Asthma, allergy, and respiratory symptoms in centenarians living in Poland.

According to National Census, there were 1541 people over the age of 100 years (centenarians) in Poland, in 2002, including 1215 females and 326 males. The aim of the present study was to assess the prevalence of asthma, allergy, and respiratory symptoms in centenarians included in the Polish Centenarians Program, POLSTU 2001, conducted between 2001 and 2004. The study group consisted of 301 subjects including 258 females and 43 males. Research data were gathered in a questionnaire designed exclusively for the study, completed by the interviewer during meetings with the subjects and their families. According to the medical history reported by the subjects, 10 persons (3.3%) suffered from asthma and 41 (13.6%) from allergy. There were no subjects with childhood onset asthma. Allergy to food and medicinal products was the most prevalent. One in four centenarians reported dyspnea and one in eight complained of cough. When analyzed in relation to gender, cough was more prevalent in males, which might have been related to cigarette smoking. Respiratory disorders are frequent in elderly populations, but symptoms may be underreported, especially in the situation of coexisting medical problems. Moreover, it might be difficult to perform full diagnostic procedures in the very elderly due to disability, cognitive impairment, and technical problems. Thus, medical care for the aged should be based on thorough medical evaluation supported by the medical history and reliable information on physician-diagnosed diseases.

Anthropometric chest structure of Polish centenarians.

The aim of the study was to analyze somatometric chest structure in persons aged over 100 years. The study group included 83 women and 13 men, aged 100-108 yr (median age -100.8 yr), who participated in the scientific project: 'Genetic and Environmental Factors of Longevity of Polish Centenarians' in 2002-2004. The Rohrer index of chest structure using acromion-acromion length and body height were compared with the results of pulse oximetry, spirometry, and the level of general physical activity. The majority of the centenarians had a pyknic structure of the chest, most likely as a result of a progressive reduction of body height and chest stooping. In comparison with the women who had marked alterations of chest structure, females with less profound changes had a lower respiratory rate, better tolerance of exercise, higher forced vital capacity, and a higher physical activity. A small number of male subjects studied made it impossible to analyze statistical correlations in this group. We conclude that there is a need to redefine anthropometric indices for a reliable assessment of chest structure in senescent subjects.