Lifetime Occupational History, Respiratory Symptoms and Chronic Obstructive Pulmonary Disease: Results from a Population-Based Study
| Autor: | Vinnikov, Denis, Raushanova, Aizhan, Kyzayeva, Aizhan, Romanova, Zhanna, Tulekov, Zhangir, Kenessary, Dinara, Auyezova, Ardak |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Smoking Air Pollutants Occupational International Journal of Chronic Obstructive Pulmonary Disease Middle Aged Kazakhstan Respiratory Function Tests Time Pulmonary Disease Chronic Obstructive Risk Factors Occupational Exposure Population Surveillance Prevalence COPD Humans regression Female occupational Original Research |
| Zdroj: | International Journal of Chronic Obstructive Pulmonary Disease |
| ISSN: | 1178-2005 1176-9106 |
| 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%. Video abstract Point your SmartPhone at the code above. If you have a QR code reader the video abstract will appear. Or use: https://youtu.be/Boy6SXK9EzE |
| Databáze: | OpenAIRE |
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