J Korean Med Sci.  2011 Feb;26(2):201-206. 10.3346/jkms.2011.26.2.201.

Prevalence of Allergic Diseases and Risk Factors of Wheezing in Korean Military Personnel

Affiliations
  • 1Department of Internal Medicine, Armed Forces Capital Hospital, Seongnam, Korea.
  • 2Commander, Armed Forces Chunchun Hospital, Chunchun, Korea.
  • 3Department of Pulmonary and Critical Care Medicine, and Clinical Research Center for Chronic Obstructive Airway Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 4Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. seiwon@snubh.org

Abstract

The objective of this study was to evaluate the prevalence of asthma, allergic rhinitis, and atopic dermatitis, as well as the risk factors of wheezing among young adults in the Korean military. Young military conscripts in five areas completed a modified International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire. For subjects with current wheeze in one sample area, baseline spirometry and bronchodilator response were measured. For subjects without a significant response to bronchodilator (improvement in FEV1 of more than 200 mL and 12%), methacholine challenge tests (MCT) were also performed. Of 3,359 subjects that completed the questionnaire, 354 (10.5%) had current wheeze, 471 (14.0%) had current allergic rhinitis, and 326 (9.7%) had current eczema. Current wheeze was associated with family history of allergic disease, overweight, current smoking, allergic rhinitis, and atopic dermatitis. Of 36 subjects with current wheeze who underwent PFT with or without MCT in the Anyang area, 24 (66.7%) were confirmed to have current asthma. In conclusion, the prevalence of allergic disease in young adults of Korean military is not low, and the risk factors of wheezing include family history of allergic disease, overweight, current smoking, allergic rhinitis, and atopic dermatitis.

Keyword

Allergic Rhinitis; Asthma; Dermatitis, Atopic; Prevalence; Risk Factors; Respiratory Sounds

MeSH Terms

Adult
Asthma/*complications/epidemiology/*immunology
Bronchial Provocation Tests
Humans
Hypersensitivity/*epidemiology/*immunology
*Military Personnel
Prevalence
Questionnaires
Republic of Korea/epidemiology
Respiratory Function Tests
Respiratory Sounds/*etiology
Risk Factors
Young Adult

