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BioMed Research International
Volume 2013 (2013), Article ID 689782, 5 pages
http://dx.doi.org/10.1155/2013/689782
Clinical Study

Characteristics of Atopic Bronchial Asthma in Seniors over 80 Years of Age

1Clinical Department of Internal Medicine, Dermatology and Allergology, Medical University of Silesia, M. Sklodowskiej-Curie 10, 41-800 Zabrze, Poland
2Clinical Department of Chest Surgery, Medical University of Silesia, 41-880 Zabrze, Poland
3Genetic Laboratory MTD, 80-331 Munchen, Germany

Received 23 April 2013; Revised 1 July 2013; Accepted 1 July 2013

Academic Editor: Fulvio Braido

Copyright © 2013 Andrzej Bożek et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Asthma in the elderly is an important public health problem. The aim of this study was to assess the prevalence and characteristics of asthma in seniors. Materials and Methods. The study involved 105 people of at least 80 years of age (mean age of 84.1 ± 3.9 years) selected from a group of 1860 individuals. Spirometry, the methacholine test, allergy diagnosis, a measurement of exhaled nitric oxide, and administration of the asthma quality of life questionnaire (AQLQ) were performed. Results. The average morbidity of asthma in the study population of elderly people (at least 80 years of age) was 5.6% (105 people) of the confidence interval (95% CI: 5.1–6.0). In the study group, 34% of the elderly asthmatics had uncontrolled asthma, 47% had partly controlled asthma, and only 24% had fully controlled asthma. Allergy to house dust mites was predominant. The average total score on the AQLQ was 4.12 ± 0.72 (arithmetic mean ± standard deviation) for the seniors, which was significantly lower than the score for the young. Conclusion. The pathogenesis, natural history, and value of the basic diagnostic methods of asthma in the elderly are similar to those observed in younger age groups.