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Characteristics and treatable traits of patients with chronic obstructive pulmonary disease (COPD) with and without paid employment.
- Source :
-
Respiratory research [Respir Res] 2021 May 12; Vol. 22 (1), pp. 147. Date of Electronic Publication: 2021 May 12. - Publication Year :
- 2021
-
Abstract
- Introduction: Patients with COPD are vulnerable to workforce detachment. Better knowledge of features associated with paid work loss might be of help to design and select appropriate interventions.<br />Method: This cross-sectional study aimed to explore the presence of treatable traits in COPD patients without paid work. Patients with COPD below 65 years at first referral to a hospital-based patient clinic were included. Using binary logistic regression analysis, the relationship between paid work and the following characteristics was explored: low daily physical activity, exercise, active smoking, Medical Research Council dyspnea scale (MRC), poor nutritional status, exacerbations, and fatigue (checklist individual strength (CIS)). Variables were adjusted for age, sex, forced expiratory volume in 1 s (FEV 1), and education level.<br />Results: In total, 191 patients (47.3%) were without paid work. The following treatable traits were related to not being in paid work: < 5000 steps/day (OR 2.36, 95% CI (1.52-3.68)), MRC ≥ 3 (OR 1.78, 95%CI (1.14-2.77)), CIS ≥ 36 points (OR 1.78, 95% CI (1.10-2.87)), six-minute walk distance (6MWD) < 70% of predicted (OR 2.62, 95% CI (1.69-4.06)), and ≥ 2 exacerbations per year (OR 1.80, 95% CI (1.12-2.92)). Significant differences were also seen in age (OR 1.06, 95% CI (1.02-1.10) per year), FEV 1% predicted (OR 0.98, 95% CI (0.97-1.00) per % predicted increase), and medium/high education level (OR 0.62, 95% CI (0.41-0.93)). When adjusting for all variables the only treatable trait that remained significant was 6MWD.<br />Conclusion: Patients without paid work are more likely to have treatable traits with 6MWD revealing the most significant association.
- Subjects :
- Aged
Cross-Sectional Studies
Female
Forced Expiratory Volume
Humans
Male
Middle Aged
Muscle Strength
Netherlands epidemiology
Nutrition Assessment
Nutritional Status
Phenotype
Prognosis
Pulmonary Disease, Chronic Obstructive diagnosis
Pulmonary Disease, Chronic Obstructive epidemiology
Pulmonary Disease, Chronic Obstructive therapy
Risk Assessment
Risk Factors
Sedentary Behavior
Time Factors
Vital Capacity
Walk Test
Employment
Exercise Tolerance
Lung physiopathology
Pulmonary Disease, Chronic Obstructive physiopathology
Salaries and Fringe Benefits
Subjects
Details
- Language :
- English
- ISSN :
- 1465-993X
- Volume :
- 22
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Respiratory research
- Publication Type :
- Academic Journal
- Accession number :
- 33980226
- Full Text :
- https://doi.org/10.1186/s12931-021-01736-6