Lifetime Occupational History, Respiratory Symptoms and Chronic Obstructive Pulmonary Disease: Results from a Population-Based Study
| Autor: | Zhanna Romanova, Dinara Kenessary, Zhangir Tulekov, Aizhan Kyzayeva, Denis Vinnikov, Ardak Auyezova, Aizhan Raushanova |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
COPD
medicine.medical_specialty Vital capacity education.field_of_study business.industry Population General Medicine Odds ratio medicine.disease Confidence interval law.invention 03 medical and health sciences FEV1/FVC ratio 0302 clinical medicine 030228 respiratory system law Interquartile range Internal medicine Medicine 030212 general & internal medicine business education Spirometer |
| Zdroj: | International Journal of Chronic Obstructive Pulmonary Disease. 14:3025-3034 |
| ISSN: | 1178-2005 |
| DOI: | 10.2147/copd.s229119 |
| Popis: | Purpose To ascertain the effect of lifelong occupational history, ambient air pollution, and biochemically verified smoking status on chronic obstructive pulmonary disease (COPD) in a general population of one the largest cities in Central Asia, Almaty. Patients and methods 1500 adults (median age 49, interquartile range (IQR) 28 years), 50% females, were randomly selected from a registry of enlisted population of a primary care facility in Almaty, Kazakhstan and they filled in the questionnaire on demographics, respiratory symptoms (CAT and mMRC), smoking status, verified by exhaled carbon monoxide, and detailed lifetime occupational history. COPD was defined as postbronchodilator forced expiratory volume in 1 second (FEV1)/forced vital capacity (FVC) below lower limit of normal (LLN) using Belintelmed MAS-2 spirometer (Belarus). Results 230 (15%) subjects had CAT≥10; 136 (9%) participants had mMRC score ≥2. Greater CAT score was associated with age, smaller income, and less exercise, but not with smoking or living closer to a major road. 26% of the population was ever exposed to vapors, gases, dusts, and fumes (VGDF). In age group 40 years and above (N=1024), COPD was found in 57 participants (prevalence 5.6%), more in men (8.7% vs 3.4%). In the multivariate model adjusted for age, sex, ever-smoking, income, and exercise, any exposure to VGDF increased the odds of COPD (odds ratio (OR) 1.71; 95% confidence interval (CI) 1.03; 2.84), more in the highest exposure category (OR 2.36 (95% CI 1.20; 4.66)). Conclusion Lifetime exposure to VGDF, found in ¼ of the general population, increased the odds of COPD independent of smoking by 71%. |
| Databáze: | OpenAIRE |
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