Sex Bias in Asthma Prevalence and Pathogenesis

Front Immunol. 2018 Dec 18:9:2997. doi: 10.3389/fimmu.2018.02997. eCollection 2018.

Abstract

Sex-related differences in asthma prevalence are well established and change through the reproductive phases of life. As children, boys have increased prevalence of asthma compared to girls. However, as adults, women have increased prevalence of asthma compared to men. Many factors, including genetics, environment, immunological responses, and sex hormones, affect the sex disparity associated with the development and control of asthma and other allergic diseases. Fluctuations of hormones during puberty, menstruation, pregnancy, and menopause, alter asthma symptoms and severity. In this article, we review clinical and epidemiological studies that examined the sex disparity in asthma and other allergic diseases as well as the role of sex hormones on asthma pathogenesis.

Keywords: allergic disease; asthma; menopause; pregnancy; puberty; sex hormones.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Age Factors
  • Asthma / epidemiology*
  • Asthma / immunology
  • Female
  • Gonadal Hormones / immunology*
  • Health Status Disparities*
  • Humans
  • Male
  • Menopause / immunology
  • Menstrual Cycle / immunology
  • Pregnancy
  • Prevalence
  • Puberty / immunology
  • Sex Factors

Substances

  • Gonadal Hormones