The Korean journal of internal medicine

  • 제32권4호
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  • Pages.682-689
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  • 2017
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  • 1226-3303(pISSN)
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  • 2005-6648(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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Prevalence and risk factors for reduced pulmonary function in diabetic patients: The Korea National Health and Nutrition Examination Survey

  • Kim, Hee Yeon (Epidemiology Study Cluster of Uijeongbu St. Mary's Hospital, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Sohn, Tae Seo (Epidemiology Study Cluster of Uijeongbu St. Mary's Hospital, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Seok, Hannah (Epidemiology Study Cluster of Uijeongbu St. Mary's Hospital, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Yeo, Chang Dong (Epidemiology Study Cluster of Uijeongbu St. Mary's Hospital, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Young Soo (Epidemiology Study Cluster of Uijeongbu St. Mary's Hospital, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Song, Jae Yen (Epidemiology Study Cluster of Uijeongbu St. Mary's Hospital, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Lee, Young Bok (Epidemiology Study Cluster of Uijeongbu St. Mary's Hospital, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Lee, Dong-Hee (Epidemiology Study Cluster of Uijeongbu St. Mary's Hospital, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Lee, Jae-Im (Epidemiology Study Cluster of Uijeongbu St. Mary's Hospital, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Lee, Tae-Kyu (Epidemiology Study Cluster of Uijeongbu St. Mary's Hospital, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Jeong, Seong Cheol (Epidemiology Study Cluster of Uijeongbu St. Mary's Hospital, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Hong, Mihee (Epidemiology Study Cluster of Uijeongbu St. Mary's Hospital, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea) ;
  • Chae, Hiun Suk (Epidemiology Study Cluster of Uijeongbu St. Mary's Hospital, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea)
  • 투고 : 2016.02.15
  • 심사 : 2016.05.03
  • 발행 : 2017.07.01
⟨ 이전 논문 다음 논문 ⟩

초록

Background/Aims: An association between reduced pulmonary function and diabetes has been observed. Our aim was to evaluate the prevalence and risk factors associated with reduced pulmonary function in diabetic patients. Methods: We analyzed data from the Korea National Health and Nutrition Examination Survey 2011 to 2013. The study population included data from 8,784 participants (including 1,431 diabetics) aged ${\geq}40years$. Reduced pulmonary function was defined as patients with restrictive (forced expiratory volume in 1 second/forced vital capacity $[FEV_1/FVC]{\geq}0.7$ and FVC < 80% of predicted value) or obstructive ($FEV_1/FVC$ < 0.7) patterns. Results: Subjects with diabetes had a higher prevalence of restrictive (18.4% vs. 9.4%, p < 0.001) and obstructive impairments (20% vs. 12.6%, p < 0.001) than those without diabetes. The adjusted odds ratios (aORs) (95% confidence interval [CI]) for obstructive and restrictive pulmonary impairment were 0.91 (0.75 to 1.11) and 1.57 (1.30 to 1.89), respectively. In the diabetes population, age (aOR, 1.04; 95% CI, 1.02 to 1.06), male sex (aOR, 1.40; 95% CI, 1.04 to 1.88), and body mass index (aOR, 1.15; 95% CI, 1.10 to 1.21) were independently associated with restrictive pulmonary impairment. Age (aOR, 1.12; 95% CI, 1.09 to 1.14), male sex (aOR, 4.24; 95% CI, 2.42 to 7.44), and smoking at any point (ever-smoker: aOR, 1.96; 95% CI, 1.16 to 3.33) were independent risk factors for obstructive pulmonary impairment in diabetics. Diabetes duration or glycated hemoglobin had no association with pulmonary impairment in diabetes. Conclusions: Subjects with diabetes had a higher risk of restrictive pulmonary impairment than those without diabetes after adjusting for confounding factors. Older age, male sex, body mass index, and smoking were associated with reduced lung function in diabetes.

