Many asthmatic patients may have abnormal breathing patterns

May 03, 2001

Prevalence of dysfunctional breathing in patients treated for asthma in primary care: cross sectional survey

Editorial: Dysfunctional breathing and asthma

Large numbers of asthmatic patients may have abnormal breathing patterns, finds a study in this week's BMJ, suggesting an important unrecognised diagnostic overlap between asthma and dysfunctional breathing.

All adults receiving treatment for asthma in one general practice were surveyed to assess symptoms associated with abnormal breathing. About a third of women and a fifth of men had symptoms suggestive of dysfunctional breathing. The problem affected patients at all levels of asthma treatment but particularly women and younger adults.

Further studies are needed to confirm these findings, say the authors. However, if dysfunctional breathing is as common as our data show, facilities for breathing retraining need to be available as part of the overall management of asthmatic patients.

In an accompanying editorial, Duncan Keeley and Liesl Osman write: "we do not believe that nearly a third of patients in general practice with a diagnosis of asthma have been wrongly diagnosed." They acknowledge the overlap between the symptoms of asthma and anxiety with dysfunctional breathing, but stress that careful history taking, examination, and physiological measurements - together with sympathetic explanation and reassurance - can help to avoid misdiagnosis.
-end-
Contacts:

[Paper]: Mike Thomas, General Practitioner, Surgery, Minchinhampton, Stroud, Gloucestershire, UK Email: mikethomas@doctors.org.uk

[Editorial]: Duncan Keeley, General Practitioner, Health Centre Thame, Oxfordshire, UK Email: yc23@dial.pipex.com

BMJ

Related Asthma Articles from Brightsurf:

Breastfeeding and risks of allergies and asthma
In an Acta Paediatrica study, exclusive breastfeeding for the first 3 months was linked with a lower risk of respiratory allergies and asthma when children reached 6 years of age.

Researchers make asthma breakthrough
Researchers from Trinity College Dublin have made a breakthrough that may eventually lead to improved therapeutic options for people living with asthma.

Physics vs. asthma
A research team from the MIPT Center for Molecular Mechanisms of Aging and Age-Related Diseases has collaborated with colleagues from the U.S., Canada, France, and Germany to determine the spatial structure of the CysLT1 receptor.

New knowledge on the development of asthma
Researchers at Karolinska Institutet in Sweden have studied which genes are expressed in overactive immune cells in mice with asthma-like inflammation of the airways.

Eating fish may help prevent asthma
A scientist from James Cook University in Australia says an innovative study has revealed new evidence that eating fish can help prevent asthma.

Academic performance of urban children with asthma worse than peers without asthma
A new study published in Annals of Allergy, Asthma and Immunology shows urban children with poorly controlled asthma, particularly those who are ethnic minorities, also suffer academically.

Asthma Controller Step Down Yardstick -- treatment guidance for when asthma improves
The focus for asthma treatment is often stepping up treatment, but clinicians need to know how to step down therapy when symptoms improve.

Asthma management tools improve asthma control and reduce hospital visits
A set of comprehensive asthma management tools helps decrease asthma-related visits to the emergency department, urgent care or hospital and improves patients' asthma control.

Asthma linked to infertility but not among women taking regular asthma preventers
Women with asthma who only use short-acting asthma relievers take longer to become pregnant than other women, according to research published in the European Respiratory Journal.

What are the best ways to diagnose and manage asthma?
A team of experts from The University of Texas Medical Branch at Galveston examined the current information available from many different sources on diagnosing and managing mild to moderate asthma in adults and summarized them.

Read More: Asthma News and Asthma Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.