Guidelines for diagnosis and management of bronchial asthma: Joint ICS/NCCP (I) recommendations

Agarwal, Ritesh; Dhooria, Sahajal; Aggarwal, Ashutosh N.; Maturu, Venkata Nagarjuna; Sehgal, Inderpaul Singh; Muthu, Valliappan; Prasad, Kuruswamy Thurai; Yenge, Lakshmikant B; Singh, Navneet; Behera, Digambar; Jindal, Surinder K.; Gupta, Dheeraj; Balamugesh, T; Bhalla, Ashish; Chaudhry, Dhruva; Chhabra, Sanjeev; Chokhani, Ramesh; Chopra, Vishal; Dadhwal, Devendra S.; D’Souza, George; Garg, Mandeep; Gaur, Shailendra Nath; Gopal, Bharat; Ghoshal, Aloke Gopal; Guleria, Randeep; Gupta, K. B.; Haldar, Indranil; Jain, Sanjay; Jain, Nirmal; Jain, Vikram; Janmeja, Ashok Kumar; Kant, Surya; Kashyap, Surender; Khilnani, Gopi C; Kishan, Jai; Kumar, Raj; Koul, Parvaiz A; Mahashur, Ashok; Mandal, Amit K J; Malhotra, Samir; Mohammed, Sabir; Mohapatra, Prasanta Raghab; Patel, Dharmesh; Prasad, Rajendra; Ray, Pallab; Samaria, Jai Kumar; Singh, Potsangbam Sarat; Sawhney, Honey; Shafiq, Nusrat; Sharma, Navneet; Sidhu, Updesh Pal S; Singla, Rupak; Suri, Jagdish Chander; Talwar, Deepak; Varma, Subhash

doi:10.4103/0970-2113.154517

Cited by 71 publications

(55 citation statements)

References 430 publications

(445 reference statements)

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“…Bronchial asthma is a chronic condition characterised by recurrent bronchospasm resulting from reversible bronchial hyperresponsiveness in response to stimuli of a level or intensity which usually does not cause such narrowing in most individuals [1]. Globally bronchial asthma is one of the most common diseases which affects approximately ~334 million people.…”

Section: Introductionmentioning

confidence: 99%

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Serum Magnesium and Vitamin D Levels as Indicators of Asthma Severity

et al. 2016

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Background. Serum magnesium levels affect the concentration of circulating vitamin D in blood and subsequently it affects the immunity; thus it plays significant role in the pathogenesis of asthma. Asthma, in adults, is less studied and hypomagnesemia along with vitamin D deficiency and insufficiency is common in asthmatic individuals, which causes frequent asthma attacks, respiratory infections, severe exacerbations, and poor response to bronchodilators. Objective. To detect the magnitude of vitamin D insufficiency and deficiency and serum magnesium levels among asthmatic patients and to correlate them with the severity of asthma. Materials and Methods. This is a cross-sectional case-control study which includes 60 patients of chronic stable asthma and 60 healthy controls. After taking clinical history and systemic examination, pulmonary function test was done. Serum levels of magnesium, 25-hydroxycholecalciferol [25(OH)D], and calcium were measured in all the subjects. Results. Significant correlation was found between vitamin D deficiency, hypomagnesemia, and asthma severity. Serum calcium levels were unaffected by that. Conclusion. Vitamin D and serum magnesium deficiency are highly prevalent in patients with asthma. Increased asthma severity, frequency of attacks, and exacerbation are associated with lower levels of one or both. Serum 25(OH)D and magnesium levels may serve as important markers of asthma severity.

