Increase in Airway Obstruction between 1993 and 2012 in Switzerland An Observational Study

被引:6
作者
West, Erin A. [1 ]
Strassmann, Alexandra [1 ]
Wang, Craig [2 ]
Turk, Alexander [3 ]
de Hoogh, Kees [4 ,5 ]
Roosli, Martin [4 ,5 ]
Bopp, Matthias [1 ]
Buist, A. Sonia [6 ]
Dressel, Holger [1 ]
Puhan, Milo A. [1 ]
Egger, Matthias
Spoerri, Adrian
Zwahlen, Marcel
Puhan, Milo
Bochud, Murielle
Oris, Michel
机构
[1] Univ Zurich, Epidemiol Biostat & Prevent Inst, Hirschengrabon 84, CH-8001 Zurich, Switzerland
[2] Univ Zurich, Dept Math, Zurich, Switzerland
[3] See Spital Horgen, Horgen, Switzerland
[4] Swiss Trop & Publ Hlth Inst, Basel, Switzerland
[5] Univ Basel, Basel, Switzerland
[6] Oregon Hlth & Sci Univ, Portland, OR 97201 USA
基金
瑞士国家科学基金会;
关键词
obstructive lung diseases; prevalence; epidemiology; environmental pollutants; occupational exposure; LUNG-FUNCTION; PULMONARY-DISEASE; REFERENCE VALUES; PREVALENCE; COPD; POPULATION; TRENDS; SPIROMETRY; MORTALITY; QUALITY;
D O I
10.1513/AnnalsATS.201907-542OC
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Rationale: Most studies determining the prevalence of airway obstruction are limited to short time periods. Objectives: Because temporal trends of obstruction in populations are largely unknown, we determined the prevalence of airway obstruction over 20 years in yearly general population samples in Switzerland between 1993 and 2012. Methods: We analyzed data of 85,789 participants aged 35 years and older who provided spirometric measurements as part of the LuftiBus lung function campaign. We linked data from the 2003-2012 period to the Swiss National Cohort to adjust for annual population differences. Spirometry was performed without bronchodilation, according to American Thoracic Society guidelines. We used Global Lung Initiative (GLI) and Hankinson reference equations to identify obstruction. Results: Obstruction prevalence increased between 1993 and 2012 from 6.1% (95% confidence interval [CI], 5.5 to 6.7) to 15.6% (95% CI, 13.8 to 17.3) based on GLI estimates and from 5.3% (95% CI, 4.7 to 5.9) to 15.4% (95% CI, 13.6 to 17.1) based on Hankinson estimates. When adjusted for participant demographics, air pollutant and occupational exposures, altitude, and season, the prevalence ratios of obstruction were 1.54 (95% CI, 1.22 to 1.93) and 1.65 (95% CI, 1.33 to 2.04) for GLI- and Hankinsondefined airway obstruction, respectively, for 2012 compared with 2003. Conclusions: Though prebronchodilator measurements likely overestimate the prevalence of airway obstruction in absolute terms compared with post-bronchodilator measurements, we found an increase in airway obstruction prevalence. Even with adjustment for several well-known risk factors for obstruction to make the populations across the years more comparable, we still saw a statistically significant increase in prevalence over this time period.
引用
收藏
页码:457 / 465
页数:9
相关论文
共 40 条
[1]   Global and regional estimates of COPD prevalence: Systematic review and meta-analysis [J].
Adeloye, Davies ;
Chua, Stephen ;
Lee, Chinwei ;
Basquill, Catriona ;
Papana, Angeliki ;
Theodoratou, Evropi ;
Nair, Harish ;
Gasevic, Danijela ;
Sridhar, Devi ;
Campbell, Harry ;
Chan, Kit Yee ;
Sheikh, Aziz ;
Rudan, Igor .
JOURNAL OF GLOBAL HEALTH, 2015, 5 (02) :186-202
[2]  
Augustin S., 2012, Schweizerische Zeitschrift fur Forstwesen, V163, P323, DOI 10.3188/szf.2012.0323
[3]   Restrictive spirometric pattern in the general adult population: Methods of defining the condition and consequences on prevalence [J].
Backman, Helena ;
Eriksson, Berne ;
Hedman, Linnea ;
Stridsman, Caroline ;
Jansson, Sven-Arne ;
Sovijarvi, Anssi ;
Lindberg, Anne ;
Ronmark, Eva ;
Lundback, Bo .
RESPIRATORY MEDICINE, 2016, 120 :116-123
[4]   Decreased prevalence of moderate to severe COPD over 15 years in northern Sweden [J].
Backman, Helena ;
Eriksson, Berne ;
Ronmark, Eva ;
Hedman, Linnea ;
Stridsman, Caroline ;
Jansson, Sven-Arne ;
Lindberg, Anne ;
Lundback, Bo .
RESPIRATORY MEDICINE, 2016, 114 :103-110
[5]   Prevalence and trend of COPD from 1995-1997 to 2006-2008: The HUNT study, Norway [J].
Bhatta, Laxmi ;
Leivseth, Linda ;
Mai, Xiao-Mei ;
Chen, Yue ;
Henriksen, Anne Hildur ;
Langhammer, Arnulf ;
Brumpton, Ben Michael .
RESPIRATORY MEDICINE, 2018, 138 :50-56
[6]   Occupation and COPD: A Brief Review [J].
Blanc, Paul D. .
JOURNAL OF ASTHMA, 2012, 49 (01) :2-4
[7]   Variation in Mortality Patterns Among the General Population, Study Participants, and Different Types of Nonparticipants: Evidence From 25 Years of Follow-up [J].
Bopp, Matthias ;
Braun, Julia ;
Faeh, David .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2014, 180 (10) :1028-1035
[8]   International variation in the prevalence of COPD (The BOLD Study): a population-based prevalence study [J].
Buist, A. Sonia ;
McBurnie, Mary Ann ;
Vollmer, William M. ;
Gillespie, Suzanne ;
Burney, Peter ;
Mannino, David M. ;
Menezes, Ana M. B. ;
Sullivan, Sean D. ;
Lee, Todd A. ;
Weiss, Kevin B. ;
Jensen, Robert L. ;
Marks, Guy B. ;
Gulsvik, Amund ;
Nizankowska-Mogilnicka, Ewa .
LANCET, 2007, 370 (9589) :741-750
[9]   LOCALLY WEIGHTED REGRESSION - AN APPROACH TO REGRESSION-ANALYSIS BY LOCAL FITTING [J].
CLEVELAND, WS ;
DEVLIN, SJ .
JOURNAL OF THE AMERICAN STATISTICAL ASSOCIATION, 1988, 83 (403) :596-610
[10]   Incidence, Prevalence, and Mortality Trends in Chronic Obstructive Pulmonary Disease over 2001 to 2011: A Public Health Point of View of the Burden [J].
Doucet, Marieve ;
Rochette, Louis ;
Hamel, Denis .
CANADIAN RESPIRATORY JOURNAL, 2016, 2016