Severe asthma in adolescents: Clinical implications and beyond.

IF 4.7 3区医学 Q1 PEDIATRICS

Paediatric Respiratory Reviews Pub Date : 2025-02-04 DOI:10.1016/j.prrv.2025.01.006

Francesca Bonomo, Giuliana Ferrante, Michele Piazza, Laura Tenero, Marco Zaffanello, Giorgio Piacentini

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引用次数: 0

Abstract

Severe asthma affects about 6.7% of adolescents worldwide, posing a substantial burden on their physical and psychosocial well-being. The impact of severe asthma on adolescents is multifaceted, with several factors that contribute to this burden, such as comorbidities including obesity, dysfunctional breathing, sleep-disordered breathing and mental health issues. Moreover, daily therapy management is often complex and may require lifestyle modification that could lead to a failure in treatment adherence and to peer-related stressors such as feelings of exclusion. Furthermore, adolescents with severe asthma are prone to risk-taking behaviours, including vaping and substance misuse. While current management strategies often fail to account for their developmental stage, digital technologies offer novel solutions to improve disease management. This narrative review aims to provide a comprehensive overview of the multifaceted impact of severe asthma on adolescents, addressing the main clinical management issues and exploring the role of innovative digital tools to enhance asthma management in this critical population.

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青少年严重哮喘：临床意义及其他。

严重哮喘影响全世界约6.7%的青少年，对他们的身体和心理健康造成重大负担。严重哮喘对青少年的影响是多方面的，造成这一负担的因素有几个，如合并症，包括肥胖、呼吸功能障碍、睡眠呼吸障碍和精神健康问题。此外，日常治疗管理通常是复杂的，可能需要改变生活方式，这可能导致治疗依从性失败，并导致与同伴相关的压力源，如排斥感。此外，患有严重哮喘的青少年容易出现冒险行为，包括吸电子烟和滥用药物。虽然目前的管理策略往往不能解释其发展阶段，但数字技术为改善疾病管理提供了新的解决方案。这篇叙述性综述旨在全面概述严重哮喘对青少年的多方面影响，解决主要的临床管理问题，并探索创新数字工具在这一关键人群中加强哮喘管理的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Paediatric Respiratory Reviews 医学-呼吸系统

CiteScore

12.50

自引率

0.00%

发文量

审稿时长

23 days

期刊介绍： Paediatric Respiratory Reviews offers authors the opportunity to submit their own editorials, educational reviews and short communications on topics relevant to paediatric respiratory medicine. These peer reviewed contributions will complement the commissioned reviews which will continue to form an integral part of the journal. Subjects covered include: • Epidemiology • Immunology and cell biology • Physiology • Occupational disorders • The role of allergens and pollutants A particular emphasis is given to the recommendation of "best practice" for primary care physicians and paediatricians. Paediatric Respiratory Reviews is aimed at general paediatricians but it should also be read by specialist paediatric physicians and nurses, respiratory physicians and general practitioners. It is a journal for those who are busy and do not have time to read systematically through literature, but who need to stay up to date in the field of paediatric respiratory and sleep medicine.