scholarly journals Asthma and chronic bronchitis symptoms among adult population of Belgrade

2011 ◽  
Vol 139 (3-4) ◽  
pp. 149-154 ◽  
Author(s):  
Branislava Milenkovic ◽  
Marija Mitic-Milikic ◽  
Predrag Rebic ◽  
Miodrag Vukcevic ◽  
Aleksandra Dudvarski-Ilic ◽  
...  
Keyword(s):  
Chronic Bronchitis ◽  
Respiratory Symptoms ◽  
Respiratory Health ◽  
Adult Population ◽  
Chronic Obstructive ◽  
Sputum Production ◽  
Chronic Obstructive Pulmonary Diseases ◽  
High Prevalence ◽  
Smoking Addiction ◽  
Almost All

Introduction. Over the last three decades the prevalence of respiratory diseases has been increasing worldwide thus increasing economic burden on the healthcare system. Recent studies have shown that the prevalence of asthma in West European countries ranges from 6-9%, while of chronic obstructive pulmonary diseases (COPD) is 8.0% worlwide. Objective. The aim of the study was to estimate the prevalence of respiratory symptoms and smoking habits, and to assess the prevalence of asthma and chronic bronchitis among adults in Belgrade, Serbia. Methods. To collect data we used a questionnaire based on the European Community Respiratory Health Survey (ECRHS) protocol, which was mailed to 10,208 randomly selected subjects. Results. There were 58.3% of responders to our questionnaire. We noted a higher prevalence of respiratory symptoms in subjects who responded promptly. The majority of the respondents were current or former smokers (37.5% and 17.5% respectively) and 79.9% of them reported respiratory symptoms. The most frequent symptoms were longstanding cough (32.2%), sputum production (30.4%) and wheezing (30.3%). Asthma attacks were reported in 4.4% of cases and 5.6% of subjects were using asthma medications. The prevalence of respiratory symptoms increased with age. Women reported coughing, attacks of breathlessness and coughing, chest tightness by night, allergic rhinitis and chronic coughing, more frequently than men. Productive cough was more frequent in men. The prevalence of almost all symptoms was higher in smokers compared to nonsmokers. Conclusion. In Serbia there is a high prevalence of respiratory symptoms, asthma and chronic bronchitis smoking addiction.

scholarly journals Occupational exposure to pesticides and respiratory health

2015 ◽  
Vol 24 (136) ◽  
pp. 306-319 ◽  
Author(s):  
Ali Mamane ◽  
Isabelle Baldi ◽  
Jean-François Tessier ◽  
Chantal Raherison ◽  
Ghislaine Bouvier
Keyword(s):  
Occupational Exposure ◽  
Chronic Bronchitis ◽  
Respiratory Function ◽  
Respiratory Symptoms ◽  
Pesticide Exposure ◽  
Respiratory Health ◽  
Epidemiological Studies ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Increased Risk

This article aims to review the available literature regarding the link between occupational exposure to pesticides and respiratory symptoms or diseases. Identification of epidemiological studies was performed using PubMed. 41 articles were included, 36 regarding agricultural workers and five regarding industry workers.Among the 15 cross-sectional studies focusing on respiratory symptoms and agricultural pesticide exposure, 12 found significant associations with chronic cough, wheeze, dyspnoea, breathlessness or chest tightness. All four studies on asthma found a relationship with occupational exposure, as did all three studies on chronic bronchitis. The four studies that performed spirometry reported impaired respiratory function linked to pesticide exposure, suggestive of either obstructive or restrictive syndrome according to the chemical class of pesticide.12 papers reported results from cohort studies. Three out of nine found a significant relationship with increased risk of wheeze, five out of nine with asthma and three out of three with chronic bronchitis. In workers employed in pesticide production, elevated risks of chronic obstructive pulmonary disease (two studies out of three) and impaired respiratory function suggestive of an obstructive syndrome (two studies out of two) were reported.In conclusion, this article suggests that occupational exposure to pesticides is associated with an increased risk of respiratory symptoms, asthma and chronic bronchitis, but the causal relationship is still under debate.

scholarly journals Respiratory Symptoms and Lung Function among Ethiopian Women in Relation to Household Fuel Use

2019 ◽  
Vol 17 (1) ◽  
pp. 41 ◽  
Author(s):  
Mulugeta Tamire ◽  
Adamu Addissie ◽  
Abera Kumie ◽  
Emma Husmark ◽  
Susann Skovbjerg ◽  
...  
Keyword(s):  
Lung Function ◽  
Rural Areas ◽  
Respiratory Symptoms ◽  
Respiratory Health ◽  
Forced Expiratory Volume ◽  
Solid Fuels ◽  
Chronic Obstructive ◽  
European Respiratory Society ◽  
Cross Sectional ◽  
Validated Questionnaire

