1. Lung function and onset of cardiometabolic diseases in the longitudinal Burden of Obstructive Lung Disease study
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Andre F S Amaral, Andrzej Pająk, Thorarinn Gislason, Syed Masud Ahmed, Rain Jogi, Abdul Rashid, Christine Jenkins, Fiona McLean, James Potts, Tobias Welte, Dali Wang, Eric Bateman, Wen Wang, Zafar Fatmi, Kevin Mortimer, Christer Janson, Nanshan Zhong, João Cardoso, Parvaiz A Koul, Rune Nielsen, Nazrul Islam, Graham Devereux, Andrei Malinovschi, Sanjay Juvekar, Talant Sooronbaev, Berik Emilov, Bertrand Mbatchou, Ayola Akim Adegnika, Padukudru Anand Mahesh, Kate Hardaker, EFM Wouters, Imed Harrabi, Amund Gulsvik, Sundeep Salvi, Muhammad Irfan, Bill Brashier, Inga Sif Ólafsdóttir, Zouhair Tabka, Peter G J Burney, Jaymini Patel, Filip Mejza, David M Mannino, Meriam Denguezli, Michael Studnicka, Althea Aquart-Stewart, Parvaiz Koul, Herve Lawin, Asaad Ahmed Nafees, Olayemi Awopeju, Gregory E Erhabor, Louisa Gnatiuc, Ali Kocabas, Cristina Barbara, Hasan Hafizi, Anila Aliko, Donika Bardhi, Holta Tafa, Natasha Thanasi, Arian Mezini, Alma Teferici, Dafina Todri, Jolanda Nikolla, Rezarta Kazasi, Hamid Hacene Cherkaski, Amira Bengrait, Tabarek Haddad, Ibtissem Zgaoula, Maamar Ghit, Abdelhamid Roubhia, Soumaya Boudra, Feryal Atoui, Randa Yakoubi, Rachid Benali, Abdelghani Bencheikh, Nadia Ait-Khaled, Guy Marks, Tessa Bird, Paola Espinel, Brett Toelle, Torkil Dawes, Bernd Lamprecht, Lea Schirhofer, Akramul Islam, Shayla Islam, Qazi Shafayetul Islam, Mesbah Ul-Haque, Tridib Roy Chowdhury, Sukantha Kumar Chatterjee, Dulal Mia, Shyamal Chandra Das, Mizanur Rahman, Shahaz Uddin, Nurul Islam, Luiza Khatun, Monira Parvin, Abdul Awal Khan, Maidul Islam, Arsene Kpangon, Karl Kpossou, Gildas Agodokpessi, Paul Ayelo, Benjamin Fayomi, Atongno Humphrey Ashu, Wan C Tan, Shengming Liu, Jiachun Lu, Pixin Ran, Yumin Zhou, Hendrik Laja, Katrin Ulst, Vappu Zobel, Toomas-Julius Lill, Isabelle Bodemann, Henning Geldmacher, Bryndis Benedikdtsdottir, Kristin Jörundsdottir, Lovisa Gudmundsdottir, Sigrun Gudmundsdottir, Mahesh Rao, Sajjad Malik, Nissar A Hakim, Umar Hafiz Khan, Rohini Chowgule, Vasant Shetye, Jonelle Raphael, Rosel Almeda, Mahesh Tawde, Rafiq Tadvi, Sunil Katkar, Milind Kadam, Rupesh Dhanawade, Umesh Ghurup, Siddhi Hirve, Somnath Sambhudas, Bharat Chaidhary, Meera Tambe, Savita Pingale, Arati Umap, Archana Umap, Nitin Shelar, Sampada Devchakke, Sharda Chaudhary, Suvarna Bondre, Savita Walke, Ashleshsa Gawhane, Anil Sapkal, Rupali Argade, Vijay Gaikwad, Jyoti Londhe, Sapna Madas, Akosua Francia Aikman, Meerim Akmatalieva, Saadat Usenbaeva, Jypara Kydyrova, Eliza Bostonova, Ulan Sheraliev, Nuridin Marajapov, Nurgul Toktogulova, Toktogul Azilova, Gulnara Beishekeeva, Nasyikat Dononbaeva, Aijamal Tabyshova, Wezzie Nyapigoti, Ernest Mwangoka, Mayamiko Kambwili, Martha Chipeta, Gloria Banda, Suzgo Mkandawire, Justice Banda, Li-Cher Loh, Siti Sholehah, Mohamed C Benjelloun, Chakib Nejjari, Mohamed Elbiaze, Karima El Rhazi, Daniel Obaseki, Gregory Erhabor, Olufemi Adewole, Tina Endresen, Lene Svendsen, Asaad A Nafees, Aysha Zahidie, Natasha Shaukat, Meesha Iqbal, Luisito F Idolor, Norberto A Francisco, Camilo C Roa, Fernando G Ayuyao, Cecil Z Tady, Daniel T Tan, Sylvia Banal-Yang, Vincent M Balanag, Renato B Dantes, Lourdes Amarillo, Lakan U Berratio, Lenora C Fernandez, Gerard S Garcia, Teresita S de Guia, Thessa Reyes, Leander P Simpao, Jakub Frey, Rafal Harat, Pawel Nastalek, Wojciech Skucha, Andrzej Szczeklik, Magda Twardowska, Fátima Rodrigues, Hermínia Dias, João Almeida, Maria João Matos, Paula Simão, Moutinho Santos, Reis Ferreira, H Alorainy, E El-Hamad, A Hashi, R Dela, R Fanuncio, E Doloriel, I Marciano, Anamika