An official american thoracic society statement: work-exacerbated asthma
Abstract
RATIONALE: Occupational exposures can contribute to the exacerbation as well as the onset of asthma. However, work-exacerbated asthma (WEA) has received less attention than occupational asthma (OA) that is caused by work. OBJECTIVES: The purpose of this Statement is to summarize current knowledge about the descriptive epidemiology, clinical characteristics, and management and treatment of WEA; propose a case definition for WEA; and discuss needs for prevention and research. METHODS: Information about WEA was identified primarily by systematic searches of the medical literature. Statements about prevention and research needs were reached by consensus. MEASUREMENTS AND MAIN RESULTS: WEA is defined as the worsening of asthma due to conditions at work. WEA is common, with a median prevalence of 21.5% among adults with asthma. Different types of agents or conditions at work may exacerbate asthma. WEA cases with persistent work-related symptoms can have clinical characteristics (level of severity, medication needs) and adverse socioeconomic outcomes (unemployment, reduction in income) similar to those of OA cases. Compared with adults with asthma unrelated to work, WEA cases report more days with symptoms, seek more medical care, and have a lower quality of life. WEA should be considered in any patient with asthma that is getting worse or who has work-related symptoms. Management of WEA should focus on reducing work exposures and optimizing standard medical management, with a change in jobs only if these measures are not successful. CONCLUSIONS: WEA is a common and underrecognized adverse outcome resulting from conditions at work. Additional research is needed to improve the understanding of the risk factors for, and mechanisms and outcomes of, WEA, and to inform and evaluate preventive interventions.
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Work-related exacerbations can occur frequently in 20-25% of working adults who have pre-existing asthma.
“To contrast, work-related exacerbations can occur frequently in 20–25% of working adults who have pre-existing asthma (147), although objective evidence of poorer asthma control is often difficult to demonstrate (140).”
From Epidemiology of Asthma in Children and Adults (2019) · cites this paper as [147]
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- Authors
- Henneberger, P. K., Redlich, C. A., Callahan, D. B., Harber, P., Lemière, C., Martin, J., Tarlo, S. M., Vandenplas, O., & Torén, K.
- ORCID
- Venue
- American Journal of Respiratory and Critical Care Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-08-01
- Volume
- 184
- Issue
- 3
- Pages
- 368-378
- ISSN
- 1073-449X (ISSN-L)
- 1535-4970
- OpenAlex
- W2142450330
- Cited by
- 272
- References
- 77
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 14 · 2023: 8 · 2022: 16 · 2021: 12 · 2020: 24 · 2019: 27 · 2018: 24 · 2017: 21 · 2016: 16 · 2015: 22 · 2014: 22 · 2013: 28 · 2012: 18
- FWCI
- 3.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Respiratory and Critical Care Medicine (publishedVersion)
- PubMed (publishedVersion)
- Digital Access to Libraries (Université catholique de Louvain (UCL), l'Université de Namur (UNamur) and the Université Saint-Louis (USL-B)) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
- Keywords
- work-exacerbated asthma, occupational asthma, asthma exacerbations, occupational exposure, case definition, prevalence, socioeconomic outcomes, unemployment, quality of life, asthma management, prevention
- MeSH terms
- Adult, Asthma, Humans, Occupational Diseases, Societies, Medical, United States, Occupational Exposure, Disease Progression
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.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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