Asthma and health related quality of life in late midlife adults

Urbstonaitis, Rolandas; Deshpande, Maithili; Arnoldi, Jennifer

doi:10.1016/j.sapharm.2018.03.003

Cited by 11 publications

(10 citation statements)

References 21 publications

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“…Dysfunctional breathing predicted poor QoL ( β = −0.73, p < 0.05), as did vocal cord dysfunction ( β = −0.78, p < 0.05). On univariate analysis, BMI, VCD, DB, OSA, and GORD were significantly associated with decreased QoLUrbstonaitis et al 47 5857 late midlife adults with asthmaCross-sectional, sample recruited from wider telephone population study of 39,321 (BRFFS sample)BMI, presence of respiratory comorbidityGeneral Health, Activity Limitation, Physical/Mental Health Impairment (Yes/No Questions)Respiratory comorbidity was significantly associated with poor QoL on all dimensions and independent of asthma control (OR = 17). People with poorly controlled asthma were more likely to have an obese BMI.…”

Section: Resultsmentioning

confidence: 97%

“…The characteristics of each study are summarized below in Table 1. Twelve studies were conducted in Europe, 20–31 17 in North America, 12,32–47 7 in Australia, 17,48–53 4 in Asia, 54–57 and 3 in Africa. 58–60 All papers employed a quantitative approach comprising 2 longitudinal studies 31,44 and 41 cross-sectional studies.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies used self-report measures, 17,20–30,32–37,39,41–46,48,49,51–60 with a small proportion using psychiatric interviews to screen for mental health conditions. 12,31,38,40,50 The majority of studies used asthma-specific QoL measures ( n = 29), 12,21,23,25,27,28,30,32–37,39–42,44,48–51,54–56,58–61 17 included an health-related QoL measure ( n = 18), 17,20,22–25,28,30,31,34–36,38,43,50–52,55 and 4 used general measures of QoL ( n = 7); 26,35,45–47,57,62 11 papers used >1 measure of QoL. 23,25,28,30,34–37,50,51,55 The average age across included studies was 42.1 years (and 61.57% were female).…”

Section: Resultsmentioning

confidence: 99%

“…25 Similarly, statistically and clinically significant decreases in activity levels were also found for people with asthma and multimorbid conditions. 52 Other conditions investigated included respiratory conditions, 47 diabetes, 25,48 obesity, 48 hypertension, 25,39 gastro-oesophageal reflux disorder, 48 rhinitis, 48,49 vocal cord dysfunction, 48 sleep apnoea, 48 musculoskeletal disorders, 25,39 arthritis, 39,52 heart disease, 25 stroke, 39,52 cancer, 39,52 osteoporosis, 52 dysfunctional breathing, 48 headaches, 39 and allergic status. 27,39 The consensus was that having an additional physical condition significantly decreased QoL in asthma, the effect being amplified with the addition of further conditions.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of psychological, physical health factors, and quality of life in adult asthma

Stanescu

Kirby

Thomas

et al. 2019

npj Prim. Care Respir. Med.

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Asthma is a common non-communicable disease, often characterized by activity limitation, negative effects on social life and relationships, problems with finding and keeping employment, and poor quality of life. The objective of the present study was to conduct a systematic review of the literature investigating the potential factors impacting quality of life (QoL) in asthma. Electronic searches were carried out on: MEDLINE, EMBASE, PsycINFO, the Cochrane Library, and Web of Science (initial search April 2017 and updated in January 2019). All primary research studies including asthma, psychological or physical health factors, and quality of life were included. Narrative synthesis was used to develop themes among findings in included studies in an attempt to identify variables impacting QoL in asthma. The search retrieved 43 eligible studies that were grouped in three themes: psychological factors (including anxiety and depression, other mental health conditions, illness representations, and emotion regulation), physical health factors (including BMI and chronic physical conditions), and multifactorial aspects, including the interplay of health and psychological factors and asthma. These were found to have a substantial impact on QoL in asthma, both directly and indirectly, by affecting self-management, activity levels and other outcomes. Findings suggest a complex and negative effect of health and psychological factors on QoL in asthma. The experience of living with asthma is multifaceted, and future research and intervention development studies should take this into account, as well as the variety of variables interacting and affecting the person.

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of psychological, physical health factors, and quality of life in adult asthma

Stanescu

Kirby

Thomas

et al. 2019

npj Prim. Care Respir. Med.

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“…Not receiving proper asthma education or education about inhaler technique leads to uncontrolled disease 20. Inadequate asthma control is consequently translated into impairments in the patients’ health-related quality of life 21…”

Section: Introductionmentioning

confidence: 99%

<p>Role of the pharmacist in improving inhaler technique and asthma management in rural areas in Jordan</p>

Basheti¹,

Salhi²,

Basheti³

et al. 2019

CPAA

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Introduction Pharmacists can have a valuable role in educating patients on correct inhaler technique leading to improved asthma management. Rural areas can benefit from the role of the pharmacist considering the barriers found in attending primary health-care facilities. Objectives This study aimed to assess the impact of inhaler technique education delivered by pharmacists on patients’ inhaler technique, Asthma Control Test (ACT) score, forced expiratory volume in the first 1 second (FEV 1 %), and reliever use (puffs/day). Methods A pre–post interventional study was conducted over 6 months from February 2017 to July 2017 in rural areas in Jordan. Asthma patients visiting respiratory clinics and using metered dose inhaler (MDI) or turbuhaler (TH) controlled medication were randomly recruited. Inhaler technique was assessed via published checklists. The ACT, FEV 1 %, and reliever use (puffs/day) were assessed. Patients were educated on inhaler technique via demonstration with return demonstration education. All assessments were repeated 3 months post education. Results A total of 103 (TH, n=44; MDI, n=59) patients were recruited (mean age=46.5±13.5), 74% females. Patients reported an overuse of their reliever (5.1±4.2 puffs/day). Only 2 patients (1.9%) had well-controlled asthma, while the rest had either moderately (19.4%) or poorly (78.6%) controlled asthma. Patients using the MDI achieved 3.03±4.30 ACT score improvement ( p <0.001), which is a clinically significant improvement in control. Patients using the TH achieved a statistically significant improvement of 2.07±4.72 ( p =0.031). FEV 1 % improved significantly for MDI users ( p =0.005) but not for TH users ( p =0.097). Reliever use decreased significantly for MDI and TH users. Conclusion Asthmatic patients living in rural areas in Jordan reported poor inhaler technique, ACT scores, and FEV 1 % scores and high use of reliever medications. Pharmacist-led educational intervention resulted in improved inhaler technique scores, ACT scores, and FEV 1 % scores and lowered reliever use over time.

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How Care Coordinators and Other Nursing Professionals Can Help Optimize Care of Asthma in Older Adults

Bernstein

Tolomeo

2019

Treatment of Asthma in Older Adults

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Asthma and health related quality of life in late midlife adults

Cited by 11 publications

References 21 publications

A systematic review of psychological, physical health factors, and quality of life in adult asthma

A systematic review of psychological, physical health factors, and quality of life in adult asthma

<p>Role of the pharmacist in improving inhaler technique and asthma management in rural areas in Jordan</p>

How Care Coordinators and Other Nursing Professionals Can Help Optimize Care of Asthma in Older Adults

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