Journal List > Allergy Asthma Respir Dis > v.6(3) > 1095176

Lee: The association between smoking and asthma

Abstract

Epidemiological evidence for the association between active cigarette smoking and asthma is not available. In this review, we aimed to summarize previous studies and gave some information on the association between asthma and smoking to researchers. To date, smoking is thought to be associated with asthma exacerbation, but the relationship between smoking and asthma development is still unclear. In the aspect of lung function, smoking results in a faster reduction in asthmatics and parental smoking causes a decrease in neonatal lung function.

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Table 1.
Adverse effects of cigarette smoking on asthma
Adverse effects of smoking on asthmas Details of adverse effects
Increased prevalence of asthma ∙ Higher prevalence of asthma particularly among female smokers compared to female nonsmokers; the interaction between smoking and sex is particularly evident among heavier smokers compared to lighter smokers or nonsmokers
  ∙ Smoking is highly predictive of the development of new onset asthma in allergic adults with a clear dose-response effect of smoking exposure
Greater asthma severity ∙ Asthmatic smokers are at risk of developing more severe symptoms, higher frequency of exacerbations, and worse asthma-specific quality of life
  ∙ A relationship between smoking and poor asthma control has been reported in population-based surveys25-29 and in controlled studies
  ∙ Smoking status and smoking duration are also related to poor asthma control in a dose-dependent fashion
Decline in lung function ∙ The rate of decline in lung function is accelerated in smokers with asthma compared with nonsmokers with asthma
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