Sep
01
2003

Asthma And Wheezing Influenced By Family Lifestyle (Swedish Study)

A new study from Sweden was published by Dr. Magnus Wickman and colleagues,from the Karolinska Hospital in Stockholm, in the medical journal Allergy 2003;58:730-731,742-747. The authors of this study were analyzing data of a prospective birth cohort study of 4089 children who were born in Sweden between 1994 and 1996.

The families were given health questionaires at the age of 2 months to assess whether the family was adhering to the allergy prevention guidelines (see below). Questionaires were again given at the age of 1 year and 2 years of these children. Specific questions were asked regarding environmental conditions in the house where the children lived. In the mid 1990’s allergy prevention guidelines were strongly recommended to the public in Sweden regarding the value of breast feeding, the avoidance of smoking inside the house in the presence of children, also that a house should be kept well ventilated and without dampness. All of these factors, as was stressed by the allergists in Sweden who organized the campaign, would protect the immune system from allergies against molds, dust mites as well as cigarette smoke and should reduce the rates of asthma.
Here are the results in tabular form.

Asthma And Wheezing Influenced By Family Lifestyle (Swedish Study)

Asthma And Wheezing Influenced By Family Lifestyle (Swedish Study)

As can be seen from this table, which is based on families without allergic parents, a two-fold drop of asthma and wheezing occured when the allergy prevention guidelines were followed in the house. With allergic parents the children had an even greater benefit as the reduction of asthma and wheezing was three-fold when compared to controls who did not follow the guidelines. This is one of the few studies, which shows conclusively that allergy prevention works!

Link to asthma chapter of Dr. Schilling’s Net Health Book: http://nethealthbook.com/lung-disease/asthma-introduction/

Swedish Family Lifestyle Study
Agreement with
allergy guidelines
% of asthma and wheezing at ages 1 and 2 of child:
1
year
2
years
Yes (all three measures followed) 6.8% 12.6%
No (one or none of measures followed) 17.9% 24.1%

Last edited October 26, 2014

Mar
01
2003

The New Hot Asthma Treatment: Bronchial Thermoplasty

There is a new concept in the treatment of asthma, a mechanical solution rather than the familiar pharmacological solution. As is outlined in the lung disease chapter of my nethealthbook.com, the treatment of asthma is usually a combination of inhaled and oral medications that have as a target the smooth muscular envelope of the bronchial tubes, which is depicted in this link. In addition to the spasm of the bronchial tubes some anti-inflammatory steroid inhalers are also needed to control the swelling of the lining of the bronchial tubes, which can obstruct the air flow from inside.

Dr. John Miller has done research with the Alair catheter system at Broncus Technologies Inc. in Mountain View, CA (San Francisco Bay Area). Dr. Miller helped to develop this bronchoscopic instrument with a concealed expandable wire basket that can be heated. In cooperation with Dr. Gerard Cox from the Respiratory Division of McMaster University in Hamilton/Ontario/Canada they tested this procedure on a small group of 14 mild to moderately severe asthma patients. The procedure consisted of a 30 minute bronchoscopy during which several heat cuts were made through the muscle layer of the bronchial tubes using this instrument (the heat used is only as hot as a cup of coffee). The smooth muscle layer of the bronchial tubes remains relaxed after this. A total of four such treatments were given, 3 weeks apart. The result was surprising in that the breathing performance doubled, which would have been considered to be a good drug effect, if this result had been achieved with the help of medication. However, this effect is permanent and medication can still be used on top of this, if necessary.

The New Hot Asthma Treatment Is Bronchial Thermoplasty

The New Hot Asthma Treatment Is Bronchial Thermoplasty

The researchers will now start a larger multinational trial including a total of 110 moderate to severe asthma patients from Canada, England and Scotland, Germany and Denmark. Results of this study are expected to be published in 2004. (Based on The Medical Post, Feb.11, 2003, page 37).

Last edited December 10, 2012