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Reference

1. Global strategy for asthma management and prevention: NHLIB/WHO workshop report. Global Initiative for Asthma (GINA), National Institutes of Health, National Heart, Lung and Blood Institute. accessed on 1 May 2010. Available at http://www.ginasthma.com Data last updated, 2009.
2. Lev-Tzion R, Friedman T, Shochat T, Gazala E, Wohl Y. Asthma and psychiatric disorders in male army recruits and soldiers. Isr Med Assoc J. 2007. 9:361–364.
3. Vizzaccaro A, Cirillo I, Tosca MA, Milanese M, Ciprandi G. Asthma in Italian conscripts: a four year study. Eur Ann Allergy Clin Immunol. 2003. 35:125–129.
4. Ciprandi G, Vizzaccaro A, Cirillo I, Tosca M, Passalacqua G, Canonica GW. Underdiagnosis and undertreatment of asthma: a 9-year study of Italian conscripts. Int Arch Allergy Immunol. 2001. 125:211–215.
5. Haahtela T, Lindholm H, Björkstén F, Koskenvuo K, Laitinen LA. Prevalence of asthma in Finnish young men. BMJ. 1990. 301:266–268.
6. Dubois P, Degrave E, Vandenplas O. Asthma and airway hyperresponsiveness among Belgian conscripts, 1978-91. Thorax. 1998. 53:101–105.
7. Spergel JM, Paller AS. Atopic dermatitis and the atopic march. J Allergy Clin Immunol. 2003. 112:6 Suppl. S118–S127.
8. Asher MI, Montefort S, Bjorksten B, Lai CK, Strachan DP, Weiland SK, Williams H. ISAAC Phase Three Study Group. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet. 2006. 368:733–743.
9. Lee MH, Hong SC, Kim SH, Bahn JW, Chang YS, Kim TB, Kim YK, Cho SH, Min KU, Kim YY. Prevalence of asthma and atopy in children living in rural areas of Cheju island for an interval of three years. J Asthma Allergy Clin Immunol. 2002. 22:85–91.
10. Son KY, Park KS, Hwang HH, Yun BS, Lee SJ, Kim MA, Park JY, Kim KE, Jang KC. Prevalence of allergic diseases among primary school children in Ilsan, Gyeonggi and Changes of symptoms after environmental control in 2005. Pediatr Allergy Respir Dis. 2007. 17:384–393.
11. Jee HM, Kim KW, Kim CS, Sohn MH, Shin DC, Kim KE. Prevalence of asthma, rhinitis and eczema in Korean children using the international study of asthma and allergies in childhood (ISAAC) questionnaires. Pediatr Allergy Respir Dis. 2009. 19:165–172.
12. Kim SH, Hong SC, Bae JM, Lee MH, Kim YK, Cho SH, Min KU, Kim YY. Distinct effect of sensitization of house dust mite and citrus red mite (Panonychus citri) in the development of allergic diseases in 16-18 year old adolescents living in rural areas of Jeju Island. J Asthma Allergy Clin Immunol. 2002. 22:92–99.
13. Kim BS, Kim HB, Lee SY, Kim JH, Jin HS, Kim BJ, Yu JH, Yoo SM, Hong SJ. Prevalence of allergic diseases in high school students in Korea. Korean J Asthma Allergy Clin Immunol. 2007. 27:168–175.
14. Kim SH, Lee JY, Son SW, Chang YS, Jung JW, Kim YK, Cho SH, Min KU, Kim YY. Prevalence of adult asthma based on questionnaires and methacholine bronchial provocation test in Seoul. J Asthma Allergy Clin Immunol. 2001. 21:618–627.
15. Kim YK, Kim SH, Tak YJ, Jee YK, Lee BJ, Park HW, Jung JW, Bahn JW, Chang YS, Choi DC, Chang SI, Min KU, Kim YY, Cho SH. High prevalence of current asthma and active smoking effect among the elderly. Clin Exp Allergy. 2002. 32:1706–1712.
16. Kim SH, Kim YK, Lee MH, Hong SC, Bae JM, Min KU, Kim YY, Cho SH. Relationship between sensitization to citrus red mite (Panonychus citri) and the prevalence of atopic diseases in adolescents living near citrus orchards. Clin Exp Allergy. 2002. 32:1054–1058.
17. Landrigan PJ, Trasande L, Thorpe LE, Gwynn C, Lioy PJ, D'Alton ME, Lipkind HS, Swanson J, Wadhwa PD, Clark EB, Rauh VA, Perera FP, Susser E. The National Children's Study: a 21-year prospective study of 100,000 American children. Pediatrics. 2006. 118:2173–2186.
18. Strachan DP, Butland BK, Anderson HR. Incidence and prognosis of asthma and wheezing illness from early childhood to age 33 in a national British cohort. BMJ. 1996. 312:1195–1199.
19. Buffum WP, Settipane GA. Prognosis of asthma in childhood. Am J Dis Child. 1966. 112:214–217.
20. Castro-Rodriguez JA, Holberg CJ, Wright AL, Martinez FD. A clinical index to define risk of asthma in young children with recurrent wheezing. Am J Respir Crit Care Med. 2000. 162:1403–1406.
21. Vázquez Nava F, Saldívar González AH, Martínez Perales G, Lin Ochoa D, Barrientos Gómez MC, Vázquez Rodríguez EM, Vázquez Rodríguez CF, Beltrán Guzmán FJ. Associations between family history of allergy, exposure to tobacco smoke, active smoking, obesity, and asthma in adolescents. Arch Bronconeumol. 2006. 42:621–626.
22. Sibbald B, Turner-Warwick M. Factors influencing the prevalence of asthma among first degree relatives of extrinsic and intrinsic asthmatics. Thorax. 1979. 34:332–337.
23. Horwood LJ, Fergusson DM, Shannon FT. Social and familial factors in the development of early childhood asthma. Pediatrics. 1985. 75:859–868.
24. Camargo CA Jr, Weiss ST, Zhang S, Willett WC, Speizer FE. Prospective study of body mass index, weight change, and risk of adult-onset asthma in women. Arch Intern Med. 1999. 159:2582–2588.
25. Nystad W, Meyer HE, Nafstad P, Tverdal A, Engeland A. Body mass index in relation to adult asthma among 135,000 Norwegian men and women. Am J Epidemiol. 2004. 160:969–976.
26. Young SY, Gunzenhauser JD, Malone KE, McTiernan A. Body mass index and asthma in the military population of the northwestern United States. Arch Intern Med. 2001. 161:1605–1611.
27. O'Connor GT, Sparrow D, Weiss ST. The role of allergy and nonspecific airway hyperresponsiveness in the pathogenesis of chronic obstructive pulmonary disease. Am Rev Respir Dis. 1989. 140:225–252.
28. US Department of Health and Human Services (USDHHS). The health effects of active smoking: a report of the Surgeon General. 2004. Washington, DC: US Government Printing Office.
29. US Department of Health and Human Services (USDHHS). [DHHS Publication Number 90-8416]. The health benefits of smoking cessation. A report of the Surgeon General. 1990. Washington, DC: U.S. Government Printing Office.
30. Miedinger D, Chhajed PN, Karli C, Lupi GA, Leuppi JD. Respiratory symptoms and smoking behaviour in Swiss conscripts. Swiss Med Wkly. 2006. 136:659–663.
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