Body size and physical activity in relation to incidence of chronic obstructive pulmonary disease

Behrens, Gundula; Matthews, Charles E.; Moore, Stephen; Hollenbeck, Albert R.; Leitzmann, Michael F.

doi:10.1503/cmaj.140025

Cited by 54 publications

(52 citation statements)

References 40 publications

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“…14 Beherns et al reported that incidence of COPD more among obese and underweight subjects similar to findings of our study. 15 Similar results were found by Gupta et al from their study carried out in Lucknow. 16 Health seeking behavior in our study was supported by similar study carried out by Grover et alin Rural Haryana and urban Chandigarh.…”

Section: Discussionsupporting

confidence: 84%

An epidemiological study of chronic obstructive pulmonary disease among 35 years and above rural population of Gurugram, Haryana

Aggarwal¹,

Deswal

Ray

et al. 2019

Int J Community Med Public Health

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Background: COPD is 4th leading cause of death worldwide and predicted to be third by 2030. In India, COPD accounts for 7% of deaths and 3% DALYs loss. Study was conducted to Find the prevalence & determinants of COPD among 35 years & above rural population of Gurugram, Haryana and also determine health seeking behavior & economic burden of COPD cases.Methods: The study was conducted among field practice area of PHC Garhi Harsaru for one year. A total of 1434 individuals 35 years and above of age found in 700 households among were selected by probability proportion to size (PPS) sampling methods. 115 cases detected as cases were matched with equal number of controls matching and Data analyzed.Results: Prevalence of COPD was 8.02 % among 35 years & above age group. Smoking, passive smoking, biomass fuel smoke exposure, occupational exposure to dust/smoke/gas /chemical vapors at work, frequent respiratory infections, family history of COPD were found important determinants of COPD (P<0.05). Physical activity and body mass index were not found significant contributor on multivariate logistic regression analysis. Among all COPD patients 87.83% seeks immediate medical help in case of any breathing discomfort. Annual economic burden on COPD case was found to be Rs 14804/-.Conclusions: Smoking, exposure to smoke/dusty /chemical vapors and family history of COPD are main determinant of COPD. Public health planners should concentrate to mitigate these causes.

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Section: Discussionsupporting

confidence: 84%

An epidemiological study of chronic obstructive pulmonary disease among 35 years and above rural population of Gurugram, Haryana

Aggarwal¹,

Deswal

Ray

et al. 2019

Int J Community Med Public Health

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“…Our study provides novel evidence regarding the association of fitness with respiratory disease; COPD specifically. Previous prospective studies have reported a negative association between physical activity and COPD [21][22][23] but this is, to our knowledge, the first study to report an association with fitness. This is an important novel finding since COPD represents an increasing public health burden globally, and is in the top five leading cause of mortality worldwide.…”

Section: Discussionmentioning

confidence: 47%

Dose-response associations of cardiorespiratory fitness with all-cause mortality and incidence and mortality of cancer and cardiovascular and respiratory diseases: the UK Biobank cohort study

Steell

Petermann-Rocha

et al. 2019

Br J Sports Med

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ObjectiveTo investigate the association of cardiorespiratory fitness with all-cause mortality, and cardiovascular disease (CVD), respiratory disease, chronic obstructive pulmonary disease (COPD) and cancer mortality and incidence.DesignProspective population-based study.SettingUK Biobank.ParticipantsOf the 5 02 628 (5.5% response rate) participants recruited by UK Biobank, we included 73 259 (14.6%) participants with available data in this analysis. Of these, 1374 participants died and 4210 developed circulatory diseases, 1293 respiratory diseases and 4281 cancer, over a median of 5.0 years (IQR 4.3–5.7) follow-up.Main outcome measuresAll-cause mortality and circulatory disease, respiratory disease, COPD and cancer (such as colorectal, lung, breast and prostate) mortality/incidence. Fitness was estimated using a submaximal cycle ergometer test.ResultsThe HR for all-cause mortality for each metabolic equivalent of task (MET) higher fitness was 0.96 (95% CI 0.93 to 0.98). Similar results were observed for incident circulatory disease (HR 0.96 [0.95 to 0.97]), respiratory disease (HR 0.96 [0.94 to 0.98]), COPD (HR 0.90 [0.86 to 0.95) and colorectal cancer (HR 0.96 [0.92 to 1.00]). Nonlinear analysis revealed that a high level of fitness (>10METs) was associated with a greater incidence of atrial fibrillation (HR 1.24 [1.07 to 1.44]) and prostate cancer (HR 1.16 [1.02 to 1.32]) compared with average fitness. All results were adjusted for sociodemographic, lifestyle and dietary factors, body composition, and morbidity at baseline and excluded events in the first 2 years of follow-up.ConclusionsHigher cardiorespiratory fitness was associated with lower risk of premature mortality and incidence of CVD, respiratory disease and colorectal cancer.

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“…The clinical significance of obesity (management) in CF needs to be determined. Using data on anthropometric measurements and physical activity from 113 279 participants in the National Institutes of Health-AARP Diet and Health Study, including 3648 new COPD diagnoses, BEHRENS et al [11] showed that the incidence of COPD was higher in both severely obese (BMI >35 kg·m −2 ) and underweight (BMI <18.5 kg·m −2 ) participants, but after adjustment for waist circumference this only remained significant for underweight subjects. A larger waist circumference and higher waist-hip ratio were also positively associated with COPD.…”

Section: Adiposity and Respiratory Disease Riskmentioning

confidence: 99%

Nutritional advances in patients with respiratory diseases

Schols

2015

Eur Respir Rev

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Nutritional issues are increasingly recognised in the course of respiratory diseases, from primary prevention to advanced disease care. During the 2014 ERS International Congress in Munich, Germany, the topic was addressed in a Clinical Year in Review session. This review highlights new insights in generic and disease-specific nutritional issues from recently published peer-reviewed articles. The clinical relevance of obesity was highlighted in primary and secondary prevention across all respiratory diseases. Radiographic imaging was explored for characterisation of metabolic phenotypes as an integrated part of diagnostic work-up. Muscle regenerative defects and the autophagy-lysosome pathway were identified as new leads for combatting muscle wasting. @ERSpublications Nutritional issues need to be considered in respiratory disease, from primary prevention to advanced disease care http://ow.ly/GVI5D

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Body size and physical activity in relation to incidence of chronic obstructive pulmonary disease

Cited by 54 publications

References 40 publications

An epidemiological study of chronic obstructive pulmonary disease among 35 years and above rural population of Gurugram, Haryana

An epidemiological study of chronic obstructive pulmonary disease among 35 years and above rural population of Gurugram, Haryana

Dose-response associations of cardiorespiratory fitness with all-cause mortality and incidence and mortality of cancer and cardiovascular and respiratory diseases: the UK Biobank cohort study

Nutritional advances in patients with respiratory diseases

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