Asthma control in XXXX : Is it important and can we measure it?

@entity1 @entity308 @entity28 @entity565 @entity4207 @entity65
UNASSIGNED: The goal of @entity565 management is to achieve disease control. Poorly controlled @entity565 is associated with an increased number of days lost from school, exacerbations and days in hospital. Furthermore, @entity1 with uncontrolled @entity565 have more frequent contacts with the health-care system. Recent studies have added new information about the effects of poorly controlled @entity565 on a range of important, but less studied outcomes, including risk of @entity28 , daily physical activity, @entity65 , stress, concentration and focused attention, @entity4207 and risk of @entity308 . From these studies it seems that poor @entity565 control may have a greater impact on the @entity1 than previously thought. This may have important long-term consequences for the @entity1 such as an increased risk of life-style associated diseases and poorer school performance. The level of control seems to be the most important determinant of these adverse effects and improvement in @entity565 control is associated with improvements in many of the outcomes. However, the improvement has to be maintained for a very long time (> 1 year). Accurate assessment of the level of @entity565 control is difficult. Various tools and scores have been developed. They are all based on various questionnaires, but their validation has been difficult because we have no golden standard to compare with. It seems as if the tests are most valuable when they suggest that the disease is poorly controlled because a large proportion of @entity1 in whom the tests suggest good @entity565 control may still have poorly controlled @entity565 when various objective outcomes are included in the assessment. A main reason for that seems to be that none of the tests accurately detects the @entity1 's adaptation in lifestyle. If you do not exercise you have fewer symptoms.
