Prevalence of Chronic Obstructive Lung Disease in Korea Using Data from the Fifth Korea National Health and Nutrition Examination Survey
2
조회
0
다운로드
9
인용
0
참고문헌
키워드
초록
Background: Chronic obstructive pulmonary disease (COPD) is the fifth leading cause of death worldwide. The awareness and treatment rate of the disease are low despite its relatively high prevalence. With the added data, this study aimed to identify changes in prevalence and risk factors of COPD using the data from the 5th KNHNES. Methods: The subjects of this study were 8,969 individuals aged 40 and older who satisfied suitability and reproducibility for pulmonary function tests. The prevalence, awareness and risk factors of COPD were predicted based on the questionnaires on gender, age, educational level, income level, smoking history, body mass index (BMI) and other COPD related questions. Results: Diagnosis of COPD was based on the airflow limitation (forced expiratory volume in one second/forced vital capacity <0.7) of the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria. The prevalence of COPD from 2010 to 2012 was 13.7%, of which 23.3% was men and 6.5% women. The prevalence was on the rise, with 12.2% in 2010, 13.2% in 2011, and 15.5% in 2012. In GOLD stage 1, the percentages of those who had cough or sputum and smoking history were 12.1% and 75.5%, respectively, but only 0.1% was diagnosed with COPD. Even after adjusting for asthma and tuberculosis, men, old age, larger amount of smoking were linked with a higher prevalence of COPD, and obese and higher educational level were associated with a lower prevalence of COPD. Conclusion: The prevalence of COPD in Korea has been increasing every year, and a higher prevalence was associated with male, older age, more amount of smoking, lower educational level and lower BMI.
Abstract
Background: Chronic obstructive pulmonary disease (COPD) is the fifth leading cause of death worldwide. The awareness and treatment rate of the disease are low despite its relatively high prevalence. With the added data, this study aimed to identify changes in prevalence and risk factors of COPD using the data from the 5th KNHNES. Methods: The subjects of this study were 8,969 individuals aged 40 and older who satisfied suitability and reproducibility for pulmonary function tests. The prevalence, awareness and risk factors of COPD were predicted based on the questionnaires on gender, age, educational level, income level, smoking history, body mass index (BMI) and other COPD related questions. Results: Diagnosis of COPD was based on the airflow limitation (forced expiratory volume in one second/forced vital capacity <0.7) of the Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria. The prevalence of COPD from 2010 to 2012 was 13.7%, of which 23.3% was men and 6.5% women. The prevalence was on the rise, with 12.2% in 2010, 13.2% in 2011, and 15.5% in 2012. In GOLD stage 1, the percentages of those who had cough or sputum and smoking history were 12.1% and 75.5%, respectively, but only 0.1% was diagnosed with COPD. Even after adjusting for asthma and tuberculosis, men, old age, larger amount of smoking were linked with a higher prevalence of COPD, and obese and higher educational level were associated with a lower prevalence of COPD. Conclusion: The prevalence of COPD in Korea has been increasing every year, and a higher prevalence was associated with male, older age, more amount of smoking, lower educational level and lower BMI.
참고문헌 (22)
- Leidy NK, "Functional performance in people with chronic obstructive pulmonary disease: a qualitative analysis", ANS Adv Nurs Sci, 18, pp.77~89 (1996)
- Calverley PM, "Chronic obstructive pulmonary disease", Lancet, 362, pp.1053~1061 (2003)
- Sullivan SD, "The economic burden of COPD", Chest, 117(2 Suppl), pp.5S~9S (2000)
- "Chronic obstructive pulmonary disease (COPD) fact sheet no. 315" (2013)[URL]
- Yoo KH, "Prevalence of chronic obstructive pulmonary disease in Korea: the fourth Korean National Health and Nutrition Examination Survey, 2008", Respirology, 16, pp.659~665 (2011)
- Kim DS, "Prevalence of chronic obstructive pulmonary disease in Korea: a population-based spirometry survey", Am J Respir Crit Care Med, 172, pp.842~847 (2005)
- "Korea National Statistical Office" (2012)[URL]
- Mannino DM, "Global burden of COPD: risk factors, prevalence, and future trends", Lancet, 370, pp.765~773 (2007)
- Sorheim IC, "Gender differences in COPD: are women more susceptible to smoking effects than men?", Thorax, 65, pp.480~485 (2010)
- Kim YI, "Gender differences of airway dimensions in anatomically matched sites on CT in smokers", COPD, 8, pp.285~292 (2011)
- Rhee HS, "A comparative study of geriatric disease in rural and urban areas", Korean J Fam Med, 12, pp.36~46 (1991)
- Hnizdo E, "Airflow obstruction attributable to work in industry and occupation among U.S. race", ethnic groups:a study of NHANES III data, 2004, pp.46, 126~135
- Cecere LM, "Obesity and COPD: associated symptoms, health-related quality of life, and medication use", COPD, 8, pp.275~284 (2011)
- Ofir D, "Mechanisms of dyspnea during cycle exercise in symptomatic patients with GOLD stage I chronic obstructive pulmonary disease", Am J Respir Crit Care Med, 177, pp.622~629 (2008)
- Mannino DM, "Global Initiative on Obstructive Lung Disease (GOLD) classification of lung disease and mortality:findings from the Atherosclerosis Risk in Communities (ARIC) study", Respir Med, 100, pp.115~122 (2006)
- Hurst JR, "Susceptibility to exacerbation in chronic obstructive pulmonary disease", N Engl J Med, 363, pp.1128~1138 (2010)
- Jenkins CR, "Efficacy of salmeterol", fluticasone propionate by GOLD stage of chronic obstructive pulmonary disease: analysis from the randomised, placebo-controlled TORCH study, 2009, pp.10, 59~
- Decramer M, "Effect of tiotropium on outcomes in patients with moderate chronic obstructive pulmonary disease (UPLIFT): a prespecified subgroup analysis of a randomised controlled trial", Lancet, 374, pp.1171~1178 (2009)
- Siddique HH, "Randomized trial of pragmatic education for low-risk COPD patients: impact on hospitalizations and emergency department visits", Int J Chron Obstruct Pulmon Dis, 7, pp.719~728 (2012)
- Boland MR, "The health economic impact of disease management programs for COPD: a systematic literature review and meta-analysis", BMC Pulm Med, 13, pp.40~ (2013)
- Jordan TS, "Tuberculosis, bronchiectasis and chronic airflow obstruction", Respirology, 15, pp.623~628 (2010)
- Gibson PG, "The overlap syndrome of asthma and COPD:what are its features and how important is it?", Thorax, 64, pp.728~735 (2009)