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Section: Introductionmentioning

confidence: 99%

“…But it has very variable prevalence among different populations. In India, its prevalence is about 2% [1, 2]. Because of its potential role in preventing respiratory infections, vitamin D deficiency is an important public health issue.…”

Section: Introductionmentioning

confidence: 99%

Serum Magnesium and Vitamin D Levels as Indicators of Asthma Severity

et al. 2016

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“…Studies suggest that the prevalence of asthma has been rising in recent decades in developing countries. In studies from several single centers, the prevalence of asthma in children in India ranged from 2.3% to 11.9% while the prevalence of asthma in adults varied from 0.96% to 11.03% [3]. Although the etiology of this increase is not clear, it is likely to be an alliance of genetic predisposition, environmental factors and lifestyle changes including dietary habits [4].…”

Section: Introductionmentioning

confidence: 99%

Dietary Pattern and Asthma in India

Poongadan

Gupta²,

Kumar

2016

Advances in Respiratory Medicine

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Introduction: The study aimed to evaluate the association between food consumption pattern and asthma in Indian population. Material and methods: 125 asthma and corresponding age and sex matched healthy controls were recruited for the purpose of a study. A self-reported food-frequency questionnaire (NNR-Dietary Pattern in Asthma Questionnaire) comprising of 80 food and drink items, belonging to 15 groups, was developed based on routine dietary habits and ISAAC phase two and phase three questionnaires. Results: There was no significant difference of gender, height, weight, BMI and socioeconomic status between asthma and control groups (p > 0.05). The consumption of fast food, salted snacks, fried snacks; nuts and dry fruits were significantly higher in asthmatics (p < 0.05). Similarly, there was a tendency to higher consumption of fats and oil, sugar and carbonated drink in asthmatics (p > 0.05). On the contrary, consumption of cereals, milk and milk products, non-vegetarian food, fruits and fruit juice tends to be higher in healthy controls, though neither of them could reach a statistically significant (p > 0.05). Conclusion: Consumption of fast food, salted snacks, fried snacks, fats and oils nuts, dry fruits, carbonated drinks may be associated with asthma in India. Hence, it is imperative to reduce consumption and increase awareness of influence of fast food on asthma through public health policies.

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“…It is also useful to keep an asthmatic diary and, in case of patients with severe asthma, to monitor PEF values every day [5]. Unfortunately, the Asthma Insight & Reality in Europe (AIRE) study, carried out in 29 countries in the world, demonstrated that less than five per cent of patients achieve full asthma control [6].…”

Section: Wwwpneumonologiaviamedicaplmentioning

confidence: 99%

Effects of Depression and Anxiety on Asthma-Related Quality of Life

Lomper

Chudiak

Uchmanowicz

et al. 2016

Advances in Respiratory Medicine

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Introduction: Asthma is the most prevalent chronic disease in adults. It affects their quality of life. Studies confirm that depression and anxiety occurs in asthma patients. Material and methods:The study involved 96 patients with asthma divided into two groups: patients with controlled (n = 33) and uncontrolled asthma (n = 63). The analysis of asthma control was performed on the basis of the ACT (Asthma Control Test) results. The study used SF-36 (Short Form 36) questionnaire and HADS (Hospital and Depression Scale) Scale. Results: An analysis of the correlations between QoL (Quality of Life) and the level of depression revealed a decrease in QoL scores in MCS (Mental Component Score) domain in the group with controlled asthma (71.8 -patients without depression, 53.4 -patients with probable depression, and 51.4 -patients with depression; p = 0.032). A similar analysis of the correlations between QoL and the level of anxiety in this group of patients proved no correlations in PCS (Physical Component Score) and MCS domains. In the group of patients with uncontrolled asthma, anxiety and depression correlated negatively with the QoL in PCS and MCS domains. Anxiety and depression are found in asthma patients, with higher severity observed in patients with uncontrolled asthma. Female gender, the level of asthma control, asthma severity, smoking, as well as diagnoses of anxiety and depression are predictors of a significantly lower QoL in asthma. Conclusions: Anxiety and depression are found in asthma patients, with higher severity observed in patients with uncontrolled asthma. Female gender, the level of asthma control, asthma severity, smoking, as well as diagnoses of anxiety and depression are predictors of a significantly lower quality of life in asthma.

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Guidelines for diagnosis and management of bronchial asthma: Joint ICS/NCCP (I) recommendations

Cited by 71 publications

References 430 publications

Serum Magnesium and Vitamin D Levels as Indicators of Asthma Severity

Serum Magnesium and Vitamin D Levels as Indicators of Asthma Severity

Dietary Pattern and Asthma in India

Effects of Depression and Anxiety on Asthma-Related Quality of Life

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