Impact of imposed social isolation and use of face masks on asthma course and mental health in pediatric and adult patients with recurrent wheeze and asthma.

Asthma COVID-19 Facemasks Health care utilization Psychological health Side effects

Journal

Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology
ISSN: 1710-1484
Titre abrégé: Allergy Asthma Clin Immunol
Pays: England
ID NLM: 101244313

Informations de publication

Date de publication:
16 Sep 2021
Historique:
received: 21 01 2021
accepted: 27 08 2021
entrez: 17 9 2021
pubmed: 18 9 2021
medline: 18 9 2021
Statut: epublish

Résumé

There is currently a dramatic increase in the number of COVID-19 cases worldwide, and further drastic restrictions in our daily life will be necessary to contain this pandemic. The implications of restrictive measures like social-distancing and mouth-nose protection on patients with chronic respiratory diseases have hardly been investigated. Our survey, was conducted within the All Age Asthma Cohort (ALLIANCE), a multicenter longitudinal observational study. We assessed the effects of COVID-19 imposed social isolation and use of facial masks, on asthma course and mental health in patients with asthma and wheezing. We observed a high rate of problems associated with using facemasks and a significant reduction in the use of routine medical care. In addition to unsettling impacts, such as an increase in depression symptoms in adults, an astonishing and pleasing effect was striking: preschool children experienced an improvement in disease condition during the lockdown. This improvement can be attributed to a significant reduction in exposure to viral infections. Long-term observation of this side effect may help improve our understanding of the influence of viral infections on asthma in early childhood.

Sections du résumé

BACKGROUND BACKGROUND
There is currently a dramatic increase in the number of COVID-19 cases worldwide, and further drastic restrictions in our daily life will be necessary to contain this pandemic. The implications of restrictive measures like social-distancing and mouth-nose protection on patients with chronic respiratory diseases have hardly been investigated.
METHODS METHODS
Our survey, was conducted within the All Age Asthma Cohort (ALLIANCE), a multicenter longitudinal observational study. We assessed the effects of COVID-19 imposed social isolation and use of facial masks, on asthma course and mental health in patients with asthma and wheezing.
RESULTS RESULTS
We observed a high rate of problems associated with using facemasks and a significant reduction in the use of routine medical care. In addition to unsettling impacts, such as an increase in depression symptoms in adults, an astonishing and pleasing effect was striking: preschool children experienced an improvement in disease condition during the lockdown. This improvement can be attributed to a significant reduction in exposure to viral infections.
CONCLUSION CONCLUSIONS
Long-term observation of this side effect may help improve our understanding of the influence of viral infections on asthma in early childhood.

Identifiants

DOI: 10.1186/s13223-021-00592-9 PMID: 34530911 PMC: PMC8444172
pubmed: 34530911
doi: 10.1186/s13223-021-00592-9
pii: 10.1186/s13223-021-00592-9
pmc: PMC8444172
doi:

Types de publication

Letter

Langues

eng

Pagination

93

Investigateurs

Oliver Fuchs (O)
Barbara Roesler (B)
Nils Welchering (N)
Naschla Kohistani-Greif (N)
Johanna Kurz (J)
Katja Landgraf-Rauf (K)
Kristina Laubhahn (K)
Nicole Maison (N)
Bianca Schaub (B)
Markus Ege (M)
Erika von Mutius (E)
Sabina Illi (S)
Jimmy Omony (J)
Alexander Hose (A)
Esther Zeitlmann (E)
Mira Berbig (M)
Carola Marzi (C)
Christina Schauberger (C)
Isabell Ricklefs (I)
Gesa Diekmann (G)
Lena Liboschik (L)
Gesche Voigt (G)
Laila Sultansei (L)
Markus Weckmann (M)
Matthias V Kopp (MV)
Gyde Nissen (G)
Inke R König (IR)
Dominik Thiele (D)
Thomas Bahmer (T)
Anne-Marie Kirsten (AM)
Frauke Pedersen (F)
Henrik Watz (H)
Benjamin Waschki (B)
Klaus F Rabe (KF)
Christian Herzmann (C)
Lukas Hundack (L)
Annika Opitz (A)
Karoline I Gaede (KI)
Xenia Bovermann (X)
Alena Steinmetz (A)
Vera Veith (V)
Folke Brinkmann (F)
Anna-Maria Dittrich (AM)
Christine Happle (C)
Ruth Grychtol (R)
Aydin Malik (A)
Nicolaus Schwerk (N)
Christian Dopfer (C)
Mareike Price (M)
Gesine Hansen (G)
Adan Chari Jirmo (AC)
Anika Habener (A)
David S DeLuca (DS)
Wilfried Nikolaizik (W)
Michael Zemlin (M)
Svenja Foth (S)
Annemiek Leson (A)
Anna Werlein (A)
Nele Maier (N)
Chrysanthi Skevaki (C)
Harald Renz (H)
Tom Schildberg (T)
Ernst Rietschel (E)
Silke van Koningsbruggen-Rietschel (S)

Informations de copyright

© 2021. The Author(s).

