Factors associated with bronchial hyperresponsiveness in Australian adults and children

Eur Respir J. 1992 Sep;5(8):921-9.

Abstract

To accurately assess putative risk factors for bronchial hyperresponsiveness (BHR), we have used multivariate models to analyse data from 4,366 children living in four regions and from 878 adults. A standard protocol was used to measure bronchial responsiveness to histamine. The prevalence of BHR was high at 7-9 yrs (16-18%), decreased significantly at 11-14 yrs (7-8%), and then increased in adults (12-14%). Atopy was the most important risk factor for BHR at all ages. In children, parental asthma, early respiratory illness and being born in Australia also had a significant influence, and eating fish more than once a week had a protective effect. No effect of parental smoking, gender or race was found. In adults, BHR was associated with being female and with smoking history. It appears that many factors have a significant influence on the presence of BHR, with environmental factors, particularly atopy, birthplace and diet, being the most important.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Bronchial Hyperreactivity / epidemiology*
  • Bronchial Hyperreactivity / etiology
  • Child
  • Female
  • Humans
  • Hypersensitivity, Immediate / complications
  • Male
  • Middle Aged
  • Multivariate Analysis
  • New South Wales / epidemiology
  • Prevalence
  • Risk Factors
  • Sex Factors
  • Smoking / adverse effects
  • Western Australia / epidemiology