Cited by 294Asthma and respiratory diseasesRespiratory and Cough-Related ResearchPsychosomatic Disorders and Their Treatments

The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.

Prevalence of dysfunctional breathing in patients treated for asthma in primary care: cross sectional survey

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Abstract

Objectives: To estimate the prevalence of dysfunctional breathing in adults with asthma treated in the community. Design: Postal questionnaire survey using Nijmegen questionnaire. Setting: One general practice with 7033 patients. Participants: All adult patients aged 17-65 with diagnosed asthma who were receiving treatment. Main outcome measure: Score23 on Nijmegen questionnaire. Results: 227/307 patients returned completed questionnaires; 219 (71.3%) questionnaires were suitable for analysis. 63 participants scored 23. Those scoring 23 were more likely to be female than male (46/132 (35%) v 17/87 (20%), P=0.016) and were younger (mean (SD) age 44.8 (14.7) v 49.0 (13.8, (P=0.05). Patients at different treatment steps of the British Thoracic Society asthma guidelines were affected equally. Conclusions: About a third of women and a fifth of men had scores suggestive of dysfunctional breathing. Although further studies are needed to confirm the validity of this screening tool and these findings, these prevalences suggest scope for therapeutic intervention and may explain the anecdotal success of the Buteyko method of treating asthma. What is already known on this topic: Abnormal breathing patterns may cause characteristic symptoms and impair quality of life Effective interventions exist for dysfunctional breathing Dysfunctional breathing has been described in patients attending hospital respiratory clinics What this study adds: 29% of adults treated for asthma in primary care had symptoms suggestive of dysfunctional breathing Affected patients were more likely to be female and younger, but no differences were found with severity of asthma Some patients with asthma may benefit from breathing therapy

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  1. Lum LC .Symptoms and signs of hyperventilation.In: Timmons B Ley R eds.Behavioural and psychological approaches in breathing disorders. London: Plenum Press, 1994.
  2. van Dixhoorn, 1997, Hyperventilation and dysfunctional breathing, Biol Psychol, 46, 90
  3. Lum, 1983, Physiological considerations in the treatment of hyperventilation syndromes, J Drug Res, 8, 1867
  4. McClean, 1999, Use of the Nijmegen hyperventilation questionnaire and hyperventilation provocation test in a hospital asthma clinic, Am J Respir Crit Care Med, 159, A652
  5. Han, 1999, The complaints in patients with asthma are compounded by hyperventilation [abstract], Am J Respir Crit Care Med, 159, A788
  6. van Dixhoorn J .Ontspanningsinstructie, principes en oefeningen. Maarssen: Elsevier/Bunge,1998.
  7. Maskell, 1999, The value of an intensive physiotherapy course in patients with hyperventilation, Am J Respir Crit Care Med, 159, A832

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Metadata

Authors
Thomas, M., McKinley, R. K., Freeman, E., & Foy, C.
Affiliations
University of Leicester (GB)
Corresponding author
Thomas, Mike
Venue
BMJ
Publisher
BMJ
Published
2001-05-05
Volume
322
Issue
7294
Pages
1098-1100
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W2141907294
Cited by
294
References
31
Citations by year
2026: 9 · 2025: 10 · 2024: 10 · 2023: 19 · 2022: 7 · 2021: 8 · 2020: 7 · 2019: 10 · 2018: 8 · 2017: 10 · 2016: 13 · 2015: 8 · 2014: 16 · 2013: 14 · 2012: 18
FWCI
8.17
Type
journal article
Language
en
Open access
Locations
  • BMJ (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Figshare (submittedVersion, cc-by)
  • Leicester Research Archive (University of Leicester) (submittedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
Wellcome Trust (051187/Z/97/A)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory and Cough-Related Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
dysfunctional breathing, asthma, prevalence, Nijmegen questionnaire, primary care, breathing therapy, sex differences, age differences, asthma severity, quality of life
MeSH terms
Adolescent, Adult, Aged, Asthma, Cross-Sectional Studies, Diagnosis, Differential, Female, Humans, Hyperventilation, Male, Middle Aged, Primary Health Care, Surveys and Questionnaires, Syndrome, Age Distribution, Sex Distribution

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