Characteristics of asthma in an older adult population according to sex and control level: why are asthma symptoms in older women not well-controlled?

KARADOĞAN, DİLEK; YILMAZEL UÇAR, Elif; YAVUZ, YASEMİN; Baccioglu, Ayse; Oeztuerk, Ayse; Bozkurt, Nurguel; Kavas, Murat; Karaoglanoglu, Selen; Celik, Guelfem; AYDIN, ÖMÜR; Gokmen, Derya; Buhari, Gozde; Sozener, Zeynep; Gemicioglu, Bilun; Bulut, Ismet; Beyaz, Sengul; Orcen, Cihan; Ozdemir, Secil; Keren, Metin; Damadoglu, Ebru; Yakut, Tugce; Kalpaklioglu, Ayse; Yalim, Sumeyra; Yilmaz, Insu; Kalkan, Ilkay; Uysal, Mehmet; Niksarlioglu, Elif; Kalyoncu, Ali; Karakaya, Gul; Erbay, Muge; Nayci, Sibel; Tepetam, Fatma; Gelincik, Asli; Dirol, Hulya; Goksel, Ozlem; Erkekol, Ferda; Isik, Sacide; Yildiz, Fusun; Seker, Ummuhan; OĞUZÜLGEN, İPEK; Basyigit, Ilknur; Baris, Serap; Yilmazel Ucar, Elif; Erdogan, Tuba; Polatli, Mehmet; Ediger, Dane; Gunaydin, Fatma; Turk, Murat; Pur, Leyla; Katran, Zeynep; Sekibag, Yonca; Aykac, Enes; Mungan, Dilsad; Gul, Ozcan; Cengiz, Ali; Akkurt, Bulent; Ozden, Seyma; Demir, Semra; Unal, Derya; Aslan, Ayse; Can, Ali; Gumusburun, Reyhan; Bogatekin, Gulhan; Akten, Hatice; Inan, Sinem; Erdinc, Munevver; Ogus, Aliye; Yulug, Demet; Cakmak, Mehmet; Kaya, Saltuk; Alpagat, Gulistan; Ozgur, Eylem; Uzun, Oguz; Gulen, Sule; Pekbak, Gulseren; Kizilirmak, Deniz; Yavuz, Havlucu; Donmez, Halil; Arslan, Bahar; Cetin, Gulden; Soyyigit, Sadan; Kara, Bilge; Karakis, Gulden; Dursun, Adile; Kendirlinan, Resat; Sevinc, Can; Simsek, Gokcen; Abadoglu, Oznur; Cerci, Pamir; Yucel, Taskin; Yorulmaz, Irfan; Tezcaner, Zahide; Tatar, Emel; Suslu, Ahmet; Ozer, Serdar; Dursun, Engin; Yorgancioglu, Arzu

doi:10.1080/02770903.2023.2293062

Characteristics of asthma in an older adult population according to sex and control level: why are asthma symptoms in older women not well-controlled?

Atıf İçin Kopyala

KARADOĞAN D., YILMAZEL UÇAR E., YAVUZ Y., Baccioglu A., Oeztuerk A. B., Bozkurt N., ...Daha Fazla

JOURNAL OF ASTHMA, cilt.61, sa.6, ss.539-549, 2024 (SCI-Expanded)

Yayın Türü: Makale / Tam Makale
Cilt numarası: 61 Sayı: 6
Basım Tarihi: 2024
Doi Numarası: 10.1080/02770903.2023.2293062
Dergi Adı: JOURNAL OF ASTHMA
Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, Psycinfo, Veterinary Science Database
Sayfa Sayıları: ss.539-549
Anahtar Kelimeler: Asthma, asthma control, elderly, sex
Gazi Üniversitesi Adresli: Evet

Özet

ObjectiveThe older adult population in Turkey has increased by 22.6% in the last 5 years, and the characteristics of such patients with asthma remain uninvestigated. Therefore, we aimed to evaluate the characteristics of older adults with asthma according to sex and asthma control status to provide an in-depth overview of asthma in this population in Turkey.MethodsThe data of older adults (age 65 years and over) with asthma were obtained from a multicenter, cross-sectional asthma database registry (Turkish Adult Asthma Registry, TAAR) funded by the Turkish Thoracic Society. Comparisons were made based on sex and asthma control levels using the Global Initiative for Asthma (GINA) Asthma Symptom Control Questionnaire.ResultsOf the 2053 (11.5%) patients registered with the TAAR, 227 were older adults (median age, 69 (8), women, 75.8% (n = 172)). Of these, 46.5% (n = 101) had obesity to some degree. Compared with men, women had lower education, income levels, and employment rates. Additionally, women exhibited a higher prevalence of obesity, hypertension, and thyroid gland disease than men. Being female (OR: 2.99; 95% CI: 1.307-6.880), the presence of gastroesophageal reflux disease (OR: 2.855; 95% CI: 1.330-6.130), and a predicted forced expiratory volume in the first-second value lower than 80% (OR: 2.938; 95% CI: 1.451-5.948) were associated with poorly controlled asthma.ConclusionsHerein, older adults comprised 11.5% of adult patients with asthma. Being female poses a disadvantage in terms of both asthma prevalence and control in the older adult asthmatic population owing to the prevalence of comorbidities and socioeconomic sex-related distinguishing factors.