{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:51:12Z","timestamp":1791197472498,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,10,26]],"date-time":"2016-10-26T00:00:00Z","timestamp":1477440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003621","name":"Ministry of Science, ICT and Future Planning","doi-asserted-by":"publisher","award":["NRF\u20102007\u20100054930"],"award-info":[{"award-number":["NRF\u20102007\u20100054930"]}],"id":[{"id":"10.13039\/501100003621","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>\n<jats:styled-content style=\"fixed-case\">ABSTRACT<\/jats:styled-content>\n<\/jats:title><jats:sec><jats:title>Background and objective<\/jats:title><jats:p>Recognition of patients at risk of asthma exacerbation is important for future asthma care and improved outcome. The aim of the present study was to see whether measurements of bronchodilator response (<jats:styled-content style=\"fixed-case\">BDR<\/jats:styled-content>) and fractional exhaled nitric oxide (<jats:styled-content style=\"fixed-case\">FeNO<\/jats:styled-content>) in combination provide prognostic information superior to either measurement alone in children with atopic asthma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 201 atopic children aged 8\u201316\u2009years with intermittent or mild persistent asthma were included. Pulmonary function tests including <jats:styled-content style=\"fixed-case\">BDR<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">FeNO<\/jats:styled-content> were serially monitored 10 times or more over 2\u2009years when subjects were not receiving controller medications. After completion of monitoring, 1\u2010year observation for a loss of asthma control was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the monitoring period, positive <jats:styled-content style=\"fixed-case\">BDRs<\/jats:styled-content> (\u226512% in forced expiratory volume in 1\u2009s (<jats:styled-content style=\"fixed-case\">FEV<jats:sub>1<\/jats:sub>\n<\/jats:styled-content>) from pre\u2010bronchodilator value) and <jats:styled-content style=\"fixed-case\">FeNO<\/jats:styled-content> higher than 35 parts per billion (ppb) were observed at least once in 59% and 77% of participants. When analysed as continuous variables, both <jats:styled-content style=\"fixed-case\">BDR<\/jats:styled-content> (hazard ratio (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>): 1.21; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.04\u20131.41; <jats:italic>P<\/jats:italic>\u2009=\u20090.014) and <jats:styled-content style=\"fixed-case\">FeNO<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>: 1.27; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.09\u20131.49; <jats:italic>P<\/jats:italic>\u2009=\u20090.003) were associated with increased risks for a control loss. Compared with patients showing either positive <jats:styled-content style=\"fixed-case\">BDRs<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>: 3.19; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.05\u20139.64) or <jats:styled-content style=\"fixed-case\">FeNO<\/jats:styled-content> higher than 35\u2009ppb (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>: 4.70; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.68\u201313.11), patients with both findings (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>: 7.08; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 2.57\u201319.49) had greater risks for a control loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These data support that combined use of <jats:styled-content style=\"fixed-case\">BDR<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">FeNO<\/jats:styled-content> measurements can modify predictive risk obtained from either measurement alone.<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.12934","type":"journal-article","created":{"date-parts":[[2016,10,26]],"date-time":"2016-10-26T13:12:51Z","timestamp":1477487571000},"page":"466-472","source":"Crossref","is-referenced-by-count":17,"title":["Combined use of fractional exhaled nitric oxide and bronchodilator response in predicting future loss of asthma control among children with atopic asthma"],"prefix":"10.1111","volume":"22","author":[{"given":"Je\u2010Kyung","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Pediatrics Chungbuk National University  Cheongju Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae\u2010Yub","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Chungbuk National University  Cheongju Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine College of Medicine and Medical Research Institute, Chungbuk National University  Cheongju Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang\u2010Yong","family":"Eom","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine College of Medicine and Medical Research Institute, Chungbuk National University  Cheongju Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youn\u2010Soo","family":"Hahn","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Chungbuk National University  Cheongju Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,10,26]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69283-0"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0b013e32834db288"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200801-060ST"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2005.056093"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2011.06.008"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.164.5.2012125"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2015.03.003"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2011.03.010"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2011.02734.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.48.7.722"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2012-201966"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2008.09.004"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2010.11.029"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2006.01.050"},{"key":"e_1_2_7_16_1","first-page":"276","article-title":"Independent influence of reversibility of air\u2010flow obstruction and nonspecific hyperreactivity on the long\u2010term course of lung function in chronic air\u2010flow obstruction","volume":"134","author":"Postma Da DVK","year":"1986","journal-title":"Am. 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