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Substantial evidence exists that the prevalence of asthma has increased
in children in recent decades, but little information exists about
asthma at older ages. On p 88 Upton et al report from Scotland that
the prevalence of asthma in adults has increased more than twofold in
20 years, largely in association with trends in atopy. They compared
the prevalence of asthma, hay fever, and respiratory symptoms in adults
who participated in the original Renfrew and Paisley study in 1972-6 with the prevalence in their offspring surveyed at similar ages 20 years later. No evidence was found that increased diagnostic awareness
was responsible for the increased prevalence of atopic asthma, though
it may account for trends in non-atopic asthma.