Freqüência de sintomas associados à asma e doenças alérgicas em adultos jovens, na cidade de Santo André, SP
DOI:
https://doi.org/10.7322/jhgd.19882Palavras-chave:
Asma, Rinite, Eczema, Freqüência, ISAAC, AlergiaResumo
OBJETIVO: Determinar a freqüência e a gravidade de sintomas relacionados à asma, à rinite e ao eczema atópico em adultos jovens, empregando o questionário escrito (QE) padronizado e auto-aplicável do ISAAC. MÉTODO: 747 estudantes da Faculdade de Medicina do ABC, (Medicina, Enfermagem e Farmácia) foram aleatoriamente escolhidos para responder o QE padrão ISAAC, composto pelos 3 módulos (asma, rinite, eczema). Destes, 600 o fizeram de forma correta e completa. Foram calculadas as freqüências relativas e absolutas das respostas afirmativas às questões analisadas. RESULTADOS: A média de idade da população estudada foi de 26 anos (17- 28), sendo que 67% eram mulheres. A freqüência de asma ativa (sibilos nos últimos 12 meses) foi 15,3% e a de asma grave (dificuldade de fala durante as crises) foi 2%. A freqüência de rinite foi 62,1% (35,8% com sintomas graves), a de rinoconjuntivite foi 33,8% e a de eczema flexural, 6,6%. Com exceção da asma e seus sintomas, observou-se predomínio no sexo feminino. Os dados analisados indicam a necessidade de estudos adicionais em adultos jovens e a utilização de marcadores para as doenças alérgicas e atópicas.Downloads
Referências
Ferrari PF, Rosário Filho NA, Ribas LFO, Callefe LG. Freqüência de asma em escolares de Curitiba-projeto ISAAC (Internacional Study of Asthma and Allergies in Childhood). J Pediatr (Rio J.). 1998;74(4):299-305.
Ellwood P, Asher MI, Beaslley R, Clayton TO, Stewart AW. ISAAC Steeriing Committee. The Internacional Study of Asthma and Allergies in Childhood (ISAAC): phase three rationale and methods. Int J Tuberc Lung Dis 2005;9(1):10-6.
Gerritsen J, Koëter GH, Monchy JGR, Knol K. Allergy in subjects with asthma from childhood to adulthood. J Allergy Clin Immunol. 1990;85:116-125.
Worldwide variations in the prevalence of asthma symptoms: The International Study of Asthma and Allergies in Childhood (ISSAC). Eur Respir J. 1998; 12:315-35.
Strachan D, Sibbald B, Weiland S, Ait-Khaled N, Anabwani G, Anderson R, et al. World wide variations in the prevalence of symptoms of allergic rhino conjunctivitis in children: The International Study of Asthma and Allergies in Childhood (ISSAC). Pediatr Allergy immunol. 1997;8:161-76.
Camelo-Nunes IN, Wandalsen GF, Melo KC, Naspitz CH, Solé D. Freqüência de eczema atópico e sintomas relacionados entre estudantes. J. Pediatr. (Rio J.) 2004; 80(1):60-4.
Castro APM, Solé D, Rosário Filho NA, Jacob CMA, Rizzo MCFV, Fernandes MFM, Vale SOR. Guia Prático para o Manejo da Dermatite Atópica-opinião conjunta de especialistas em alergologia da Associação Brasileira de Alergia e Imunopatologia e da Sociedade Brasileira de Pediatria. Rev. Bras. Alerg. Imunopatol. 2006;29(6):268-282.
Andrade SRG, Rodrigues CE, Castro MA, Nunes ICC, Solé D, Kalil J, Castro FFM. Freqüência e fatores de risco para asma em estudantes de Veterinária e Medicina. Rev. Bras. Alerg. Imunopatol. 2005; 28(2); 89-93.
Asher MI, Keil U, Anderson HR, Beasley R, Crane J, Martinez F, etal. Intenational Study of Asthma and Allergies in Childhood (ISAAC):rationale and methods. Eur Respir. J. 1995;8:483-91.
Prefeitura municipal de Santo André – Governo eletrônico. Disponível em: http://www.santoandre.sp.gov.br[ 2007 mar 15 ]
Asher MI, Weiland SK. The Internacional Study of Asthma and Allergies in Childhood (ISAAC). ISAAC Steeriing Committee. Clin Exp. Allergy. 1998;28(Suppl 5):52-66; discussion90-1.
Solé D, Wandalsen GF, Camelo-Nunes IN, Naspitz CH, ISAAC-Grupo Brasileiro. Freqüência de sintomas de asma, rinite eeczema atópico entre crianças e adolescentes brasileiros identificados pelo Internacional Study of Asthma and Allergies in Childhood(ISAAC) – Fase 3. J. Pediatr. (Rio J.) 2006;82(5).
Maia JGS, Marcopito LF, Amaral AN, Tavares BF, Lima e Santos FAN. Freqüência de asma e sintomas asmáticos em escolares de 13 e 14anos de idade. Rev. Saúde Pública 2004; 38(2):292-9.
