GINA asthma symptom control

Pulmonology

Also known as: GINA-Asthmakontrolle · Asthmakontrolle nach GINA · GINA astım kontrolü · GINA assessment of asthma symptom control

What it is for

GINA (Global Initiative for Asthma) grades recent asthma symptom control in adults, adolescents and children 6-11 years from four yes/no questions about the past 4 weeks.

Classification

CategoryDescription
Question 1daytime asthma symptoms more than twice a week?
Question 2any night waking due to asthma?
Question 3short-acting beta2-agonist (SABA) reliever for symptoms more than twice a week? (as-needed ICS-formoterol reliever and a reliever taken before exercise are not counted; ICS: inhaled corticosteroid)
Question 4any activity limitation due to asthma?
Well controllednone of the four.
Partly controlled1-2 of the four.
Uncontrolled3-4 of the four.
Second domainGINA describes asthma control as symptom control plus the risk of future adverse outcomes (exacerbations, persistent airflow limitation, medication side-effects); risk factors are assessed separately, even when symptoms are well controlled.

Source

Global Strategy for Asthma Management and Prevention, 2026 update

Global Initiative for Asthma (GINA) 2026 strategy report

Edition
GINA 2026 strategy report (Box 2-2, updated May 2026)
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