Exposure to household air pollution has been linked to chronic obstructive pulmonary disease, respiratory symptoms and reduced lung function. This study aims to assess respiratory symptoms and lung function among Ethiopian women in relation to exposure to HAP. We conducted a cross-sectional study among non-smoking women responsible for household cooking. Data was collected on socio-demographic characteristics, respiratory symptoms and risk factors using a validated questionnaire. Spirometry with reversibility testing was performed according to American Thoracic Society/European Respiratory Society guidelines. We used independent t-test and multivariable logistic regression to compare the means and measure association respectively. A total of 545 women participated in the study out of which 231 (42.3%) performed spirometry with at least three acceptable manoeuvres. Everyone in the rural group and 43% of the urban group were exposed to HAP from solid fuels during cooking. The odds of developing at least one respiratory symptom when compared with those using cleaner fuels are twice as high for women cooking within the living house. We also found significantly lower forced expiratory volume in the first second (FEV1) (L) among solid fuels users compared with cleaner energy users. Given the larger population settlement in the rural areas and the use of solid fuel as the only energy source, there is a higher risk of developing chronic respiratory health problems for those women in Ethiopia.

scholarly journals Primary Cooking Fuel Choice and Respiratory Health Outcomes among Women in Charge of Household Cooking in Ouagadougou, Burkina Faso: Cross-Sectional Study

2019 ◽  
Vol 16 (6) ◽  
pp. 1040 ◽  
Author(s):  
Adama Sana ◽  
Nicolas Meda ◽  
Gisèle Badoum ◽  
Benoit Kafando ◽  
Catherine Bouland
Keyword(s):  
Respiratory Symptoms ◽  
Respiratory Health ◽  
Biomass Fuel ◽  
Respiratory Morbidity ◽  
Shortness Of Breath ◽  
Cross Sectional ◽  
Cooking Fuel ◽  
Breathing Difficulty ◽  
Sputum Production ◽  
Waking Up

Background: Approximately 3 billion people, worldwide, rely primarily on biomass for cooking. This study aimed to investigate the association between respiratory symptoms among women in charge of household cooking and the type of fuel used for cooking. Methods: A community-based cross-sectional survey was conducted. A total of 1705 women that were randomly selected, completed the survey. We also performed a bivariate and a multivariate analysis to verify the possible associations between respiratory symptoms in women in charge of household cooking and the type of cooking fuel used. Results: Dry cough, breathing difficulties, and throat irritation frequencies were statistically high in biomass fuel users when compared to liquefied petroleum gas (LPG) users. It was also the case for some chronic respiratory symptoms, such as sputum production, shortness of breath, wheezing, wheezing with dyspnea, wheezing without a cold, waking up with shortness of breath, waking up with coughing attacks, and waking up with breathing difficulty. After adjustment for the respondents’ and households’ characteristics; dry cough, breathing difficulties, sneezing, nose tingling, throat irritation, chronic sputum production, wheezing, wheezing with dyspnea, wheezing without a cold, waking up with shortness of breath, waking up with coughing attacks, and waking up with breathing difficulty were symptoms that remained associated to biomass fuel compared to LPG. Women who used charcoal reported the highest proportion of all the chronic respiratory symptoms compared to the firewood users. However, this difference was not statistically significant except for the wheezing, waking up with coughing attacks, and waking up with breath difficulty, after adjustment. Conclusion: Exposure to biomass smoke is responsible for respiratory health problems in women. Charcoal, which is often considered as a clean fuel compared to other biomass fuels and often recommended as an alternative to firewood, also presents health risks, including increased respiratory morbidity in women. Effective and efficient energy policies are needed to accelerate the transition to clean and sustainable energies.

scholarly journals Increased respiratory symptoms in COPD patients living in the vicinity of livestock farms

2015 ◽  
Vol 46 (6) ◽  
pp. 1605-1614 ◽  
Author(s):  
Floor Borlée ◽  
C. Joris Yzermans ◽  
Christel E. van Dijk ◽  
Dick Heederik ◽  
Lidwien A.M. Smit
Keyword(s):  
Respiratory Symptoms ◽  
Respiratory Health ◽  
Personal Characteristics ◽  
Chronic Obstructive ◽  
Livestock Farming ◽  
Obstructive Pulmonary Disease ◽  
Livestock Farm ◽  
Copd Patients ◽  
Increased Risk ◽  
Livestock Farms

