Ever Smoking is Not Associated with Performed Spirometry while Occupational Exposure and Respiratory Symptoms are.
SCAPIS pilot
lung function test
occupational exposure
respiratory symptoms
smoking
spirometry and PEF
Journal
International journal of chronic obstructive pulmonary disease
ISSN: 1178-2005
Titre abrégé: Int J Chron Obstruct Pulmon Dis
Pays: New Zealand
ID NLM: 101273481
Informations de publication
Date de publication:
2023
2023
Historique:
received:
26
10
2022
accepted:
06
03
2023
entrez:
24
3
2023
pubmed:
25
3
2023
medline:
28
3
2023
Statut:
epublish
Résumé
Despite recommendations, assessment using spirometry or peak expiratory flow is insufficient in the clinical evaluation of suspected obstructive pulmonary disease. The aim was to investigate factors associated with performing spirometry or peak flow expiratory flow assessment. Randomly selected subjects from the general population aged 50-65 completed a respiratory questionnaire with items about the history of previously performed spirometry or peak expiratory flow. The association between ever having had spirometry or peak expiratory flow performed was analyzed for smoking, age, sex, occupational exposures, dyspnea, wheeze, self-reported physician diagnosed asthma and COPD using multivariable logistic regression models. The results are presented as odds ratios (OR) with 95% confidence intervals (95% CIs). Of the 1105 participants, 43.4% (n=479) had a history of previously performed spirometry or peak expiratory flow. Occupational exposure (OR 1.72, [95% CI] 1.30-2.27), wheeze (OR 2.29, 1.41-3.70), and dyspnea (OR 1.70, 1.11-2.60) were associated with previously performed spirometry. Compared to men, women had spirometry or peak expiratory flow performed less often (OR 0.67, 0.51-0.86). Neither current smoking (OR 0.83, 0.57-1.20) or former smoking (OR 1.27, 0.96-1.67) were associated with performed spirometry or peak expiratory flow. We found no relation between smoking status and a history of previously performed spirometry or peak expiratory flow in a population-based sample of middle-aged people. This is surprising regarding the strong guidelines which highlight the importance for spirometry surveillance on current smokers due to their increased risk of lung disease. Male sex, respiratory symptoms and occupational exposures to air pollution were associated with previously performed spirometry or peak expiratory flow. The association with occupational exposure may be an effect of pre-employment screening and workplace surveillance, and the findings indicate that females do not receive the same attention regarding spirometry or peak expiratory flow.
Identifiants
pubmed: 36960354
doi: 10.2147/COPD.S394832
pii: 394832
pmc: PMC10029369
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
341-348Informations de copyright
© 2023 Carlsson et al.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest in relation to this work.
Références
J Asthma Allergy. 2020 Jun 30;13:193-203
pubmed: 32636652
Thorax. 1999 Jul;54(7):581-6
pubmed: 10377201
Pharmacoepidemiol Drug Saf. 2009 May;18(5):393-400
pubmed: 19288473
Monaldi Arch Chest Dis. 2005 Mar;63(1):6-12
pubmed: 16035558
Eur Respir J. 1998 Feb;11(2):284-90
pubmed: 9551726
J Gen Intern Med. 2011 Nov;26(11):1272-7
pubmed: 21713542
Am J Med. 2015 May;128(5):502-8
pubmed: 25554370
PLoS One. 2017 Aug 28;12(8):e0183647
pubmed: 28846706
Chest. 2000 Apr;117(4):1146-61
pubmed: 10767253
Occup Environ Med. 1994 Aug;51(8):574
pubmed: 7951785
Int J Chron Obstruct Pulmon Dis. 2016 May 02;11:927-33
pubmed: 27194908
Am J Respir Crit Care Med. 2019 Oct 15;200(8):e70-e88
pubmed: 31613151
J Occup Environ Med. 2000 Mar;42(3):228-45
pubmed: 10738702
Arch Bronconeumol. 2011 May;47(5):226-33
pubmed: 21295903
Int J Chron Obstruct Pulmon Dis. 2017 Aug 04;12:2269-2275
pubmed: 28831247
Lancet. 2007 Sep 1;370(9589):741-50
pubmed: 17765523
Am J Respir Crit Care Med. 2014 Apr 15;189(8):983-93
pubmed: 24735032
Respir Med. 2018 Sep;142:48-52
pubmed: 30170801
Respir Med. 2012 Dec;106(12):1743-8
pubmed: 23044193
Respir Med. 2016 May;114:91-6
pubmed: 27109817
ERJ Open Res. 2020 Nov 10;6(4):
pubmed: 33263044
BMC Pulm Med. 2011 Jun 16;11:37
pubmed: 21679396
Thorax. 2016 Jul;71(7):659-61
pubmed: 26911574
J Intern Med. 2015 Dec;278(6):645-59
pubmed: 26096600
Respir Med. 2010 Apr;104(4):550-6
pubmed: 19931443
Respir Med. 2004 Dec;98(12):1207-13
pubmed: 15588042
Chest. 1993 Aug;104(2):600-8
pubmed: 7802735
J Fam Pract. 2019 Mar;68(2):76-81
pubmed: 30870534
Cancer Causes Control. 1991 Jul;2(4):239-46
pubmed: 1873454
Lung. 2015 Aug;193(4):505-12
pubmed: 25921015
Scand J Public Health. 2017 Jul;45(17_suppl):45-49
pubmed: 28683666
Circulation. 2021 Sep 21;144(12):916-929
pubmed: 34543072
Thorax. 2018 Nov;73(11):1008-1015
pubmed: 29574416
Clin Physiol Funct Imaging. 2017 Nov;37(6):640-645
pubmed: 26865107
Int J Chron Obstruct Pulmon Dis. 2017 Jun 07;12:1663-1668
pubmed: 28652719