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The association of asthma and its subgroups with osteoporosis: a cross-sectional study using KoGES HEXA data

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Authors
Wee, Jee Hye; Min, Chanyang; Park, Min Woo; Byun, Soo Hwan; Lee, Hyo-Jeong; Park, Bumjung; Choi, Hyo Geun
Issue Date
2020-09-25
Publisher
BMC
Citation
Allergy, Asthma & Clinical Immunology. 2020 Sep 25;16(1):84
Keywords
AsthmaOsteoporosisChronic diseaseEpidemiology
Abstract
Background
A few studies have reported the association between asthma and osteoporosis. We aimed to analyze the association of asthma and its subgroups with osteoporosis in the Korean adult population.

Methods
We used the health examinee (HEXA) data from the Korean Genome and Epidemiology Study (KoGES) obtained between 2004 and 2016. We included 162,579 participants (n = 3,160 with asthma; n = 159,419 controls) who reported their previous histories of asthma and osteoporosis. The participants were categorized into 3 groups based on asthma management: participants who did not need further treatment due to controlled symptoms (well controlled); participants with ongoing treatment (being treated); participants who were not treated even though they had symptoms (not being treated). Multiple logistic regression analyses were used to calculate the adjusted odds ratios (aORs) with 95% confidence intervals (CIs) for osteoporosis. Subgroup analyses for age and sex were conducted.

Results
The prevalence of osteoporosis was higher in patients with asthma (13.6%) than in controls (6.8%). In the full-adjusted model, the aORs for osteoporosis were 1.74 (95% CI 1.55–1.94, P < 0.001) in patients with asthma compared to controls. There were consistent findings across the age and sex subgroups. The aORs for osteoporosis were 1.43 (95% CI 1.10–1.86, P = 0.008) in the well-controlled asthma group; 1.55 (95% CI 1.28–1.89, P < 0.001) in the being treated asthma group; and 1.96 (95% CI 1.66–2.31, P < 0.001) in the not being treated asthma group compared to the control group.

Conclusion
Asthma was associated with osteoporosis in the Korean adult population. Patients with asthma not being treated showed the highest ORs for osteoporosis.
ISSN
1710-1492
Language
English
URI
http://hdl.handle.net/10371/171072
DOI
doi.org/10.1186/s13223-020-00482-6
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Graduate School of Public Health (보건대학원)Dept. of Public Health (보건학과)Journal Papers (저널논문_보건학과)
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