Several studies have investigated the effect of livestock farm emissions on the respiratory health of local residents, but results are inconsistent. This study aims to explore associations between the presence of livestock farms and respiratory health in an area of high-density livestock farming in the Netherlands. We focused especially on associations between farm exposures and respiratory symptoms within subgroups of potentially susceptible patients with a pre-existing lung disease.In total, 14 875 adults (response rate 53.4%) completed a questionnaire concerning respiratory health, smoking habits and personal characteristics. Different indicators of livestock farm exposures relative to the home address were computed using a geographic information system.Prevalence of chronic obstructive pulmonary disease (COPD) and asthma was lower among residents living within 100 m of a farm (OR 0.47, 95% CI 0.24–0.91 and OR 0.65, 95% CI 0.45–0.93, respectively). However, >11 farms in 1000 m compared to fewer than four farms in 1000 m (fourth quartileversusfirst quartile) was associated with wheezing among COPD patients (OR 1.71, 95% CI 1.01–2.89). Using general practitioners' electronic medical records, we demonstrated that selection bias did not affect the observed associations.Our data suggest a protective effect of livestock farm emissions on the respiratory health of residents. Nonetheless, COPD patients living near livestock farms reported more respiratory symptoms, suggesting an increased risk of exacerbations.

scholarly journals Occupational exposures and incidence of chronic bronchitis and related symptoms over two decades: the European Community Respiratory Health Survey

2019 ◽  
pp. oemed-2018-105274 ◽  
Author(s):  
Theodore Lytras ◽  
Manolis Kogevinas ◽  
Hans Kromhout ◽  
Anne-Elie Carsin ◽  
Josep Maria Antó ◽  
...  
Keyword(s):  
Chronic Bronchitis ◽  
European Community ◽  
Health Survey ◽  
Mineral Dust ◽  
Respiratory Health ◽  
Occupational Exposures ◽  
Dust Exposure ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Increased Risk

ObjectivesChronic bronchitis (CB) is an important chronic obstructive pulmonary disease (COPD)-related phenotype, with distinct clinical features and prognostic implications. Occupational exposures have been previously associated with increased risk of CB but few studies have examined this association prospectively using objective exposure assessment. We examined the effect of occupational exposures on CB incidence in the European Community Respiratory Health Survey.MethodsPopulation samples aged 20–44 were randomly selected in 1991–1993, and followed up twice over 20 years. Participants without chronic cough or phlegm at baseline were analysed. Coded job histories during follow-up were linked to the ALOHA Job Exposure Matrix, generating occupational exposure estimates to 12 categories of chemical agents. Their association with CB incidence over both follow-ups was examined with Poisson models using generalised estimating equations.Results8794 participants fulfilled the inclusion criteria, contributing 13 185 observations. Only participants exposed to metals had a higher incidence of CB (relative risk (RR) 1.70, 95% CI 1.16 to 2.50) compared with non-exposed to metals. Mineral dust exposure increased the incidence of chronic phlegm (RR 1.72, 95% CI 1.43 to 2.06). Incidence of chronic phlegm was increased in men exposed to gases/fumes and to solvents and in women exposed to pesticides.ConclusionsOccupational exposures are associated with chronic phlegm and CB, and the evidence is strongest for metals and mineral dust exposure. The observed differences between men and women warrant further investigation.

scholarly journals Lung function and respiratory diseases in people with psychosis: Population-based study

2015 ◽  
Vol 207 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Krista Partti ◽  
Tuula Vasankari ◽  
Merja Kanervisto ◽  
Jonna Perälä ◽  
Samuli I. Saarni ◽  
...  
Keyword(s):  
Lung Function ◽  
General Population ◽  
Chronic Bronchitis ◽  
Respiratory Diseases ◽  
Psychotic Disorders ◽  
Respiratory Health ◽  
Population Based ◽  
Chronic Obstructive ◽  
Serum Cotinine ◽  
Increased Risk

BackgroundThere is little information on lung function and respiratory diseases in people with psychosis.AimsTo compare the respiratory health of people with psychosis with that of the general population.MethodIn a nationally representative sample of 8028 adult Finns, lung function was measured by spirometry. Information on respiratory diseases and symptoms was collected. Smoking was quantified with serum cotinine levels. Psychotic disorders were diagnosed utilising the Structured Clinical Interview for DSM-IV (SCID-I) and medical records.ResultsParticipants with schizophrenia and other non-affective psychoses had significantly lower lung function values compared with the general population, and the association remained significant for schizophrenia after adjustment for smoking and other potential confounders. Schizophrenia was associated with increased odds of pneumonia (odds ratio (OR) = 4.9), chronic obstructive pulmonary disease (COPD, OR = 4.2) and chronic bronchitis (OR = 3.8); and with high cotinine levels.ConclusionsSchizophrenia is associated with impaired lung function and increased risk for pneumonia, COPD and chronic bronchitis.