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Auteurs

Nicole Maison (N)

Department of Paediatric Allergology, Dr Von Hauner Children's Hospital, Ludwig Maximilians University, Munich, Germany. Nicole.maison@med.uni-muechen.de.
Comprehensive Pneumology Center, Munich (CPC-M), Munich, Germany. Nicole.maison@med.uni-muechen.de.
German Center for Lung Research (DZL), Munich, Germany. Nicole.maison@med.uni-muechen.de.
Institut Für Asthma- Und Allergieprävention (IAP), Helmholtz Zentrum Munich, Deutsches Forschungszentrum Für Gesundheit Und Umwelt (GmbH), Munich, Germany. Nicole.maison@med.uni-muechen.de.
ORCID: 0000-0002-8731-4218

Heidrun Herbrüggen (H)

German Center for Lung Research (DZL), Munich, Germany.
LungenClinic Grosshansdorf GmbH, Grosshansdorf, Germany.
Airway Research Center North (ARCN), Grosshansdorf, Germany.

Bianca Schaub (B)

Department of Paediatric Allergology, Dr Von Hauner Children's Hospital, Ludwig Maximilians University, Munich, Germany.
Comprehensive Pneumology Center, Munich (CPC-M), Munich, Germany.
German Center for Lung Research (DZL), Munich, Germany.

Christina Schauberger (C)

Department of Paediatric Allergology, Dr Von Hauner Children's Hospital, Ludwig Maximilians University, Munich, Germany.
Comprehensive Pneumology Center, Munich (CPC-M), Munich, Germany.
German Center for Lung Research (DZL), Munich, Germany.

Svenja Foth (S)

German Center for Lung Research (DZL), Munich, Germany.
University Children's Hospital Marburg, University of Marburg, Marburg, Germany.
University of Giessen Marburg Lung Center (UGMLC), Giessen, Germany.

Ruth Grychtol (R)

German Center for Lung Research (DZL), Munich, Germany.
Department of Paediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.
Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Hannover, Germany.

Mustafa Abdo (M)

German Center for Lung Research (DZL), Munich, Germany.
LungenClinic Grosshansdorf GmbH, Grosshansdorf, Germany.
Airway Research Center North (ARCN), Grosshansdorf, Germany.

Henrik Watz (H)

German Center for Lung Research (DZL), Munich, Germany.
Airway Research Center North (ARCN), Grosshansdorf, Germany.
Pulmonary Research Institute at LungenClinic Grosshansdorf, Grosshansdorf, Germany.

Wilfried Nikolaizik (W)

German Center for Lung Research (DZL), Munich, Germany.
University Children's Hospital Marburg, University of Marburg, Marburg, Germany.
University of Giessen Marburg Lung Center (UGMLC), Giessen, Germany.

Klaus F Rabe (KF)

German Center for Lung Research (DZL), Munich, Germany.
LungenClinic Grosshansdorf GmbH, Grosshansdorf, Germany.
Airway Research Center North (ARCN), Grosshansdorf, Germany.

Matthias V Kopp (MV)

German Center for Lung Research (DZL), Munich, Germany.
Airway Research Center North (ARCN), Grosshansdorf, Germany.
Institute for Medical Biometry and Statistics, University Luebeck, University Medical Centre Schleswig-Holstein, Campus, Luebeck, Germany.

Gesine Hansen (G)

German Center for Lung Research (DZL), Munich, Germany.
Department of Paediatric Pneumology, Allergology and Neonatology, Hannover Medical School, Hannover, Germany.
Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Hannover, Germany.

Erika von Mutius (E)

Department of Paediatric Allergology, Dr Von Hauner Children's Hospital, Ludwig Maximilians University, Munich, Germany.
Comprehensive Pneumology Center, Munich (CPC-M), Munich, Germany.
German Center for Lung Research (DZL), Munich, Germany.
Institut Für Asthma- Und Allergieprävention (IAP), Helmholtz Zentrum Munich, Deutsches Forschungszentrum Für Gesundheit Und Umwelt (GmbH), Munich, Germany.

Thomas Bahmer (T)

German Center for Lung Research (DZL), Munich, Germany.
LungenClinic Grosshansdorf GmbH, Grosshansdorf, Germany.
Airway Research Center North (ARCN), Grosshansdorf, Germany.
Internal Medicine Department I, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.

Jimmy Omony (J)

Institut Für Asthma- Und Allergieprävention (IAP), Helmholtz Zentrum Munich, Deutsches Forschungszentrum Für Gesundheit Und Umwelt (GmbH), Munich, Germany.

Classifications MeSH