de Sergipe Department of Pediatrics
dc.description.affiliation Universidade Federal de Minas Gerais Department of Pediatrics
dc.description.affiliation Universidade de Santiago
dc.description.affiliationUnifesp UNIFESP, EPM, Department of Pediatrics
dc.identifier.file S0021-75572015000100030.pdf
dc.identifier.scielo S0021-75572015000100030
dc.identifier.doi 10.1016/j.jped.2014.05.002
dc.description.source SciELO



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