同济大学学报（医学版）2023，Vol.44Issue(6)：864-871,8.DOI:10.12289/j.issn.1008-0392.23112
上海市闵行区老年人群慢性阻塞性肺疾病患病率及影响因素分析
Prevalence and related risk factors of chronic obstructive pulmonary disease in community-dwelling elderly in Shanghai Minhang district
摘要
Abstract
Objective To investigate the prevalence of chronic obstructive pulmonary disease(COPD)and related risk factors among community-dwelling elderly in Shanghai Minhang district.Methods Residents over 60 years old who underwent free physical examination in two community health service centers of Shanghai Minhang district from January 2021 to December 2022 were enrolled in the study.The Chronic Obstructive Pulmonary Disease Population Screening questionnaire(COPD-PS)was used for the survey,and general information of participants was collected.The lung function were measured with a portable pulmonary function instrument,and the diagnosis was made according to the diagnostic criteria of COPD.The risk factors related to COPD were analyzed by Logistic regression model.The diagnostic value of COPD-PS score combined with FEV1％pred of pulmonary function for COPE was evaluated with ROC curve.Results A total of 935 residents aged 60 years and above participated in the study,of whom 236 were diagnosed as COPD with a prevalence rate of 25.24％,35.86％for males and 13.65％for females.The awareness rate of COPD was 6.2％.Age,sex,BMI,smoking history,COPD-PS questionnaire score,education level,family annual economic income,family cooking frequency,family history of COPD,history of respiratory disease,occupational exposure,pneumonia vaccination and other indicators were associated with COPD(all P＜0.05).Multivariate Logistic regression analysis showed that age(OR=1.052,95％CI:1.017-1.089),smoking history(OR=10.956,95％CI:5.589-21.476)and COPD-PS score(OR=2.414,95％CI:2.050-2.844)were independent risk factors for COPD(all P＜0.05);and female gender(OR=0.252,95％CI:0.123 to 0.518),higher BMI(OR=0.934,95％CI:0.877 to 0.995)and history of pneumonia vaccination(OR=0.199,95％CI:0.006 to 0.066)were protective factors(all P＜0.05).The area under ROC curve(AUC)of COPD-PS questionnaire score for diagnosis of COPD was 0.839(95％CI 0.812-0.866,P＜0.05),while that of COPD-PS score plus FEV1％pred was 0.894(95％CI:0.872-0.916,P＜0.05).Conclusion This study shows that the elderly people in the study community of Shanghai Minhang district has low awareness and high prevalence of COPD.Age,sex,BMI,smoking,COPD-PS questionnaire score,pneumonia vaccination history and other factors are associated with risk of COPD.COPD-PS questionnaire combined with pulmonary function measurement can help early detection and diagnosis of COPD in the community.关键词
老年人群/慢性阻塞性肺疾病/问卷筛查/便携式肺功能仪/危险因素Key words
elderly people/chronic obstructive pulmonary disease/questionnaire screening/portable lung function instrument/risk factors分类
医药卫生引用本文复制引用
李少群,徐金富,郑亮,薛珉,巴东娇..上海市闵行区老年人群慢性阻塞性肺疾病患病率及影响因素分析[J].同济大学学报（医学版）,2023,44(6):864-871,8.基金项目
上海市闵行区卫生健康委员会临床研究类科研课题项目(2021MW07) （2021MW07）
