Artículos de revistas
Prevalence Of Chronic Obstructive Pulmonary Disease And Risk Factors In São Paulo, Brazil, 2008-2009 [doença Pulmonar Obstrutiva Crônica E Fatores Associados Em São Paulo, Sp, 2008-2009]
Registro en:
Revista De Saude Publica. , v. 45, n. 5, p. 887 - 896, 2011.
348910
10.1590/S0034-89102011005000051
2-s2.0-83455180076
Autor
de Sousa C.A.
Cesar C.L.G.
Barros M.B.A.
Carandina L.
Goldbaum M.
Pereira J.C.R.
Institución
Resumen
Objective: To assess the prevalence of chronic obstructive pulmonary disease and related risk factors. Methods: A population-based cross-sectional study with 1,441 individuals of both sexes aged 40 years or more was conducted in the city of São Paulo, Brazil, between 2008 and 2009. A two-stage (census tract, household) cluster random sampling stratified by sex and age was used and data was collected through home interviews. Multiple Poisson regression was used in the adjusted analysis. Results: Of all respondents, 4.2% (95%CI: 3.1;5.4) reported chronic obstructive pulmonary disease. After adjustment the following factors were found independently associated with self-reported chronic obstructive pulmonary disease: number of cigarettes smoked in their lifetime (>1,500 vs. none) (PR=3.85; 95%CI: 1.87;7.94); easily fatigued (yes vs. no) (PR=2.61; 95%CI: 1.39;4.90); age (60;69 vs. 50;59) (PR 3.27; 95%CI: 1.01;11.24); age (70 and over vs. 50;59) (PR 4.29; 95%CI: 1.30;11.29); health conditions in the last 15 days (yes vs. no) (PR=1.31; 95%CI: 1.02;1.77); leisure-time physical activity (yes vs. no) (PR=0.57; 95%CI: 0.26;0.97). Conclusions: The prevalence of chronic obstructive pulmonary disease is high in the population studied and is associated with smoking and age over 60. Frequent health conditions and low leisure-time physical activity are a consequence of the disease. 45 5 887 896 Brown, D.W., Croft, J.B., Greenlund, K.J., Giles, W.H., Trends in hospitalization with chronic obstructive pulmonary disease-United States, 1990-2005 (2010) COPD, 7 (1), pp. 59-62. , DOI:10.3109/15412550903499548 (2004) J Bras Pneumol, 30 (SUPL. 5), pp. S1-S42. , Consenso Brasileiro sobre Doenca Pulmonar Obstrutiva Crônica II-DPOC Das, U.N., Anti-inflammatory nature of exercise (2004) Nutrition, 20 (3), pp. 323-326. , DOI:10.1016/j.nut.2003.11.017 Feary, J.R., Rodrigues, L.C., Smith, C.J., Hubbard, R.B., Gibson, J.E., Prevalence of major comorbidities in subjects with COPD and incidence of myocardial infarction and stroke: a comprehensive analysis using data from primary care (2010) Thorax, 65 (11), pp. 956-962. , DOI:10.1136/thx.2009.128082 Fiedman, M., Hilleman, D.E., Economic burden of chronic obstrutive pulmonary disease: impact of new treatment options (2001) Pharmacoeconomics, 19 (3), pp. 245-254 Fletcher, C., Peto, R., The natural history of chronic airflow obstruction (1977) Br Med J, 1 (6077), pp. 1645-1648. , DOI:10.1136/bmj.1.6077.1645 Garcia-Aymerich, J., Lange, P., Benet, M., Schnohr, P., Anto, J.M., Regular physical activity modifies smokingrelated lung function decline and reduces risk of chronic obstructive pulmonary disease: a populationbased cohort study (2007) Am J Respir Crit Care Med, 175 (5), pp. 458-463. , DOI:10.1164/rccm.200607-896OC Gosker, H.R., Wouters, E.F.M., van der Vusse, G.J., Schols, A.M.W.J., Skeletal muscle dysfunction in chronic obstructive pulmonary disease and chronic heart failure: underlying mechanisms and therapy perspectives (2000) Am J Clin Nutr, 71 (5), pp. 1033-1047 Hallberg, J., Dominicus, A., Eriksson, U.K., Gerhardsoon de Verdier, M., Pedersen, N.L., Dahlbäck, M., Interaction between smoking and genetic factors in the development of chronic bronchitis (2008) Am J Respir Crit Care Med, 177 (5), pp. 486-490. , DOI:10.1164/rccm.200704-565OC Halbert, R.J., Isonaka, S., George, D., Iqbal, A., Interpreting COPD prevalence estimates: what is the true burden of disease? (2003) Chest, 123 (5), pp. 1684-1692. , DOI:10.1378/chest.123.5.1684 Halbert, R.J., Natoli, J.L., Gano, A., Badamgarav, E., Buist, A.S., Mannino, D.M., Global burden of COPD: systematic review and meta-analysis (2006) Eur Respir J, 28 (3), pp. 523-532. , DOI:10.1183/09031936.06.00124605 Haskell, W.L., Lee, I.M., Pate, R.R., Powell, K.E., Blair, S.N., Franklin, B.A., Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association (2007) Circulation, 116 (9), pp. 1081-1093. , DOI:10.1161/CIRCULATIONAHA.107.185649 Hirayama, F., Lee, A.H., Hiramatsu, T., Life-long physical activity involvement reduces the risk of chronic obstructive pulmonary disease: a case-control study in Japan (2010) J Phys Act Health, 7 (5), pp. 622-626 Joos, L., Paré, P.D., Sandford, A.J., Genetic risk factors of chronic obstructive pulmonary disease (2002) Swiss Med Wkly, 132 (3-4), pp. 27-37. , DOI:2002/03/smw-09752 Laurell, C.C., Eriksson, S., The electrophoretic alpha-1-globulin pattern of serum in alpha-1-antitrypsin deficiency (1963) Scand J Clin Lab Invest, 15 (2), pp. 132-140. , DOI:10.1080/00365516309051324 Lokke, A., Lange, P., Scharling, H., Fabricius, P., Vestbo, J., Developing COPD: a 25 year follow up study of the general population (2006) Thorax, 61 (11), pp. 935-939. , DOI:10.1136/thx.2006.062802 Menezes, A.M., Victora, C.G., Rigatto, M., Prevalence and risk factors for chronic bronchitis in Pelotas, RS, Brazil: a population-based study (1994) Thorax, 49 (12), pp. 1217-1221. , DOI:10.1136/thx.49.12.1217 Menezes, A.M.B., Jardim, J.R., Perez-Padilla, R., Camelier, A., Rosa, F., Nascimento, O., Prevalence of chronic obstructive pulmonary disease and associated factors: the PLATINO Study in São Paulo, Brazil (2005) Cad Saude Publica, 21 (5), pp. 1565-1573. , DOI:10.1590/S0102-311X2005000500030 Menezes, A.M.B., Perez-Padilla, R., Jardim, J.R., Muino, A., Lopez, M.V., Valdivia, G., Chronic obstructive pulmonary disease in five Latin American cities (the PLATINO study): a prevalence study (2005) Lancet, 366 (9500), pp. 1875-1881. , DOI:10.1016/S0140-6736(05)67632-5 Miravitlles, M., Murio, C., Guerrero, T., Gisbert, R., Costs of chronic bronchitis and COPD: a 1-year follow-up study (2003) Chest, 123 (3), pp. 784-791. , DOI:10.1378/chest.123.3.784 Mullerová, H., Wedzicha, J., Soriano, J.B., Vestbo, J., Validation of a chronic obstructive pulmonary disease screening questionnaire for population surveys (2004) Respir Med, 98 (1), pp. 78-83. , DOI:10.1016/j.rmed.2003.08.009 O'Donnell, D.E., Laveneziana, P., Dyspnea and activity limitation in COPD: mechanical factors (2007) COPD, 4 (3), pp. 225-236. , DOI:10.1080/15412550701480455 Passowicz-Muszyńska, E., Gostkowska-Malec, A., Jankowska, R., Piesiak, P., Chronic obstructive pulmonary disease and cardiovascular diseases (2010) Pneumonol Alergol Pol, 78 (1), pp. 28-32 Sousa, M.H., Silva, N.N., Estimativas obtidas de um levantamento complexo (2003) Rev Saude Publica, 37 (5), pp. 622-670. , DOI:10.1590/S0034-89102003000500018