Respiratory symptoms and pulmonary function in an elderly nonsmoking population

被引:47
作者
Berglund, DJ
Abbey, DE
Lebowitz, MD
Knutsen, SF
McDonnell, WF
机构
[1] Loma Linda Univ, Sch Publ Hlth, CHR, Loma Linda, CA 92350 USA
[2] Univ Arizona, Coll Med, Arizona Prevent Ctr, Tucson, AZ USA
[3] US EPA, Res Triangle Pk, NC 27711 USA
关键词
chronic airway disease; nonsmoking; passive smoking; pulmonary function; respiratory symptoms;
D O I
10.1378/chest.115.1.49
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: To examine risk factors for chronic airway disease (CAD) in elderly nonsmokers, as determined by pulmonary function tests (PFTs), and to correlate reported respiratory symptoms with PFT measures. Design: An observational survey. Setting: Several communities in California. Measurements: Exposures and respiratory history were assessed by standardized questionnaire, PFTs were performed and prediction equations derived. Results: Significant risk factors for obstruction on PFTs in multiple logistic regression included reported environmental tobacco smoke (ETS) exposure (relative risk [RR] = [RR] = 1.44), parental CAD or bay fever (RR = 1.47), history of childhood respiratory illness (RR = 2.15), increasing age, and male sea. The number of rears of past smoking was of borderline significance (RR = 1.29 for 10 years of smoking; p = 0.66), The prevalence of obstruction on PFTs was 24.9% in those with definite symptomatic CAD, compared with 7.5% in those with no symptoms of CAD, The prevalence of obstruction was 36.0% among those crith asthma and 70.6% among those with emphysema, Also, symptomatic CAD correlated with reduction in lung function by analysis of covariance. The mean percent predicted FEV, adjusted for covariates was 90.6% in persons with definite symptoms of CAD, compared with 97.8% in those without it (p < 0.001). Conclusions: Age, ses, parental history, childhood respiratory illness, and reported ETS exposures were significant risk factors for obstruction on PFTs. Self-reported respiratory symptoms also correlated significantly with PFTs.
引用
收藏
页码:49 / 59
页数:11
相关论文
共 50 条
[41]   Social Integration and Pulmonary Function in the Elderly [J].
Crittenden, Crista N. ;
Pressman, Sarah D. ;
Cohen, Sheldon ;
Janicki-Deverts, Denise ;
Smith, Bruce W. ;
Seeman, Teresa E. .
HEALTH PSYCHOLOGY, 2014, 33 (06) :535-543
[42]   Effects of Dust Exposure on the Respiratory Health Symptoms and Pulmonary Functions of Street Sweepers [J].
Habybabady, Raheleh Hashemi ;
Sis, Hannaneh Nasibi ;
Paridokht, Fatemeh ;
Ramrudinasab, Fatemeh ;
Behmadi, Ali ;
Khosravi, Bentolhoda ;
Mohammadi, Mahdi .
MALAYSIAN JOURNAL OF MEDICAL SCIENCES, 2018, 25 (06) :76-84
[43]   RESPIRATORY SYMPTOMS AND PULMONARY-FUNCTION IN COAL-WORKERS WITH ABNORMAL CHEST X-RAYS [J].
REBSTOCKBOURGKARD, E ;
CHAU, N ;
CAILLIER, I ;
OBER, M ;
TECULESCU, D ;
MAHIEU, B ;
BERTRAND, JP ;
PHAM, QT .
REVUE D EPIDEMIOLOGIE ET DE SANTE PUBLIQUE, 1994, 42 (06) :533-541
[44]   Pulmonary Function and Long-Term Respiratory Symptoms in Children and Adolescents After COVID-19 [J].
Knoke, Leona ;
Schlegtendal, Anne ;
Maier, Christoph ;
Eitner, Lynn ;
Luecke, Thomas ;
Brinkmann, Folke .
FRONTIERS IN PEDIATRICS, 2022, 10
[45]   Work-related respiratory symptoms and pulmonary function tests in northeast iranian (the city of Mashhad) carpenters [J].
Boskabady, Mohammad Hossain ;
Rezaiyan, Majid Khadem ;
Navabi, Iman ;
Shafiei, Sara ;
Arab, Shahideh Shafiei .
CLINICS, 2010, 65 (10) :1003-1007
[46]   Paraesophageal hernia repair with laparoscopic Toupet fundoplication: impact on pulmonary function, respiratory symptoms and quality of life [J].
Aiolfi, A. ;
Cavalli, M. ;
Sozzi, A. ;
Lombardo, F. ;
Mendogni, P. ;
Nosotti, M. ;
Bonitta, G. ;
Bruni, P. G. ;
Campanelli, G. ;
Bona, D. .
HERNIA, 2022, 26 (06) :1679-1685
[47]   Paraesophageal hernia repair with laparoscopic Toupet fundoplication: impact on pulmonary function, respiratory symptoms and quality of life [J].
A. Aiolfi ;
M. Cavalli ;
A. Sozzi ;
F. Lombardo ;
P. Mendogni ;
M. Nosotti ;
G. Bonitta ;
P. G. Bruni ;
G. Campanelli ;
D. Bona .
Hernia, 2022, 26 :1679-1685
[48]   Respiratory symptoms and lung function in bauxite miners [J].
Beach, JR ;
de Klerk, NH ;
Fritschi, L ;
Sim, MR ;
Musk, AW ;
Benke, G ;
Abramson, MJ ;
McNeil, JJ .
INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH, 2001, 74 (07) :489-494
[49]   Respiratory symptoms and lung function in bauxite miners [J].
Jeremy R. Beach ;
Nicholas H. de Klerk ;
Lin Fritschi ;
Malcolm R. Sim ;
A. William Musk ;
Geza Benke ;
Michael J. Abramson ;
John J. McNeil .
International Archives of Occupational and Environmental Health, 2001, 74 :489-494
[50]   A longitudinal study of lung function in nonsmoking patients with rheumatoid arthritis [J].
Fuld, JP ;
Johnson, MK ;
Cotton, MM ;
Carter, R ;
Watkin, SW ;
Capell, HA ;
Stevenson, RD .
CHEST, 2003, 124 (04) :1224-1231