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In the United States, asthma cases have increased by more than 60 percent since the early 1980s, and asthma- related deaths have doubled to 5,000 a year. What is causing the asthma epidemic and what can we do to stem the tide?
People in their 30s and older can remember that when they were young, it was very unusual for even one child in school to have asthma. Schoolchildren now often know several kids with asthma in a single class. The rapid increase in the number of young people with asthma was brought home to Dr. Scott Bautch, member of the American Chiropractic Association's (ACA) Council on Occupational Health, when he went to a football game with his 13-year-old son: "Someone on the field had a breathing problem. It was hard to see whose son it was, and 15 parents ran to the field with inhalers."
What Causes Asthma?
So far, researchers don't know why cases of asthma are increasing at such an alarming rate. They hypothesize that a combination of genetics and some nonhereditary factors- such as increased environmental exposure to potential allergens - plays a role. "Thirty years ago, Windex was the only cleaning solvent used by a few people. Now, we have a special cleaning solvent for every object," says Dr. Bautch. "In addition, furniture and carpets are produced with formaldehyde as a preservative, and people breathe it," he says. Decreased air quality is coupled with the allergy-friendly modern house design, says Dr. William E. Walsh, MD, FACC, an allergist practicing in Minnesota: "Fifty years ago we lived in old, drafty houses, and the breeze dried and freshened the air, and cleared out mold and other allergens. Nowadays, our super-insulated houses don't breathe adequately.
Making basements into a living space increases mold exposure because mold grows in any basement." Food has become another source of exposure to allergens. "Food manufacturers put more preservatives in foods now to store them longer," says Dr. Bautch. Researchers hypothesize that an increase in vaccinations, cesarean births, and antibiotic intake may be playing a role, too.
How Can Asthma Be Treated?
Asthma is a chronic disease; it can't be cured -only controlled. For best treatment results, both the primary care physician and an asthma specialist, such as an allergist or pulmonologist, should be involved. According to experts interviewed for the article, the treatment program, in addition to medication intake, should include reducing exposure to the substances that induce acute episodes and identifying specific allergens that affect the patient.
Non-Allergen Causes of Asthma
Allergens aren't the only culprit of asthma attacks. Stress factors - such as moving to a new home, or changing jobs - may induce or aggravate asthma attacks. Even emotional expressions such as fear, anger, frustration, hard crying, or laughing can cause an attack as well. To reduce the patient's stress level and improve the patient's quality of life, alternative treatments should be incorporated into the treatment program. Various relaxation techniques, such as
biofeedback, meditation, yoga, and stress management, as well as massage, chiropractic manipulation, breathing exercises, and acupuncture can be helpful.
Chiropractic Care Can Help
"Doctors of chiropractic can give a full-scale evaluation to asthma patients; assess their physical and neurological status, their lifestyle, diet, and stressors; and help the patients increase motor coordination, and improve the work of respiratory and gut muscles to increase the quality of life," says Dr. Gail Henry, a chiropractic neurologist, who practices in Houston, Texas. "Doctors of chiropractic can be a great addition to the healthcare team treating the asthma patient." Talk to your doctor of chiropractic about other ways to improve your quality of life. Doctors of chiropractic are trained and licensed to examine and treat the entire body with emphasis on the nervous and musculoskeletal systems. They also help people lead healthier lives by focusing on wellness and prevention.
Tips to Alleviate Asthma Symptoms
• Use air filters to help clean air in your home.
• Cover mattresses and pillows with dust covers and use hypoallergenic bed clothing to reduce exposure to dust mites.
• Get checked for viral respiratory infections and different medical conditions, such as flu, rhinitis, sinusitis, and gastroesophageal reflux. Endocrine factors, such as menstruation, pregnancy, and thyroid disease, may exacerbate asthma, as well.
• Some medications-aspirin; beta-blockers, including eye drops; nonsteroidal antiinflammatory drugs, etc.-can also precipitate or aggravate asthma symptoms.
• If your asthma is exercise-induced, an individually prescribed exercise program carefully chosen under the guidance of your primary health care provider or doctor of chiropractic should be incorporated into the treatment plan.
• Avoid sulfites or monosodium glutamate (MSG) in foods. Since both additives are used in a wide variety of foods, carefully read processed food labels and choose MSG-free foods when eating out.
• Choose a more vegetarian-type diet. Animal proteins found in meat include arachidonic acid-a precursor for inflammation.
• Include foods with omega-3 fatty acids in the diet-such as fish or fish oil.
• Supplement with vitamin C, which helps reduce allergic reactions and wheezing.
• To reduce stress in your children, spend quality time with them and limit their exposure to TV programs that include violence.
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