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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Autores principales: Lin Jiang, Yi-Qian Sun, Arnulf Langhammer, Ben Michael Brumpton, Yue Chen, Tom IL Nilsen, Linda Leivseth, Sissel Gyrid Freim Wahl, Xiao-Mei Mai
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/967a6ac5afeb487faffa41b1b45d5627
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle 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
description 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
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