Sundberg Rosita, Palmqvist Mona, Tunsäter Alf, Torén Kjell
Department of Respiratory Medicine and Allergology, Sahlgrenska University Hospital, S-413 45 Göteborg, Sweden.
Respir Med. 2009 Oct;103(10):1580-5. doi: 10.1016/j.rmed.2009.04.023. Epub 2009 May 28.
The aim was to study health-related quality of life, five years after an intervention study among young adults with asthma.
The design was a follow-up study of a cohort of young adults with asthma (n=64) and 248 general population controls. Both groups were investigated at follow-up with a respiratory questionnaire and one generic quality-of-life instrument, and the asthma cohort also completed one-asthma-specific questionnaire. The material was analyzed with multivariate models.
Female gender and low FEV1 at baseline predicted both a decline during follow-up and a low quality of life at follow-up. The asthma cohort and controls scored similarly regarding generic quality of life. However, in the asthma cohort, females scored significantly lower in the physical dimension of the generic instrument, especially in the domain of general health.
There is an association between low FEV1 and a decline in quality of life among young adults with asthma, i.e. low FEV1 predicts a decline in quality of life during a five-year period. Young females with asthma seem to have lower quality of life compared with young males with asthma.
目的是研究针对患有哮喘的年轻人进行干预研究五年后的健康相关生活质量。
该设计是对一组患有哮喘的年轻人(n = 64)和248名普通人群对照进行的随访研究。两组在随访时均通过呼吸问卷和一种通用生活质量工具进行调查,哮喘队列还完成了一份哮喘特异性问卷。使用多变量模型对材料进行分析。
基线时的女性性别和低FEV1预测了随访期间的下降以及随访时的低生活质量。在通用生活质量方面,哮喘队列和对照组得分相似。然而,在哮喘队列中,女性在通用工具的身体维度上得分显著较低,尤其是在总体健康领域。
低FEV1与患有哮喘的年轻人生活质量下降之间存在关联,即低FEV1预测了五年期间生活质量的下降。患有哮喘的年轻女性与患有哮喘的年轻男性相比,生活质量似乎较低。