The Free‐Running Asthma Screening Test: An Approach to Screening for Exercise‐Induced Asthma in Rural Alabama

Heaman, Doris J.; Estes, J. Worth

doi:10.1111/j.1746-1561.1997.tb03418.x

Cited by 18 publications

(18 citation statements)

References 16 publications

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“…Table shows the results of the subgroup analyses for the prevalence of EIB in general population of children and adolescents. Seven studies with sample size less than 400 showed a pooled mean prevalence of 15% (95% CI: 11‐19%), compared with 9% (95% CI: 7‐10%) in 12 studies with sample size between 400 and 1000, and 8% (95% CI: 7‐9%) in 14 studies with sample size greater than 1000 ( P < 0.001 for heterogeneity between subgroups). The global mean prevalence of EIB was 8% (95% CI 7‐9%) and 9% (95% CI 8‐10%) in the post hoc sensitivity analyses, excluding seven studies with sample size less than 400 and two studies with “poor” study quality, respectively.…”

Section: Resultsmentioning

confidence: 98%

Global prevalence of exercise‐induced bronchoconstriction in childhood: A meta‐analysis

Aguiar

Anzolin

Zhang

2018

Pediatric Pulmonology

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Section: Resultsmentioning

confidence: 98%

Global prevalence of exercise‐induced bronchoconstriction in childhood: A meta‐analysis

Aguiar

Anzolin

Zhang

2018

Pediatric Pulmonology

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“…In this study, the prevalence of EIB was higher in girls than in boys only when EIB was defined as a ≥25% decrease in postexercise PEFR. When EIB was defined as a ≥15% decrease in postexercise PEFR using a free‐running test in children aged 10–15 years, the prevalence of EIB was higher in girls than in boys in school‐based studies in the USA and Spain , whereas the prevalence did not differ in a study from Algeria . The discrepancies in study findings may partly be due to different criteria and/or exercise tests used, different methods of measuring postexercise PEFR, and the different ethnic groups examined.…”

Section: Discussionmentioning

confidence: 93%

“…The severity of EIB was classified according to the magnitude of the reduction in PEFR, as follows: a ≥15%, ≥20%, or ≥25% decrease in postexercise PEFR. The selection of a 15% cutoff for EIB was based on previous studies , and the selection of a ≥20% cutoff was based on the Japanese Guideline for Childhood Asthma . Previous studies used different normal ranges for the percentage decrease in postexercise PEFR, such as 10%–15% , and even <25% .…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, sex‐ and age‐specific differences in lung function and wheezing disorders and associated risk factors have been reported . However, sex differences related to the prevalence of EIB in childhood are controversial . Furthermore, sex differences in EIB among preschool children are unclear because such young children are usually unable to perform standard spirometry .…”

Section: Introductionmentioning

confidence: 99%

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Sex Differences in the Prevalence and Severity of Exercise‐Induced Bronchoconstriction in Kindergarteners in Japan

Shinohara

Ogawa

Nakaya

et al. 2019

J of Gen and Family Med

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Background Exercise‐induced bronchoconstriction (EIB), a strong positive predictor of asthma, becomes progressively less frequent with age. Although asthma tends to become less common only in boys during adolescence, sex differences in EIB, especially in preschoolers, remain unclear. To find EIB for early diagnosis and intervention asthma, mass‐screening tests considering sex differences in preschoolers are needed. In this study, we investigated whether sex differences influence the prevalence and severity of EIB in prepubertal children aged 5–6 years. Methods Fifty‐one children aged 5–6 years who were attending a kindergarten in Matsuyama City, Ehime, Japan, were enrolled in this cross‐sectional study. The children underwent a 6‐minute free‐running test in 2015. The peak expiratory flow rate (PEFR) was measured before exercise and 0, 3, 10, and 20 minutes after exercise. The severity of EIB was classified according to the reduction in PEFR, measured as the difference between the postexercise PEFR and the highest pre‐exercise PEFR. Results Of the 51 children (23 boys and 28 girls) enrolled, the prevalence of EIB defined as three criteria: a ≥15%, ≥20%, or ≥25% decrease was 54.9% (28/51), 41.2% (21/51), and 25.5% (13/51), respectively. The prevalence of EIB defined as ≥25% decrease was significantly higher in girls than in boys (39.3% vs 8.7%, P = .013). In girls, the mean percentage change in PEFR was significantly higher 20 minutes than 10 minutes postexercise (P = .043). Conclusions Sex difference in the prevalence and severity of EIB should be considered when evaluating EIB, even in young, prepubertal children.

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“…This decrease in financial resources of families in rural areas is associated with increased asthma hospitalizations, increased mortality rates, and increased prevalence of chronic diseases (2)(3)(4). Furthermore, rural elementary school-age children with exercise-induced asthma are demonstrated to have high rates of school absenteeism and poverty (5).…”

Section: Introductionmentioning

confidence: 99%

Rural School Nurses' Asthma Education Needs

et al. 2001

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School nurses play an important role in identifying children with asthma and providing care during school hours. Educational programs designed to improve nurses' asthma knowledge and practices have concentrated on urban settings. The purpose of this investigation was to determine asthma-related practices and educational needs of rural school nurses. A survey about asthma was mailed to school nurses in all counties of the state of Maryland and in Washington, D.C. Responses were compared between rural Maryland counties and counties from the remainder of Maryland and Washington, D.C. The survey addressed attitudes and beliefs, function and roles, medication administration, and educational needs about asthma. We found that rural nurses used peak flow meters less often to assess and monitor asthma, requested fewer referrals for asthma, had fewer interactions with health room assistants, and had reduced access to asthma educational resources. Also, they provided less asthma education in the schools than other school nurses. These results suggest a need for comprehensive asthma educational programs in rural areas that are based on national guidelines, and that address the unique needs of rural school nurses. These programs should also emphasize the need for open communication between rural school nurses, health room assistants, primary care providers, and parents/caregivers.

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The Free‐Running Asthma Screening Test: An Approach to Screening for Exercise‐Induced Asthma in Rural Alabama

Cited by 18 publications

References 16 publications

Global prevalence of exercise‐induced bronchoconstriction in childhood: A meta‐analysis

Global prevalence of exercise‐induced bronchoconstriction in childhood: A meta‐analysis

Sex Differences in the Prevalence and Severity of Exercise‐Induced Bronchoconstriction in Kindergarteners in Japan

Rural School Nurses' Asthma Education Needs

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