Elderly and aged asthma have different characteristics: results of a multicenter study

Authors

EBRU DAMADOĞLUFollow
Özge Öztürk AKTAŞFollow
Bilun GEMİCİOĞLUFollow
Nafiye YILMAZFollow
Fulşen BOZKUŞFollow
Vehbi AYHANFollow
Ayşe Füsun KALPAKLIOĞLUFollow
Ferda Öner ERKEKOLFollow
Yavuz HAVLUCUFollow
Fuat ERELFollow
Ömür AYDINFollow
Aydanur EKİCİFollow
Ayşe BAÇÇIOĞLUFollow
Serap Argun BARIŞFollow
Gözde Köycü BUHARİFollow
Berrin CEYHANFollow
Özlem GÖKSELFollow
Mehmet KÖSEFollow
Adile Berna DURSUNFollow
Füsun YILDIZFollow
Arzu YORGANCIOĞLUFollow
Sacide Rana IŞIKFollow
Dane EDİGERFollow
İpek Kıvılcım OĞUZÜLGENFollow
Ahmet Uğur DEMİRFollow
Gül KARAKAYAFollow
Ali Fuat KALYONCUFollow

DOI

10.55730/1300-0144.5792

Abstract

Characteristics of asthma in the elderly population is not well-known. The aim of the present study was to evaluateasthma in the elderly population, to compare disease characteristics between patients diagnosed <60 (aged asthma) and ≥60 (elderlyasthma) years of age.Materials and methods: The study was a prospective, multicenter, cross-sectional type. A questionnaire was filled out to patients 60years of age and over, that have been followed for asthma for at least 3 months. Asthma Control Test (ACT), eight-item MoriskyMedication Adherence Scale (MMAS-8) was filled out, inhaler device technique was assessed.Results: A total of 399 patients were included from 17 tertiary care centers across the country. Mean age was 67.11 years and 331 (83%)were female. The age at asthma diagnosis was ≥60 in 146 (36.6%) patients. Patients diagnosed ≥60 years were older (p < 0.001), hadhigher education level (p < 0.001), more commonly had first-degree relative with asthma (p = 0.038), asthma related comorbidities(p = 0.009) and accompanying rhinitis/rhinosinusitis (p = 0.005), had better asthma control (p = 0.001), were using less controllermedications (p = 0.014). Inhaler technique was correct in 37% of the patients with no difference in between the groups. Treatmentcompliance was better in elderly asthma patients (p < 0.001). In the multivariate logistic regression analysis, having well-controlledasthma (odds ratio = 1.61, CI = 1.04–2.51), and high medication adherence rate (odds ratio = 2.43, CI = 1.48–4.0) were associated withbeing in the elderly asthma group.Conclusion: The characteristics of asthma are different among patients aged 60 years and over which seems to be related to onset age ofasthma. In our cohort, the elderly asthma patients had higher education level, and treatment adherence and asthma control was better.Patients diagnosed ≥60 years of age did not have more severe disease.

Keywords

Asthma, allergic asthma, allergic rhinitis, elderly, elderly asthma, rhinitis

First Page

309

Last Page

315

Recommended Citation

DAMADOĞLU, EBRU; AKTAŞ, Özge Öztürk; GEMİCİOĞLU, Bilun; YILMAZ, Nafiye; BOZKUŞ, Fulşen; AYHAN, Vehbi; KALPAKLIOĞLU, Ayşe Füsun; ERKEKOL, Ferda Öner; HAVLUCU, Yavuz; EREL, Fuat; AYDIN, Ömür; EKİCİ, Aydanur; BAÇÇIOĞLU, Ayşe; BARIŞ, Serap Argun; BUHARİ, Gözde Köycü; CEYHAN, Berrin; GÖKSEL, Özlem; KÖSE, Mehmet; DURSUN, Adile Berna; YILDIZ, Füsun; YORGANCIOĞLU, Arzu; IŞIK, Sacide Rana; EDİGER, Dane; OĞUZÜLGEN, İpek Kıvılcım; DEMİR, Ahmet Uğur; KARAKAYA, Gül; and KALYONCU, Ali Fuat (2024) "Elderly and aged asthma have different characteristics: results of a multicenter study," Turkish Journal of Medical Sciences: Vol. 54: No. 1, Article 34. https://doi.org/10.55730/1300-0144.5792
Available at: https://journals.tubitak.gov.tr/medical/vol54/iss1/34