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  • Küçük Resim
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    Chronic airway diseases in adult life and childhood infections
    (Karger, 2008) Ekici, Mehmet; Ekici, Aydanur; Akin, Ahmet; Altinkaya, Volkan; Bulcun, Emel
    Background: Respiratory disorders in childhood may predispose to pulmonary disease in late adult life. Objectives: The aim of this study was to evaluate the relationship between their effects in adult life and the characteristics of the respiratory system in childhood. Methods: A total of 10,224 parents and grandparents of students from 14 randomly selected primary schools in the city center were asked to answer questionnaires given to their children. 9,853 of 10,224 persons (the overall response rate was 96.3%) were eligible for analysis. In the questionnaire subjects were asked about respiratory system-related symptoms and characteristics. Results: Chronic cough [14.3 vs. 4.7%, OR 3.4 (2.6 - 4.4), p < 0.001], chronic bronchitis [35.3 vs. 11.8%, OR 4.0 (3.4 - 4.8), p ! 0.001] and asthma [34.2 vs. 5.1%, OR 9.6 (8.0 - 11.5), p < 0.001] in the childhood respiratory infection group were more common than in the control group. Childhood respiratory infections were associated with an increased risk of asthma (OR 5.6, p < 0.001), chronic bronchitis (OR 2.3, p < 0.001) and chronic cough (OR 1.5, p < 0.001), after adjusting for possible confounding factors. In addition, the presence of dampness or visible mould, wall-to-wall carpets, pets at home and parents' smoking during childhood were associated with an increased risk of frequent childhood respiratory infections. Conclusion: These results indicated that frequent respiratory infections during childhood might play an important role in the occurrence of chronic airway diseases in adult life. The removing of risk factors for frequent childhood respiratory infections may reduce the subsequent risk of chronic airway disease in late adult life. Copyright (C) 2007 S. Karger AG, Basel.
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    Öğe
    EFFECT OF PSYCHOLOGICAL STATUS ON RESPIRATORY SYMPTOMS
    (Gazi Univ, Fac Med, 2005) Ekici, Aydanur; Oguzturk, Omer; Ekici, Mehmet; Kurtipek, Ercan; Akin, Ahmet; Arslan, Mesut; Kara, Turkan
    Objective: To investigate whether psychological status affects respiratory symptom reporting and objective measures of the respiratory system. Materials and Methods: This study was performed in 1090 male gun factory workers and in 420 women exposed to biomass. The subjects were questioned using a Respiratory questionnaire. Respiratory functions were measured by portable spirometer. Psychological status was measured by HAD scale. Groups with high HAD total scores and low HAD total scores were classified by the median value. Results: In males: Chronic cough (17.6% vs. 10.7% p=0.001), chronic phlegm (13.2% vs. 8.9%, p=0.02), and probable asthma (39.5% vs. 25.5%, p=0.0001) were significantly more frequent in the group with high HAD total scores than in the group with low HAD total scores but definite asthma was not (6.2% vs. 4.6%, p=0.2). In women: Chronic cough (34.8% vs. 23.5% p=0.009), chronic phlegm (23.9% vs. 15.4%, p=0.02), and probable asthma (53.5% vs. 35.3%, p=0.0001) were significantly more frequent in the group with high HAD total scores than in the group with low HAD total scores but definite asthma was not (7.0% vs. 9.0%, p=0.4). Conclusion: Psychological status might affect the frequency of symptom reporting in respiratory questionnaires. The questionnaires and psychological status indices should be interpreted simultaneously.
  • Küçük Resim
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    Risk factors and correlates of snoring and observed apnea
    (Elsevier Science Bv, 2008) Ekici, Mehmet; Ekici, Aydanur; Keles, Hatice; Akin, Ahmet; Karlidag, Ali; Tunckol, Muge; Kocyigit, Pinar
    Background and purpose: Risk factors and correlates of snoring and observed apnea in the population are not well known. This study aimed to assess risk factors and correlates of snoring and observed apnea. Methods: Parents and grandparents of students from 20 randomly selected primary schools in urban and rural areas of Kirikkale, Turkey were asked about respiratory diseases, psychological distress and sleep-related disorders, using the Respiratory Questionnaire, Hospital Anxiety and Depression (HAD) scale and Sleep Questionnaire, respectively, which were returned by their children. Results: Out of 13,225 parents and grandparents of primary school students 12,270 returned the questionnaires, for an overall response rate of 92.7%. Snoring and the observed apnea were more prevalent among subjects from rural than those from urban areas (52.6% vs. 46.6%, odds ratio (OR): 1.2, p < 0.001 and 16.2% vs. 10.1%, OR: 1.7, p < 0.001, respectively). Exposure to biomass smoke and smoking were associated with an increased risk of snoring and observed apnea, after adjusting for gender, age, body mass index, income and education in the multivariate linear model. In all subjects, increases in performance ability, daytime sleepiness, psychological distress and dyspnea scores observed in categories indicating increases in snoring intensity and observed apnea frequency constituted a trend but did always not reach statistical significance. Lastly, prevalence of traffic accidents, falling asleep at the wheel and morning headaches increased with the increments of snoring intensity and apnea frequency. Conclusions: Exposure to biomass smoke in rural areas may account for the higher prevalence of snoring and observed apnea. Snoring intensity and observed apnea frequency may increase prevalence of traffic accidents along with many unfavorable symptoms. (C) 2007 Elsevier B.V. All rights reserved.