Asthma control and activity limitations: insights from the real-world evaluation of asthma control and treatment (REACT) study
Abstract
Background Uncontrolled asthma remains prevalent in the United States and confers a substantial burden on the health care system.Objectives To evaluate the association between uncontrolled asthma and activity limitations in a nationally representative sample of patients with moderate-to-severe-treated asthma and to assess the degree to which demographics and comorbidities were associated with activity limitations.Methods Patients who participated in the Real-world Evaluation of Asthma Control and Treatment study were surveyed regarding type and degree of activity limitations in 4 categories: outdoor activity, physical activity, daily activity, and environmental triggers. Information about asthma control, demographics, and comorbidities was collected. Multivariable regression was used to assess the association between uncontrolled asthma and activity limitations while adjusting for demographic characteristics and comorbid conditions.Results Uncontrolled asthma was associated with a greater than 2-fold risk of outdoor (odds ratio [OR], 2.58; 95% confidence interval [CI], 1.90-3.51) or physical (OR, 2.62; 95% CI, 1.90-3.61) activity limitations and a 66% increased risk of daily activity limitations (OR, 1.66; 95% CI, 1.09-2.51). Comorbidities associated with activity limitation included hives, chronic sinusitis, arthritis, gastroesophageal reflux disease, hypercholesterolemia, and depression. The observed associations between uncontrolled asthma and activity limitation remained significant after controlling for demographic characteristics and comorbid conditions.Conclusions Compared with patients with controlled asthma, those with uncontrolled asthma are at higher risk for limitations in outdoor activity, physical activity, and daily activity. To help patients achieve optimal health, asthma management should include routine assessment of activity limitations and assessment and coordinated care for comorbid conditions.
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Asthma patients are commonly encouraged to avoid triggers, but symptom overlap between asthma and anxiety may cause excessive avoidance, leading to impaired daily functioning and for some work disability and unemployment.
“asthma patients are commonly encouraged to avoid triggers for asthma, however the symptom overlap between asthma and anxiety may cause excessive avoidance, leading to impaired daily functioning (Haselkorn et al., 2010), and for some even to work disability and unemployment (Karvala et al., 2018).”
From Targeting excessive avoidance behavior to reduce anxiety related to asthma: A feasibility study of an exposure-based treatment delivered online (2021) · cites this paper as Haselkorn et al., 2010
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“…asthma patients are commonly encouraged to avoid triggers for asthma, however the symptom overlap between asthma and anxiety may cause excessive avoidance, leading to impaired daily functioning (Haselkorn et al., 2010), and for some even to work disability and unemployment (Karvala et al., 2018).”
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- Authors
- Haselkorn, T., Chen, H., Miller, D. P., Fish, J. E., Peters, S. P., Weiss, S. T., & Jones, C. A.
- Affiliations
- Genentech (US)
- University of California, San Francisco (US)
- Wake Forest University Health Sciences (US)
- Brigham and Women's Hospital (US)
- Vermont Department of Health (US)
- Corresponding author
- Haselkorn, Tmirah
- Venue
- Annals of Allergy, Asthma & Immunology
- Publisher
- Elsevier BV
- Published
- 2010-06
- Volume
- 104
- Issue
- 6
- Pages
- 471-477
- ISSN
- 1081-1206 (ISSN-L)
- OpenAlex
- W2065707788
- Cited by
- 65
- References
- 35
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 4 · 2022: 7 · 2021: 6 · 2020: 4 · 2019: 2 · 2018: 5 · 2016: 7 · 2014: 4 · 2013: 6 · 2012: 8
- FWCI
- 4.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Allergy Asthma & Immunology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (K23HL086585)
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Keywords
- uncontrolled asthma, asthma control, activity limitation, physical activity, outdoor activities, daily activities, environmental triggers, comorbidities, hives, chronic rhinosinusitis, arthritis, gastroesophageal reflux disease, hypercholesterolemia, depression, moderate-to-severe asthma, asthma management
- MeSH terms
- Adolescent, Adult, Aged, Asthma, Female, Humans, Male, Middle Aged, Motor Activity, Multivariate Analysis, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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