Asthma and asthma symptom control in relation to incidence of lung cancer in the HUNT study
Abstract Large prospective studies on asthma, especially asthma symptom control, as a potential risk factor for lung cancer are limited. We followed up 62,791 cancer-free Norwegian adults from 1995–1997 to 2017. Self-reported doctor-diagnosed asthma was categorized into active and non-active asthma....
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2021
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oai:doaj.org-article:967a6ac5afeb487faffa41b1b45d56272021-12-02T13:34:32ZAsthma and asthma symptom control in relation to incidence of lung cancer in the HUNT study10.1038/s41598-021-84012-32045-2322https://doaj.org/article/967a6ac5afeb487faffa41b1b45d56272021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84012-3https://doaj.org/toc/2045-2322Abstract Large prospective studies on asthma, especially asthma symptom control, as a potential risk factor for lung cancer are limited. We followed up 62,791 cancer-free Norwegian adults from 1995–1997 to 2017. Self-reported doctor-diagnosed asthma was categorized into active and non-active asthma. Levels of asthma symptom control were classified into controlled and partially controlled (including partly controlled and uncontrolled) according to the Global Initiative for Asthma guidelines. Incident lung cancer cases were ascertained from the Cancer Registry of Norway. Cox regression models were used to estimate hazard ratios (HRs) with 95% confidence intervals (CIs) for possible associations. Totally, 984 participants developed lung cancer during a median follow-up of 21.1 years. After adjustment for smoking and other potential confounders, an increased incidence of lung cancer was found for adults with partially controlled asthma (HR 1.39, 95% CI 1.00–1.92) compared with those without asthma at baseline. Adults with active asthma had a tendency of increased lung cancer incidence (HR 1.29, 95% CI 0.95–1.75). Sensitivity analyses indicated that the observed associations were less likely resulted from reverse causation or residual confounding by smoking. Our findings suggested that proper control of asthma symptoms might contribute to a reduced incidence of lung cancer.Lin JiangYi-Qian SunArnulf LanghammerBen Michael BrumptonYue ChenTom IL NilsenLinda LeivsethSissel Gyrid Freim WahlXiao-Mei MaiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021) |
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Medicine R Science Q Lin Jiang Yi-Qian Sun Arnulf Langhammer Ben Michael Brumpton Yue Chen Tom IL Nilsen Linda Leivseth Sissel Gyrid Freim Wahl Xiao-Mei Mai Asthma and asthma symptom control in relation to incidence of lung cancer in the HUNT study |
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Abstract Large prospective studies on asthma, especially asthma symptom control, as a potential risk factor for lung cancer are limited. We followed up 62,791 cancer-free Norwegian adults from 1995–1997 to 2017. Self-reported doctor-diagnosed asthma was categorized into active and non-active asthma. Levels of asthma symptom control were classified into controlled and partially controlled (including partly controlled and uncontrolled) according to the Global Initiative for Asthma guidelines. Incident lung cancer cases were ascertained from the Cancer Registry of Norway. Cox regression models were used to estimate hazard ratios (HRs) with 95% confidence intervals (CIs) for possible associations. Totally, 984 participants developed lung cancer during a median follow-up of 21.1 years. After adjustment for smoking and other potential confounders, an increased incidence of lung cancer was found for adults with partially controlled asthma (HR 1.39, 95% CI 1.00–1.92) compared with those without asthma at baseline. Adults with active asthma had a tendency of increased lung cancer incidence (HR 1.29, 95% CI 0.95–1.75). Sensitivity analyses indicated that the observed associations were less likely resulted from reverse causation or residual confounding by smoking. Our findings suggested that proper control of asthma symptoms might contribute to a reduced incidence of lung cancer. |
format |
article |
author |
Lin Jiang Yi-Qian Sun Arnulf Langhammer Ben Michael Brumpton Yue Chen Tom IL Nilsen Linda Leivseth Sissel Gyrid Freim Wahl Xiao-Mei Mai |
author_facet |
Lin Jiang Yi-Qian Sun Arnulf Langhammer Ben Michael Brumpton Yue Chen Tom IL Nilsen Linda Leivseth Sissel Gyrid Freim Wahl Xiao-Mei Mai |
author_sort |
Lin Jiang |
title |
Asthma and asthma symptom control in relation to incidence of lung cancer in the HUNT study |
title_short |
Asthma and asthma symptom control in relation to incidence of lung cancer in the HUNT study |
title_full |
Asthma and asthma symptom control in relation to incidence of lung cancer in the HUNT study |
title_fullStr |
Asthma and asthma symptom control in relation to incidence of lung cancer in the HUNT study |
title_full_unstemmed |
Asthma and asthma symptom control in relation to incidence of lung cancer in the HUNT study |
title_sort |
asthma and asthma symptom control in relation to incidence of lung cancer in the hunt study |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/967a6ac5afeb487faffa41b1b45d5627 |
work_keys_str_mv |
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