학술논문
Profiling Persistent Asthma Phenotypes in Adolescents: A Longitudinal Diagnostic Evaluation from the INSPIRERS Studies
Document Type
Author
Amaral, Rita; Jacome, Cristina; Almeida, Rute; Pereira, Ana Margarida; Alves-Correia, Magna; Mendes, Sandra; Rodrigues, Jose Carlos Cidrais; Carvalho, Joana; Araujo, Luis; Costa, Alberto; Silva, Armandina; Teixeira, Maria Fernanda; Ferreira-Magalhaes, Manuel; Alves, Rodrigo Rodrigues; Moreira, Ana Sofia; Fernandes, Ricardo M.; Ferreira, Rosario; Pinto, Paula Leiria; Neuparth, Nuno; Bordalo, Diana; Bom, Ana Todo; Calix, Maria Jose; Ferreira, Tania; Gomes, Joana; Vidal, Carmen; Mendes, Ana; Vasconcelos, Maria Joao; Silva, Pedro Morais; Ferraz, Jose; Morete, Ana; Pinto, Claudia Sofia; Santos, Natacha; Loureiro, Claudia Chaves; Arrobas, Ana; Marques, Maria Luis; Lozoya, Carlos; Lopes, Cristina; Cardia, Francisca; Loureiro, Carla Chaves; Camara, Raquel; Vieira, Ines; da Silva, Sofia; Silva, Eurico; Rodrigues, Natalina; Fonseca, Joao A.
Source
International Journal of Environmental Research and Public Health. 18(3)
Subject
Language
English
ISSN
1661-7827
Abstract
We aimed to identify persistent asthma phenotypes among adolescents and to evaluate longitudinally asthma-related outcomes across phenotypes. Adolescents (13-17 years) from the prospective, observational, and multicenter INSPIRERS studies, conducted in Portugal and Spain, were included (n = 162). Latent class analysis was applied to demographic, environmental, and clinical variables, collected at a baseline medical visit. Longitudinal differences in clinical variables were assessed at a 4-month follow-up telephone contact (n = 128). Three classes/phenotypes of persistent asthma were identified. Adolescents in class 1 (n = 87) were highly symptomatic at baseline and presented the highest number of unscheduled healthcare visits per month and exacerbations per month, both at baseline and follow-up. Class 2 (n = 32) was characterized by female predominance, more frequent obesity, and uncontrolled upper/lower airways symptoms at baseline. At follow-up, there was a significant increase in the proportion of controlled lower airway symptoms (p < 0.001). Class 3 (n = 43) included mostly males with controlled lower airways symptoms; at follow-up, while keeping symptom control, there was a significant increase in exacerbations/month (p = 0.015). We have identified distinct phenotypes of persistent asthma in adolescents with different patterns in longitudinal asthma-related outcomes, supporting the importance of profiling asthma phenotypes in predicting disease outcomes that might inform targeted interventions and reduce future risk.