Are smoker asthmatics different than non-smokers in terms of symptoms, risk factors and comorbidities?
Monday, March 5, 2018
South Hall A2 (Convention Center)
Bilun Gemicioglu, Benan Musellim, Berk Degirmenci, Esra Sari, Ipek Calik, Firuze Ozgokce, Onur Merzifonlu

Smoking is one of the most significant triggers for asthma patients. The aim of this study was to evaluate the differences between smoker asthma (S) patients with non-smoker (NS) and ex-smoking (ES) patients in terms of symptoms, risk factors and comorbidities.


A web-based data entry of 500 patients living in the urban area of Istanbul/Turkey who were followed for at least one year after asthma diagnosis was made via Microsoft Access 2013. The registered respiratory symptoms, habits, risk factors, comorbidities of NS, ES, and S patients were compared statistically.


Number and percentage of the NS, ES and S groups and their mean age were respectively 353 (70.6%) 39.9 ± 15.4; 88 (17.6) 44.8 ± 12.7; and 59 (11.8%) 38.0 ± 15.4. No group difference was found between cough, wheeze, chest tightness and dyspnea symptoms; asthma ratios in parents; body mass index; non-steroid anti-inflammatory hypersensitivity; pollen, mite, mold, pet sensitivity; heating methods in both home and workplace; allergic conjunctivitis, rhinitis and or sinusitis comorbidities (p>0.05). Percentage of allergic dermatitis and hypertension was lower in NS group (3.4%, 3.4% respectively) compared to ES and S groups (12.7% 17% and 13.9%, 10.2% respectively with p<0.02, p<0.03) and reflux was lower in S group (41.6%) compared to other groups (59.1%; 57.6% with p<0.003).


Smoker and ex-smoker asthma patients of the urban area had similar asthma symptoms and risk factors but they had higher hypertension and allergic dermatitis comorbidities than non-smoker asthma patients.