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A study published this week in the American Journal of
Respiratory and Critical Care Medicine talks about the different manifestations of asthma
depending on gender. During childhood, the disease is more prevalent
and more severe among males. After puberty things change the other way round,
and the condition becomes more common in girls.
Kelan Tantisira, M.D., M.P.H., of Brigham and Women's
Hospital told Reuters Health that "This is the first study to prospectively
examine the natural history of sex differences in asthma in this manner."
1,041 asthmatic children between 5 and 12 years old were
tested annually over a nine-year period. Each of them had undergone eight to
nine annual methacholine challenges. This is a substance which can trigger
asthma. When it came to the amount of methacholine it took to provoke airway
constriction, the girls’ reactivity did not change substantially over the
years. Boys’ reactivity on the other hand changed, as they became tolerant to
larger and larger doses of methacholine over the years, thus showing that their
disease had partially gone away.
"Persistence of airway responsiveness [AR] -- commonly
referred to as twitchy airways -- is a major reason why asthma in girls may
persist (or develop) past the onset of puberty," Dr. Kelan G. Tantisira
also told Reuters.
By the age 18, 14 percent of the girls made a little
progress regarding their tolerance, compared to 27 percent of the boys.
Jorrit Gerritson, M.D., Ph.D. wrote in an editorial: “It
will be of great interest to follow these children over time to see what
happens with AR and severity of asthma in adulthood.”
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