scholarly journals Cost-effectiveness analysis of COPD screening programs in primary care for high-risk patients in China

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Shuli Qu ◽  
Xuedan You ◽  
Tianyi Liu ◽  
Lijiao Wang ◽  
Zheng Yin ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Chronic Bronchitis ◽  
Sensitivity Analyses ◽  
Chronic Obstructive ◽  
Decision Analytic Model ◽  
Lifetime Horizon ◽  
Screening Programs ◽  
Chronic Obstructive Pulmonary Diseases ◽  
Payer Perspective ◽  
Risk Patients

AbstractWe built a decision-analytic model to compare the cost-effectiveness of using portable spirometer and questionnaire to screen chronic obstructive pulmonary diseases (COPD) with no screening (i.e. usual care) among chronic bronchitis patient in China. A lifetime horizon and a payer perspective were adopted. Cost data of health services including spirometry screening and treatment costs covered both maintenance and exacerbation. The result indicated that portable spirometer screening was cost-saving compared with questionnaire screening and no screening, with an incremental cost-effectiveness ratio (ICER) of −5026 and −1766 per QALY, respectively. Sensitivity analyses confirmed the robustness of the results. In summary, portable spirometer screening is likely the optimal option for COPD screening among chronic bronchitis patients China.

scholarly journals Prevalence of Chronic Bronchitis and Respiratory Health Profile of a Population Exposed to Wood Smoke in Nicaragua

2020 ◽  
Vol 10 (26) ◽  
Author(s):  
Annika Maas ◽  
Henning Kothe ◽  
Ivette Pilarte Centeno ◽  
Mauricio José Gutiérrez Leiva ◽  
Klaus Dalhoff
Keyword(s):  
Risk Factors ◽  
Chronic Bronchitis ◽  
Environmental Risk ◽  
Respiratory Health ◽  
Pulmonary Function Tests ◽  
Ethics Committee ◽  
Environmental Risk Factors ◽  
Wood Smoke ◽  
Exposed Population ◽  
High Prevalence

Background. Household air pollution (HAP) is one of the most important environmental risk factors worldwide associated with chronic respiratory diseases. Objectives. The present study focused on respiratory health in a population with high wood smoke exposure in Nicaragua. Methods. We employed a cross-sectional study with 213 participants. Data on the prevalence of chronic bronchitis (chronic bronchitis), chronic obstructive pulmonary disease (COPD) and asthma, including respiratory scores and pulmonary function tests, were documented. The role of risk factors for chronic bronchitis was analyzed. Results. We found a high prevalence of chronic airway diseases in the population exposed to wood smoke. A higher prevalence of chronic bronchitis was found in persons serving as primary cooks in households. Further confounding factors for chronic bronchitis included age, a prior diagnosis of asthma, inhalational allergies and lower socioeconomic status. Respiratory scores were elevated in individuals with chronic bronchitis. Conclusions. This is one of the first studies in a wood smoke-exposed population in Nicaragua showing a high prevalence of chronic bronchitis and COPD with an emphasis on the analysis of personal and environmental risk factors. Further studies are needed to address which combination of interventions is most efficient for ameliorating respiratory health hazards. Participant Consent. Obtained Ethics Approval. The study protocol was approved by the Ethics Committee of the University of Luebeck, Germany (reference number 12-214), and by the Ethics Committee of the Department of Medical Sciences at National Autonomous University of Nicaragua, Managua, Nicaragua. Competing Interests. The authors declare no competing financial interests.

scholarly journals Developing a Differential Zone for Virus Disease Prevention using Phytoterapy

2020 ◽  
Author(s):  
Aleksandra Alekseevna Mukhina
Keyword(s):  
Respiratory Failure ◽  
Disease Prevention ◽  
Chronic Bronchitis ◽  
Respiratory System ◽  
Virus Disease ◽  
Pulmonary Diseases ◽  
Modern World ◽  
Chronic Obstructive ◽  
Airway Patency ◽  
Chronic Obstructive Pulmonary Diseases

Pulmonology is a branch of medicine that treats diseases of the respiratory system. An important problem in the modern world is chronic obstructive pulmonary diseases: bronchial asthma, emphysema, chronic bronchitis, including obstructive and others. This group of diseases with a transient or permanent violation of airway patency with the development and further progression of respiratory failure.

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