Association between severe asthma and changes in the stomatognathic system

ABSTRACT Objective: To describe orofacial muscle function in patients with severe asthma. Methods: This was a descriptive study comparing patients with severe controlled asthma (SCA) and severe uncontrolled asthma (SUA). We selected 160 patients, who completed a sociodemographic questionnaire and...

Full description

Bibliographic Details
Main Authors: Mayra Carvalho-Oliveira, Cristina Salles, Regina Terse, Argemiro D'Oliveira Júnior
Format: Article
Language:English
Published: Sociedade Brasileira de Pneumologia e Tisiologia
Series:Jornal Brasileiro de Pneumologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132016000600423&lng=en&tlng=en
_version_ 1811269246616862720
author Mayra Carvalho-Oliveira
Cristina Salles
Regina Terse
Argemiro D'Oliveira Júnior
author_facet Mayra Carvalho-Oliveira
Cristina Salles
Regina Terse
Argemiro D'Oliveira Júnior
author_sort Mayra Carvalho-Oliveira
collection DOAJ
description ABSTRACT Objective: To describe orofacial muscle function in patients with severe asthma. Methods: This was a descriptive study comparing patients with severe controlled asthma (SCA) and severe uncontrolled asthma (SUA). We selected 160 patients, who completed a sociodemographic questionnaire and the 6-item Asthma Control Questionnaire (ACQ-6), as well as undergoing evaluation of orofacial muscle function. Results: Of the 160 patients evaluated, 126 (78.8%) and 34 (21.2%) presented with SCA and SUA, respectively, as defined by the Global Initiative for Asthma criteria. Regardless of the level of asthma control, the most frequent changes found after evaluation of muscle function were difficulty in chewing, oronasal breathing pattern, below-average or poor dental arch condition, and difficulty in swallowing. When the sample was stratified by FEV1 (% of predicted), was significantly higher proportions of SUA group patients, compared with SCA group patients, showed habitual open-mouth chewing (24.8% vs. 7.7%; p < 0.02), difficulty in swallowing water (33.7% vs. 17.3%; p < 0.04), and voice problems (81.2% vs. 51.9%; p < 0.01). When the sample was stratified by ACQ-6 score, the proportion of patients showing difficulty in swallowing bread was significantly higher in the SUA group than in the SCA group (66.6% vs. 26.6%; p < 0.01). Conclusions: The prevalence of changes in the stomatognathic system appears to be high among adults with severe asthma, regardless of the level of asthma control. We found that some such changes were significantly more common in patients with SUA than in those with SCA.
first_indexed 2024-04-12T21:37:29Z
format Article
id doaj.art-15464a15b8c442aca360fce1431f8b45
institution Directory Open Access Journal
issn 1806-3756
language English
last_indexed 2024-04-12T21:37:29Z
publisher Sociedade Brasileira de Pneumologia e Tisiologia
record_format Article
series Jornal Brasileiro de Pneumologia
spelling doaj.art-15464a15b8c442aca360fce1431f8b452022-12-22T03:15:51ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-375642642342810.1590/s1806-37562015000600006S1806-37132016000600423Association between severe asthma and changes in the stomatognathic systemMayra Carvalho-OliveiraCristina SallesRegina TerseArgemiro D'Oliveira JúniorABSTRACT Objective: To describe orofacial muscle function in patients with severe asthma. Methods: This was a descriptive study comparing patients with severe controlled asthma (SCA) and severe uncontrolled asthma (SUA). We selected 160 patients, who completed a sociodemographic questionnaire and the 6-item Asthma Control Questionnaire (ACQ-6), as well as undergoing evaluation of orofacial muscle function. Results: Of the 160 patients evaluated, 126 (78.8%) and 34 (21.2%) presented with SCA and SUA, respectively, as defined by the Global Initiative for Asthma criteria. Regardless of the level of asthma control, the most frequent changes found after evaluation of muscle function were difficulty in chewing, oronasal breathing pattern, below-average or poor dental arch condition, and difficulty in swallowing. When the sample was stratified by FEV1 (% of predicted), was significantly higher proportions of SUA group patients, compared with SCA group patients, showed habitual open-mouth chewing (24.8% vs. 7.7%; p < 0.02), difficulty in swallowing water (33.7% vs. 17.3%; p < 0.04), and voice problems (81.2% vs. 51.9%; p < 0.01). When the sample was stratified by ACQ-6 score, the proportion of patients showing difficulty in swallowing bread was significantly higher in the SUA group than in the SCA group (66.6% vs. 26.6%; p < 0.01). Conclusions: The prevalence of changes in the stomatognathic system appears to be high among adults with severe asthma, regardless of the level of asthma control. We found that some such changes were significantly more common in patients with SUA than in those with SCA.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132016000600423&lng=en&tlng=enFala/fisiologiaSistema estomatognático/fisiopatologiaAsma/complicaçõesTranstornos de deglutiçãoMastigação/fisiologia
spellingShingle Mayra Carvalho-Oliveira
Cristina Salles
Regina Terse
Argemiro D'Oliveira Júnior
Association between severe asthma and changes in the stomatognathic system
Jornal Brasileiro de Pneumologia
Fala/fisiologia
Sistema estomatognático/fisiopatologia
Asma/complicações
Transtornos de deglutição
Mastigação/fisiologia
title Association between severe asthma and changes in the stomatognathic system
title_full Association between severe asthma and changes in the stomatognathic system
title_fullStr Association between severe asthma and changes in the stomatognathic system
title_full_unstemmed Association between severe asthma and changes in the stomatognathic system
title_short Association between severe asthma and changes in the stomatognathic system
title_sort association between severe asthma and changes in the stomatognathic system
topic Fala/fisiologia
Sistema estomatognático/fisiopatologia
Asma/complicações
Transtornos de deglutição
Mastigação/fisiologia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132016000600423&lng=en&tlng=en
work_keys_str_mv AT mayracarvalhooliveira associationbetweensevereasthmaandchangesinthestomatognathicsystem
AT cristinasalles associationbetweensevereasthmaandchangesinthestomatognathicsystem
AT reginaterse associationbetweensevereasthmaandchangesinthestomatognathicsystem
AT argemirodoliveirajunior associationbetweensevereasthmaandchangesinthestomatognathicsystem