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Vol. 10. Issue 4.
Pages 319-329 (July - August 2004)
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Vol. 10. Issue 4.
Pages 319-329 (July - August 2004)
ARTIGO DE REVISÃO/REVISION ARTICLE
Open Access
Conceitos de asma e instrumentos de levantamentos epidemiológicos de prevalência
Asthma concepts and epidemiological tools for prevalence researches
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4990
M.M. Vasconcelos, L.S. Accioly, M.J.C.C. Leão, D.S.T. Lima
A.S. Aguiar Filho1,
Corresponding author
aaguiar@hotlink.com.br

Clínica António Aguiar Filho, Rua Dona Benvinda, 258 Boa Vista – Recife – Pernambuco – Brasil CEP 50070-220
, E.P.A. Lopes Neto2, E.S.C. Sarinho3, P.M. Wirtsbiki4
1 Médico Pneumologista, Mestre em Pneumologia pela Universidade Federal de Pernambuco – Brasil.
2 Professor da Universidade Federal de Pernambuco e Universidade de Pernambuco - Brasil, Doutor em Gastrenterologia.
3 Professor da Universidade Federal de Pernambuco - Brasil, Doutor em Pediatria.
4 Académicas de Medicina da Universidade Federal de Pernambuco – Brasil.
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RESUMO

A asma, doença multifactorial, de alta prevalência, com recorrência frequente, acomete indivíduos independentemente de idade, sexo e área geográfica. Por não haver consenso quanto à sua definição, diversos questionários foram desenvolvidos para padronização dos critérios epidemiológicos de suspeição ou diagnóstico, entre eles o da Comunidade Europeia de Saúde Respiratória (European Community Respiratory Health Survey - ECRHS), ferramenta importante para o estudo da prevalência em adultos com idade entre 20 e 44 anos, conferindo melhoria da qualidade metodológica dos levantamentos epidemiológicos, tornando-os comparáveis em tempo e local. Os objectivos deste artigo são comentar a evolução do conceito de asma e suas repercussões sobre os levantamentos epidemiológicos, historiar os instrumentos utilizados nesses levantamentos, relevando a importância do ECRHS, e apresentar dados epidemiológicos de asma em 351 trabalhadores de hospital-escola, na cidade de Recife – Pernambuco - Brasil.

REV PORT PNEUMOL 2004; X (4): 319-329

Palavras-chave:
asma
epidemiologia
diagnóstico
prevalência
ECRHS
ABSTRACT

Introduction: Asthma, as a multifatorial disease, with high prevalence and frequent recurrence, attack people, independently of age, sex and geographical area. Because of lack of consensus about the definition of asthma, many questionnaires have been developed to standardize epidemiological criteria of suspicion and diagnosis. Among them, the European Community Respiratory Health Survey (ECRHS) is an important tool for prevalence studies on adults aged from 20 to 44 years old, that represented a methodological improvement of epidemiological surveys, turning them comparable about time and place. The objectives of this article are to comment the evolution of asthma concepts and its repercussion on epidemiological surveys, as well as to chronicle the tools used on these surveys, emphasizing the importance of ECRHS and presenting epidemiological data of asthma on 351 universitary hospital servers at Recife City – Pernambuco – Brazil.

