Restrictive spirometry pattern is associated with low physical activity levels. A population based international study

被引：13

作者：

Carsin, Anne-Elie ^{[1
,2
,3
,4
]}

Fuertes, Elaine ^{[1
,2
,3
]}

Schaffner, Emmanuel ^{[12
,13
]}

Jarvis, Debbie ^{[5
,6
]}

Anto, Josep M. ^{[1
,2
,3
,4
]}

Heinrich, Joachim ^{[7
,8
]}

Bellisario, Valeria ^{[9
]}

Svanes, Cecilie ^{[10
,11
]}

Keidel, Dirk ^{[12
,13
]}

Imboden, Medea ^{[12
,13
]}

Weyler, Joost ^{[14
]}

Nowak, Dennis ^{[8
]}

Martinez-Moratalla, Jesus ^{[15
]}

Gullon, Jose-Antonio ^{[16
]}

Sanchez Ramos, Jose Luis ^{[17
]}

Caviezel, Seraina ^{[12
,13
]}

Beckmeyer-Borowko, Anna ^{[12
,13
]}

Raherison, Chantal ^{[18
]}

Pin, Isabelle ^{[19
]}

Demoly, Pascal ^{[20
]}

Cerveri, Isa ^{[21
]}

Accordini, Simone ^{[22
]}

Gislason, Thorarinn ^{[23
]}

Toren, Kjell ^{[24
]}

Forsberg, Bertil ^{[25
]}

Janson, Christer ^{[26
]}

Jogia, Rain ^{[27
]}

Emtner, Margareta ^{[26
]}

Gomez Real, Francisco ^{[28
]}

Raza, Wasif ^{[25
]}

Leynaert, Benedicte ^{[29
,30
]}

Pascual, Silvia ^{[31
]}

Guerra, Stefano ^{[1
,32
]}

Dharmage, Shyamali C. ^{[33
]}

Probst-Hensch, Nicole ^{[12
,13
]}

Garcia-Aymerich, Judith ^{[1
,2
,3
]}

机构：

[1] ISGlobal, Barcelona, Spain

[2] Univ Pompeu Fabra, Barcelona, Spain

[3] CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain

[4] IMIM Hosp Mar Med Res Inst, Barcelona, Spain

[5] Imperial Coll London, MRC PHE Ctr Environm & Hlth, London, England

[6] Imperial Coll London, Natl Heart & Lung Inst, Populat Hlth & Occupat Dis, London, England

[7] German Res Ctr Environm Hlth, Helmholtz Zentrum Munchen, Inst Epidemiol 1, Neuherberg, Germany

[8] Ludwig Maximilians Univ Munchen, Comprehens Pneumol Ctr Munich, Inst & Clin Occupat Social & Environm Med, Univ Hosp,German Ctr Lung Res DZL, Munich, Germany

[9] Univ Turin, Dept Publ Hlth & Pediat, Turin, Italy

[10] Univ Bergen, Ctr Int Hlth, Bergen, Norway

[11] Haukeland Hosp, Dept Occupat Med, Bergen, Norway

[12] Swiss Trop & Publ Hlth Inst, Basel, Switzerland

[13] Univ Basel, Basel, Switzerland

[14] Univ Antwerp, Dept Epidemiol & Social Med ESOC, Stat UA Stat Ctr, Fac Med & Hlth Sci, Antwerp, Belgium

[15] Univ Castilla La Mancha, Fac Med, Complejo Hosp Univ Albacete, Serv Neumol, Albacete, Spain

[16] Hosp San Agustin, Dept Pneumol, Aviles, Asturias, Spain

[17] Univ Huelva, Dept Nursing, Huelva, Spain

[18] Univ Bordeaux, Bordeaux Populat Hlth Res Ctr, INSERM, Team EPICENE,UMR 1219, Bordeaux, France

[19] CHU Grenoble Alpes, Dept Pediatrie, INSERM,IAB,U1209, Team Environm Epidemiol Appl Reprod & Resp Hlth, Grenoble, France

[20] Sorbonne Univ, Univ Hosp Montpellier, Montpellier, France

[21] Univ Pavia, San Matteo Hosp Fdn, IRCCS, Pavia, Italy

[22] Univ Verona, Dept Diagnost & Publ Hlth, Unit Epidemiol & Med Stat, Verona, Italy

[23] Landspitali Univ Hosp, Dept Resp Med & Sleep, Reykjavik, Iceland

[24] Inst Med, Dept Publ Hlth & Community Med, Gothenburg, Sweden

[25] Umea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden

[26] Uppsala Univ, Dept Med Sci Resp Allergy & Sleep Res, Uppsala, Sweden

[27] Tartu Univ Hosp, Lung Clin, Tartu, Estonia

[28] Haukeland Hosp, Dept Obstet & Gynecol, Bergen, Norway

[29] INSERM, UMR 1152, Pathophysiol & Epidemiol Resp Dis, Paris, France

[30] Univ Paris Diderot Paris, UMR 1152, Paris, France

[31] Galdakao Hosp, Resp Dept, OSI Barrualde Galdakao, Biscay, Spain

[32] Univ Arizona, Asthma & Airway Dis Res Ctr, Tucson, AZ USA

[33] Univ Melbourne, Sch Populat & Global Hlth, Allergy & Lung Hlth Unit, Ctr Epidemiol & Biostat, Melbourne, Vic, Australia

来源：

RESPIRATORY MEDICINE | 2019年 / 146卷

基金：

欧盟地平线“2020”; 瑞士国家科学基金会; 美国国家科学基金会;

关键词：

Restrictive spirometry pattern; Body mass index; Epidemiology; Lung function; Physical activity; LUNG-FUNCTION; ACTIVITY QUESTIONNAIRE; NATIONAL-HEALTH; MORTALITY; DISEASE; IMPAIRMENT; DISORDER; EVENTS; RISK;

D O I：

10.1016/j.rmed.2018.11.017

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction: Restrictive spirometry pattern is an under-recognised disorder with a poor morbidity and mortality prognosis. We compared physical activity levels between adults with a restrictive spirometry pattern and with normal spirometry. Methods: Restrictive spirometry pattern was defined as a having post-bronchodilator FEV1/FVC >= Lower Limit of Normal and a FVC< 80% predicted in two population-based studies (ECRHS-III and SAPALDIA3). Physical activity was measured using the International Physical Activity Questionnaire. The odds of having low physical activity (< 1st study-specific tertile) was evaluated using adjusted logistic regression models. Results: Subjects with a restrictive spirometry pattern (n = 280/4721 in ECRHS, n = 143/3570 in SAPALDIA) reported lower levels of physical activity than those with normal spirometry (median of 1770 vs 2253 MET.min/week in ECRHS, and 3519 vs 3945 MET.min/week in SAPALDIA). Subjects with a restrictive spirometry pattern were more likely to report low physical activity (meta-analysis odds ratio: 1.41 [95% CI 1.07-1.86]) than those with a normal spirometry. Obesity, respiratory symptoms, co-morbidities and previous physical activity levels did not fully explain this finding. Conclusion: Adults with a restrictive spirometry pattern were more likely to report low levels of physical activity than those with normal spirometry. These results highlight the need to identify and act on this understudied but prevalent condition.

引用

页码：116 / 123

页数：8

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