Willams H, Robertson C, Steawart A, Ait-Khaled N, Anabwani G, Anderson R, et al. Worldwide variations in the prevalence of symptoms of atopic eczema in the International Study of Asthma and Allergies in Childhood(ISAAC). J Allergy Clin Immunol.1999;103:125-38.
ISAAC Steering Committee (The International Study of Asthma and Allergies in Children Steering Committee). Worldwide variation in prevalence of Symptoms of asthma, allergic rhino conjunctivitis, and atopic eczema: ISAAC. Lancet. 1998;351:1225-32.
Solé D, Yamada E, Vanna AT, Costa-Carvalho BT, Naspitz CK. Prevalence of asthma and related symptoms in school-age children in São Paulo, Brazil International Study of Asthma and Allergies (ISAAC). J Asthma 1999;36:205-12.
Solé D, Vanna AT, Yamada E, Rizzo MCV, Naspitz CK. International Study on Asthma and Allergies in Children (ISAAC) written questionnaire: validation of the asthma component among Brazilian children. Invest Allergol Clin Immunol. 1998;8:376-82.
Burney P,Chinn S, JarvisD, Luczynska C, LaiE. Variations in the prevalence of respiratory symptoms, self-reported asthma attacks and use of asthma medication in the European Community Respiratory Health Survey (ECRHS). Eur Respir J. 1996; 9:687-695.
Beasley R, Keil U, von Mutius EV, PearceN. Worldwide variation in prevalence of symptoms of asthma, allergic rhino conjunctivitis, and atopic eczema. ISAAC. Lancet 1998;351:1225-1232.
Pearce N, Sunyer J, Cheng S, et al. Comparison of asthma prevalence in the ISAAC and the ECRHS. Eur Respir J. 2000; 16: 420-426.
Vichyanond P, Sunthornchart S, Singhirannsorn, Ruangrat S, Kaewsombo ON, Visitsunthorn N. Prevalence of asthma, allergic rhinitis and eczema among university students in Bangkok. Respir Med. 2002;96:34-38.
Mercer MJ, Joubert G, Ehrlich RI, Nelson H, Poyser MA, Puterman A, et al. Socioeconomic status and prevalence of allergic rhinitis and atopic eczema symptoms in young adolescents. Pediatr Allergy Immunol. 2004;15:234-41.
Nascimento-Carvalho CM, Rocha H, BenguiguiY. Effects of socioeconomic status on presentation with acute lower respiratory tract disease in children in Salvador, Northeast Brazil. Pediatr Pulmonol. 2002;33:244-8.
Shamssain MH, Shamsian N. Prevalence and severity of asthma, rhinitis, and atopic eczemain 13 to 14-year-old schoolchildren from the northeast of England. Ann Allergy Asthma Immunol. 2001;86:428-32.
Leynaert, Neukirch, Liard, et al. Quality of Life in Rhinitis and Asthma. Am. J. Respir. Crit. Care Med. 2000;162(4):1391-1396.
Sole D, Camelo-Nunes IC, Rosario NA, Freitas LS, Britto M, Melo K, et al. Prevalence of asthma, rhino conjuntivitis and atopic eczema among Brazilian adolescents. Comparison between ISAAC phases I and III [abstract]. J Allergy Clin Immunol. 2004;113:1030.
Downloads
Publicado
Edição
Seção
Licença
CODE OF CONDUCT FOR JOURNAL PUBLISHERS
Publishers who are Committee on Publication Ethics members and who support COPE membership for journal editors should:
- Follow this code, and encourage the editors they work with to follow the COPE Code of Conduct for Journal Edi- tors (http://publicationethics.org/files/u2/New_Code.pdf)
- Ensure the editors and journals they work with are aware of what their membership of COPE provides and en- tails
- Provide reasonable practical support to editors so that they can follow the COPE Code of Conduct for Journal Editors (http://publicationethics.org/files/u2/New_Code.pdf_)
Publishers should:
- Define the relationship between publisher, editor and other parties in a contract
- Respect privacy (for example, for research participants, for authors, for peer reviewers)
- Protect intellectual property and copyright
- Foster editorial independence
Publishers should work with journal editors to:
- Set journal policies appropriately and aim to meet those policies, particularly with respect to:
– Editorial independence
– Research ethics, including confidentiality, consent, and the special requirements for human and animal research
– Authorship
– Transparency and integrity (for example, conflicts of interest, research funding, reporting standards
– Peer review and the role of the editorial team beyond that of the journal editor
– Appeals and complaints
- Communicate journal policies (for example, to authors, readers, peer reviewers)
- Review journal policies periodically, particularly with respect to new recommendations from the COPE
- Code of Conduct for Editors and the COPE Best Practice Guidelines
- Maintain the integrity of the academic record
- Assist the parties (for example, institutions, grant funders, governing bodies) responsible for the investigation of suspected research and publication misconduct and, where possible, facilitate in the resolution of these cases
- Publish corrections, clarifications, and retractions
- Publish content on a timely basis