REV PORT PNEUMOL 2004; X (4): 319-329

Key-words:
asthma
epidemiology
diagnosis
prevalence
ECRHS
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BIBLIOGRAFIA
[1.]
W.W. Busse, R.F.J.R. Lemanske.
Asthma.
N Engl J Med, 344 (2001), pp. 350-362
[2.]
Centers for Disease Control and Prevention - CDC.
Vital and health statistics: current estimates from the National Health Interview Survey, 1996.
US Department of Health and Human Services. CDC, (1999),
[3.]
P. Harber, M.B. Schenker, J.R. Balmes.
Occupational and environmental respiratory diseases.
N Engl J Med, 333 (1995), pp. 1431
[4.]
K.J. Rothman.
Epidemiologia moderna.
Diaz de Santos, (1997), pp. 3-9
[5.]
E.N. Grant, R. Wagner, K.B. Weiss.
Observations on emerging patterns of asthma in our society.
J Allergy Clin Immunol, 104 (1999), pp. S1-S9
[6.]
R. Beasley, J. Crane, C.K. Lai, N. Pearce.
Prevalence and etiology of asthma.
J Allergy Clin Immunol, 105 (2000), pp. S466-S472
[7.]
J.M. Samet.
Asthma Epidemiology: old and new issues.
Asthma – A link between environment, immunology, and the airways, pp. 27-32
[8.]
P. Burney, S. Chinn, C. Luczynska, D. Jarvis, E. Lai.
Genes for asthma? An analysis of the European community respiratory health survey.
Am J Respir Crit Care Med, 156 (1997), pp. 1773-1780
[9.]
B. Lundbäck, E. Rünmark, E. Jünsson, K. Larsson, T. Sandstrüm.
Incidence of physiciandiagnosed asthma in adults-a real incidence or a result of increased awareness? Report from the obstructive lung disease in Northern Sweden studies.
Respir Med, 95 (2001), pp. 685-692
[10.]
T. Volmer.
The socioeconomics of asthma.
Pulm Pharmacol Ther, 4 (2001), pp. 55-60
[11.]
R. Jogi, C. Janson, E. Bjürnsson, G. Boman, B. Bjürkstén.
The prevalence of asthmatic respiratory symptoms among adults in Estonian and Swedish University cities.
Allergy, 51 (1996), pp. 331-336
[12.]
European Community Respiratory Health Survey (ECRHS).
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, 9 (1996), pp. 687-695
[13.]
International Study Of Asthma And Allergies In Childhood Worldwide.
Variations in the prevalence of asthma symptoms: International Study of Asthma and Allergies in Childhood (ISSAC).
Eur Respir J, 12 (1998), pp. 315-335
[14.]
G. Biino, C. Rezzani, M. Grassi, A. Marinoni.
ECRHS screening questionnaire scoring: a methodological suggestion for asthma assessment.
European Community Health Survey. J Outcome Meas, 4 (2000–2001), pp. 740-762
[15.]
J. Sunyer, X. Basaganã, P. Burney, J.M. Antó.
International assessment of the internal consistency of respiratory symptoms.
Am J Respir Crit Care Med, 162 (2000), pp. 930-935
[16.]
I. Cerveri, F. Locatelli, M.C. Zoia, A. Corsico, S. Accordini, R. De Marco.
International variations in asthma treatment compliance.
Eur Respir J, 14 (1999), pp. 288-294
[17.]
Hippocrates.
Airs, waters, places. apud.
The medical works of Hippocrates, pp. 90-111
[18.]
G.L. Christie, P.J. Helms, D.J. Godden, S.J. Ross, J.S. Friendjar Legge, N.E. Haites, J.G. Douglas.
Asthma, wheezy bronchitis, and atopy across two generations.
Am J Respir Crit Care Med, 159 (1999), pp. 125-129
[19.]
M. Chan-Yeung, J.L. Malo.
Review article.
Current Concepts, 333 (1995), pp. 107-111
[20.]
D.H. Smith, D.C. Malone, K. Lawson, L.J. Okamoto, C. Battista, W.B. Saunders.
A national estimate of the economic costs of asthma.
Am J Respir Crit Care Med, 156 (1997), pp. 787-793
[21.]
M.A. Oliveira, M.T. Muniz, L.A. Santos, S.M. Faresin, A.L.G. Fernandes.
Custo-efetividade de programa de educação para adultos asmáticos atendidos em hospital-escola de instituição pública.