Jithoo, Desiree Adams, Edward Barnes, Jasper Freeman, Anton Hayes, Sipho Hlengwa, Christine Johannisen, Mariana Koopman, Innocentia Louw, Ina Ludick, Alta Olckers, Johanna Ryck, Janita Storbeck, Kirthi Gunasekera, Rajitha Wickremasinghe, Asma Elsony, Hana A Elsadig, Nada Bakery Osman, Bandar Salah Noory, Monjda Awad Mohamed, Suhaiba Khalifa, Mahmoud Elhadi, Mohand Hassan, Dalia Abdelmonam, Katarina Nisser, Gunilla Hägg, Terence Seemungal, Fallon Lutchmansingh, Liane Conyette, Myriam Denguezli, Hager Daldoul, Zaki Boukheroufa, Firas Chouikha, Wahbi Belhaj Khalifa, Attila Hancioglu, Ismail Hanta, Sedat Kuleci, Ahmet Sinan Turkyilmaz, Sema Umut, Turgay Unalan, Peter GJ Burney, Hadia Azar, Caron Amor, Michael Tumilty, Risha Dudhaiya, A Sonia Buist, Mary Ann McBurnie, William M Vollmer, Suzanne Gillespie, Sean Sullivan, Todd A Lee, Kevin B Weiss, Robert L Jensen, Robert Crapo, Paul Enright, John Cain, Rebecca Copeland, Dana Hazen, Jennifer Methvin, Rana Ahmed, Ewa Niżankowska-mogilnicka, Sullian S Naval, Jin-Ping Zheng, Gunnar Gudmundsson, Ben Knox-Brown, Dhiraj Agarwal, M Al Hajjaj, L Safia, Namarig Mohamed Elhassan, Marwa Mohamed Mohamaden, Sanjay K Juvekar, Stefanni Nonna M Paraguas, Anders Ørskov Rotevatn, Alexandra SchwedaLinow, Talant M. Sooronbaev, Bermet M. Estebesova, GJ Wesseling, MariaTeresita N Reyes, Flordeliza Sanchez, MAl Ghobain, Hasab Alrasoul Akasha Ahmed Osman, Abdel Mu’is El Zain, Ulrike SpetzNystrom, and GunMarie Lund
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Medicine ,Diseases of the respiratory system ,RC705-779 - Abstract
Introduction Previous population-based studies, mainly from high-income countries, have shown that a higher forced vital capacity (FVC) is associated with a lower risk of developing cardiometabolic diseases. The aim of this study was to assess the longitudinal association between spirometry measures and the onset of cardiometabolic diseases across sites in low-income, middle-income and high-income countries.Methods The study population comprised 5916 individuals from 15 countries participating in the Burden of Obstructive Lung Disease baseline and follow-up assessments. Postbronchodilator forced expiratory volume in 1 s (FEV1), FVC and FEV1/FVC were measured at baseline. Participants who reported having doctor-diagnosed hypertension, diabetes, heart disease and stroke at follow-up but not at baseline were considered new cases of these diseases. The association between lung function and the onset of participant-reported cardiometabolic diseases was assessed in each site using regression models, and estimates were combined using random effects meta-analysis. Models were adjusted for sex, age, smoking, body mass index and educational level.Results Participants with greater per cent predicted FVC were less likely to have new-onset diabetes (OR per 10%=0.91, 95% CI 0.84 to 0.99), heart disease (OR per 10%=0.86, 95% CI 0.80 to 0.92) and stroke (OR per 10%=0.81, 95% CI 0.73 to 0.89) during the follow-up period (mean±SD 9.5±3.6 years). A greater percentage of FEV1 was associated with a lower risk of onset of heart disease and stroke. No significant association was found between FEV1/FVC and onset of reported cardiometabolic diseases, except for a higher risk of diabetes (OR per 10%=1.21, 95% CI 1.08 to 1.35) in participants with higher FEV1/FVC.Conclusions The findings of this study suggest that a low FVC is more important than a low FEV1/FVC as a risk factor for developing cardiometabolic diseases. The value of including FVC in risk score models to improve their precision in predicting the onset of cardiometabolic diseases should be explored.
- Published
- 2025
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