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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Few studies have evaluated the incidence of asthma in Spain&#46; Although more children than adults develop asthma every year&#44; no study to date has analyzed the differences in incidence by following 2 age cohorts in the same geographical area&#46; The aim of this study was to determine changes in wheezing&#44; bronchial hyperreactivity&#44; and asthma &#40;in terms of onset&#44; persistence&#44; and remission&#41;&#44; changes in forced expiratory volume in 1 second &#40;FEV<span class="elsevierStyleInf">1</span>&#41;&#44; and asthma incidence in children &#40;11&#8211;16 years&#41; and young adults &#40;20&#8211;44 years&#41; in the city of Huelva&#44; Spain&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">We analyzed data from 2 groups studied for the first time between 1991 and 1993 and for the second time after an average of 9 years&#46; In the first period&#44; data came from the Study of Respiratory Diseases in Huelva &#40;714 children&#41; and the European Community Respiratory Health Survey conducted in the city &#40;271 adults&#41;&#46; Both groups answered a respiratory symptom questionnaire&#44; underwent spirometry testing&#44; and completed a nonspecific bronchial challenge test with methacholine&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">In adults&#44; onset was more common than remission for both wheezing &#40;15&#46;7&#37; vs 6&#46;9&#37;&#44; <span class="elsevierStyleItalic">P</span>&#61;&#46;011&#41; and bronchial hyperreactivity &#40;10&#46;1&#37; vs 3&#37;&#44; <span class="elsevierStyleItalic">P</span>&#61;&#46;017&#41;&#44; and asthma incidence was 4&#46;76 cases&#47;1000 person-years&#46; In children&#44; there were more new cases than remissions for wheezing&#44; &#40;24&#46;2&#37; vs 4&#46;3&#37;&#44; <span class="elsevierStyleItalic">P</span>&#61;&#46;001&#41;&#44; bronchial hyperreactivity &#40;13&#46;9&#37; vs 5&#46;4&#37;&#44; <span class="elsevierStyleItalic">P</span>&#61;&#46;02&#41;&#44; and asthma &#40;9&#46;3&#37; vs 3&#37;&#44; <span class="elsevierStyleItalic">P</span>&#61;&#46;004&#41;&#46; The incidence rate for asthma was 15&#46;69 cases&#47;1000 person-years in this age group&#46; The annual decrease in lung function &#40;FEV<span class="elsevierStyleInf">1</span>&#41; was highest in adults with wheezing &#40;34&#46;3 mL&#41; and asthma &#40;54&#46;8 mL&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">There were more new cases of wheezing and bronchial hyperreactivity than remissions in both children and young adults&#46; Children had a 3&#46;3-fold higher incidence of asthma than adults in Huelva&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Hay pocos estudios que valoren la incidencia de asma en nuestro pa&#237;s&#46; Se sabe que es mayor en ni&#241;os que en adultos&#44; pero esta diferente incidencia no se ha comprobado mediante el seguimiento de 2 poblaciones de diferente edad en el mismo &#225;mbito geogr&#225;fico&#46; El prop&#243;sito de este trabajo ha sido determinar los cambios &#40;aparici&#243;n&#44; persistencia y remisi&#243;n&#41; de sibilancias&#44; hiperreactividad bronquial &#40;HB&#41; y asma&#44; la evoluci&#243;n del volumen espiratorio forzado en el primer segundo y la incidencia anual de asma en ni&#241;os &#40;11&#8211;16 a&#241;os&#41; y adultos j&#243;venes &#40;20&#8211;44 a&#241;os&#41; en la ciudad de Huelva&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado una segunda evaluaci&#243;n en el seguimiento de 2 grupos estudiados entre 1991 y 1993 &#40;714 ni&#241;os del Estudio de Enfermedades Respiratorias de Huelva y 271 adultos del Estudio Europeo de Enfermedades Respiratorias&#41;&#44; con un promedio de tiempo de 9 a&#241;os&#46; Se pas&#243; a ambos grupos un cuestionario sobre s&#237;ntomas respiratorios&#44; adem&#225;s de efectuar una espirometr&#237;a y una prueba de provocaci&#243;n bronquial inespec&#237;fica con metacolina&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En los adultos se encontraron m&#225;s nuevas apariciones &#40;15&#44;7&#37;&#41; que remisiones &#40;6&#44;9&#37;&#41; de sibilancias &#40;p &#61; 0&#44;011&#41; e HB &#40;apariciones&#58; 10&#44;1&#37;&#59; remisiones&#58; 3&#37;&#59; p &#61; 0&#44;017&#41;&#44; con una incidencia anual de asma de 4&#44;76 