J Pneumol, 28 (2002), pp. 15-32
[22.]
A.L.B. Cabral.
Programa nacional de combate à asma.
Notícias Médicas – vias respiratórias, (2003), pp. 14-15
[23.]
M. Schwenkglenks, A. Lowy, H. Anderhub, T.D. Szucs.
Costs of asthma in a cohort of Swiss adults: associations with exacerbation status and severity.
[24.]
E. Huovinen, J. Kaprio, M. Koskenvuo.
Asthma in relation to personality traits, life satisfaction, and stress: a prospective study among 11,000 adults.
Allergy, 56 (2001), pp. 971-977
[25.]
D.D. Reid.
International studies in epidemiology.
Am J Epidemiol, 102 (1975), pp. 469-476
[26.]
M.I. Asher, U. Keil, H.R. Anderson, R. Beasley, J. Crane, F. Martinez, E.A. Mitchell, N. Pearce, B. Sibbald, A.W. Stewart, et al.
International study of asthma and allergies in childhood (ISAAC): rationale and methods.
Eur Respir J, 8 (1995), pp. 483-491
[27.]
P. Burney.
Interpretation of epidemiological surveys of asthma.
The rising trends in asthma, pp. 111-121
[28.]
American Thoracic Society.
Medical section of the National Tuberculosis Association. Chronic bronchitis, asthma, and pulmonary emphysema. A statement by the Committee on Diagnostic Standars for Non-tuberculous Disease.
Am Rev Respir Dis, 85 (1962), pp. 762-768
[29.]
National Institutes of Health. National Heart, Lung and Blood Institute (NHLI).
Data Fact Sheet, (1998),
[30.]
M.D. Lebowitz, B. Burrows.
Comparison of questionnaires, the BMRC and NHLI respiratory questionnaires and a new self-completion questionnaire.
Am Rev Resp Dis, 113 (1971), pp. 627-655
[31.]
P. Burney, L.A. Laitinen, S. Perdrizet.
Vality and repeatability of the IUATLD (1984) bronchial symptoms questinnaire: an inetrnational comparison.
Eur Respir J, 2 (1989), pp. 940-945
[32.]
International Study of Asthma and Al Lergies in Childhood – ISAAC.
Manual, Bochum (FRG), (1992), pp. 47
[33.]
R. De Marco, M.E. Zanolin, S. Accordini, D. Signorelli, A. Marinoni, M. Bugiani, V. Lo Cascio, R. Woods, P. Burney.
A new questionnarie for the repeat of the first stage of the European Community Respiratory Health Survey: a pilot study.
Eur Respir J, 14 (1999), pp. 1044-1048
[34.]
A.S. Aguiar Filho.
Prevalência de asma em funcionários de hospital-escola avaliada através do questionário de saúde respiratória da Comunidade Européia.
Tese Mestrado, Universidade Federal de Pernambuco, (2003), pp. 64
[35.]
Who.
Chronic cor pulmonary: rerport of an expert committe.
World Healt Organization Techinical report series,
[36.]
G.R. Meneely, A.D. Renzarti, J.D. Steele, J.P. Wuatt, H.W. Harris.
Chronic bronchitis, asthma and pulmonaryu emphysema. A statement by the committee on diagnostic standards for nontuberculosis respiratory disease.
Am Rev Respir Dis, (1962), pp. 85762-85768
[37.]
EXECUTIVE SUMMARY: guidelines for the diagnosis and management of asthma. national asthma education program expert panel report. U. S. department of health and human services, Public Health Service National Institutes of Health, (1991),
[38.]
International Consensus Report on Diag Nosis and Management of Asthma.
U. S. department of health and human services, Public Health Service National Institutes of Health, (1992),
[39.]
A.J. Woolcock.
Definitions and clinical classification.
pp. 27-32
[40.]
D. Jarvis, E. Lai, C. Luczynska, S. Chinn, P. Burney.
Prevalence of asthma and asthma like symptons in young adults living in three East Anglian towns.
Br J General Practice, 44 (1994), pp. 493-497
Copyright © 2004. Sociedade Portuguesa de Pneumologia/SPP
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