casos&#47;1&#46;000 personas-a&#241;o&#46; Los ni&#241;os mostraron m&#225;s nuevas apariciones &#40;24&#44;2&#37;&#41; que remisiones &#40;4&#44;3&#37;&#41; de sibilancias &#40;p &#60; 0&#44;001&#41;&#44; HB &#40;un 13&#44;9&#37; de apariciones y un 5&#44;4&#37; de remisiones&#59; p &#61; 0&#44;02&#41; y asma &#40;un 9&#44;3&#37; de apariciones y un 3&#37; de remisiones&#59; p &#61; 0&#44;004&#41;&#44; con una incidencia anual de asma de 15&#44;69 casos&#47;1&#46;000 personas-a&#241;o&#46; La p&#233;rdida anual de funci&#243;n pulmonar &#40;volumen espiratorio forzado en el primer segundo&#41; fue m&#225;s elevada en los adultos en los que aparecieron sibilancias &#40;34&#44;3 ml&#41; y asma &#40;54&#44;8 ml&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">En ambas poblaciones&#44; hay m&#225;s nuevos casos de sibilancias e HB que remisiones&#46; La incidencia anual de asma es 3&#44;3 veces mayor en ni&#241;os que en adultos en la ciudad de Huelva&#46;</p>"
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Original Articles
Asthma Incidence in Huelva, Spain at 2 Stages of Life: Childhood and Young Adulthood
Antonio Pereira Vegaa,
Corresponding author
apv01h@saludalia.com

Correspondence: Dr A. Pereira Vega Puerto, 32, 7.º izqda 21001 Huelva, Spain
, José Luis Sánchez Ramosb, José Antonio Maldonado Péreza, Inmaculada Sánchez Rodrígueza, Francisco Luis Gil Muñoza, Domingo García Jiméneza
a Sección de Neumología, Hospital Juan Ramón Jiménez, Huelva, Spain
b Departamento de Enfermería, Universidad de Huelva, Huelva, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Few studies have evaluated the incidence of asthma in Spain&#46; Although more children than adults develop asthma every year&#44; no study to date has analyzed the differences in incidence by following 2 age cohorts in the same geographical area&#46; The aim of this study was to determine changes in wheezing&#44; bronchial hyperreactivity&#44; and asthma &#40;in terms of onset&#44; persistence&#44; and remission&#41;&#44; changes in forced expiratory volume in 1 second &#40;FEV<span class="elsevierStyleInf">1</span>&#41;&#44; and asthma incidence in children &#40;11&#8211;16 years&#41; and young adults &#40;20&#8211;44 years&#41; in the city of Huelva&#44; Spain&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">We analyzed data from 2 groups studied for the first time between 1991 and 1993 and for the second time after an average of 9 years&#46; In the first period&#44; data came from the Study of Respiratory Diseases in Huelva &#40;714 children&#41; and the European Community Respiratory Health Survey conducted in the city &#40;271 adults&#41;&#46; Both groups answered a respiratory symptom questionnaire&#44; underwent spirometry testing&#44; and completed a nonspecific bronchial challenge test with methacholine&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">In adults&#44; onset was more common than remission for both wheezing &#40;15&#46;7&#37; vs 6&#46;9&#37;&#44; <span class="elsevierStyleItalic">P</span>&#61;&#46;011&#41; and bronchial hyperreactivity &#40;10&#46;1&#37; vs 3&#37;&#44; <span class="elsevierStyleItalic">P</span>&#61;&#46;017&#41;&#44; and asthma incidence was 4&#46;76 cases&#47;1000 person-years&#46; In children&#44; there were more new cases than remissions for wheezing&#44; &#40;24&#46;2&#37; vs 4&#46;3&#37;&#44; <span class="elsevierStyleItalic">P</span>&#61;&#46;001&#41;&#44; bronchial hyperreactivity &#40;13&#46;9&#37; vs 5&#46;4&#37;&#44; <span class="elsevierStyleItalic">P</span>&#61;&#46;02&#41;&#44; and asthma &#40;9&#46;3&#37; vs 3&#37;&#44; <span class="elsevierStyleItalic">P</span>&#61;&#46;004&#41;&#46; The incidence rate for asthma was 15&#46;69 cases&#47;1000 person-years in this age group&#46; The annual decrease in lung function &#40;FEV<span class="elsevierStyleInf">1</span>&#41; was highest in adults with wheezing &#40;34&#46;3 mL&#41; and asthma &#40;54&#46;8 mL&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">There were more new cases of wheezing and bronchial hyperreactivity than remissions in both children and young adults&#46; Children had a 3&#46;3-fold higher incidence of asthma than adults in Huelva&#46;</p>"
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Article information
ISSN: 15792129
Original language: English
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