키워드

참고문헌

  1. Jeon JY, Ko SH, Kwon HS, et al. Prevalence of diabetes and prediabetes according to fasting plasma glucose and HbA1c. Diabetes Metab J 2013;37:349-357. https://doi.org/10.4093/dmj.2013.37.5.349
  2. Jeon JY, Kim DJ, Ko SH, et al. Current status of glycemic control of patients with diabetes in Korea: the fifth Korea National Health and Nutrition Examination Survey. Diabetes Metab J 2014;38:197-203. https://doi.org/10.4093/dmj.2014.38.3.197
  3. Davis TM, Knuiman M, Kendall P, Vu H, Davis WA. Reduced pulmonary function and its associations in type 2 diabetes: the Fremantle Diabetes Study. Diabetes Res Clin Pract 2000;50:153-159.
  4. Yeh HC, Punjabi NM, Wang NY, et al. Cross-sectional and prospective study of lung function in adults with type 2 diabetes: the Atherosclerosis Risk in Communities (ARIC) study. Diabetes Care 2008;31:741-746. https://doi.org/10.2337/dc07-1464
  5. Lange P, Parner J, Schnohr P, Jensen G. Copenhagen City Heart Study: longitudinal analysis of ventilatory capacity in diabetic and nondiabetic adults. Eur Respir J 2002;20:1406-1412. https://doi.org/10.1183/09031936.02.00050502
  6. Litonjua AA, Lazarus R, Sparrow D, Demolles D, Weiss ST. Lung function in type 2 diabetes: the Normative Aging Study. Respir Med 2005;99:1583-1590. https://doi.org/10.1016/j.rmed.2005.03.023
  7. Klein OL, Krishnan JA, Glick S, Smith LJ. Systematic review of the association between lung function and type 2 diabetes mellitus. Diabet Med 2010;27:977-987. https://doi.org/10.1111/j.1464-5491.2010.03073.x
  8. van den Borst B, Gosker HR, Zeegers MP, Schols AM. Pulmonary function in diabetes: a metaanalysis. Chest 2010;138:393-406. https://doi.org/10.1378/chest.09-2622
  9. Kim DS, Kim YS, Jung KS, et al. Prevalence of chronic obstructive pulmonary disease in Korea: a population-based spirometry survey. Am J Respir Crit Care Med 2005;172:842-847. https://doi.org/10.1164/rccm.200502-259OC
  10. Hwang YI, Yoo KH, Sheen SS, et al. Prevalence of chronic obstructive pulmonary disease in Korea: the result of forth Korean National Health and Nutrition Examination Survey. Tuberc Respir Dis 2011;71:328-334. https://doi.org/10.4046/trd.2011.71.5.328
  11. Lee JY, Hwang YI, Park YB, et al. Prevalence of spirometrically-defined restrictive ventilatory defect in Korea: the fourth-2, 3, and fifth Korean National Health and Nutrition Examination Survey, 2008-2012. J Korean Med Sci 2015;30:725-732. https://doi.org/10.3346/jkms.2015.30.6.725
  12. American Thoracic Society. Standardization of spirometry, 1994 update. Am J Respir Crit Care Med 1995;152:1107-1136. https://doi.org/10.1164/ajrccm.152.3.7663792
  13. Choi JK, Paek D, Lee JO. Normal predictive values of spirometry in Korean population. Tuberc Respir Dis 2005;58:230-242. https://doi.org/10.4046/trd.2005.58.3.230
  14. Evans SE, Scanlon PD. Current practice in pulmonary function testing. Mayo Clin Proc 2003;78:758-763. https://doi.org/10.4065/78.6.758
  15. Mannino DM, Ford ES, Redd SC. Obstructive and restrictive lung disease and markers of inflammation: data from the Third National Health and Nutrition Examination. Am J Med 2003;114:758-762. https://doi.org/10.1016/S0002-9343(03)00185-2
  16. Mannino DM, Doherty DE, Sonia Buist A. Global Initiative on Obstructive Lung Disease (GOLD) classification of lung disease and mortality: findings from the Atherosclerosis Risk in Communities (ARIC) study. Respir Med 2006;100:115-122. https://doi.org/10.1016/j.rmed.2005.03.035
  17. Mannino DM, Thorn D, Swensen A, Holguin F. Prevalence and outcomes of diabetes, hypertension and cardiovascular disease in COPD. Eur Respir J 2008;32:962-969. https://doi.org/10.1183/09031936.00012408
  18. Kim HK, Kim CH, Jung YJ, et al. Association of restrictive ventilatory dysfunction with insulin resistance and type 2 diabetes in Koreans. Exp Clin Endocrinol Diabetes 2011;119:47-52. https://doi.org/10.1055/s-0030-1268467
  19. Oda E, Kawai R. A cross-sectional relationship between vital capacity and metabolic syndrome and between vital capacity and diabetes in a sample Japanese population. Environ Health Prev Med 2009;14:284-291. https://doi.org/10.1007/s12199-009-0098-5
  20. Walter RE, Beiser A, Givelber RJ, O'Connor GT, Gottlieb DJ. Association between glycemic state and lung function: the Framingham Heart Study. Am J Respir Crit Care Med 2003;167:911-916. https://doi.org/10.1164/rccm.2203022
  21. Sharma G, Goodwin J. Effect of aging on respiratory system physiology and immunology. Clin Interv Aging 2006;1:253-260. https://doi.org/10.2147/ciia.2006.1.3.253
  22. Enzi G, Gasparo M, Biondetti PR, Fiore D, Semisa M, Zurlo F. Subcutaneous and visceral fat distribution according to sex, age, and overweight, evaluated by computed tomography. Am J Clin Nutr 1986;44:739-746. https://doi.org/10.1093/ajcn/44.6.739
  23. Canoy D, Luben R, Welch A, et al. Abdominal obesity and respiratory function in men and women in the EPIC-Norfolk Study, United Kingdom. Am J Epidemiol 2004;159:1140-1149. https://doi.org/10.1093/aje/kwh155
  24. Melo LC, Silva MA, Calles AC. Obesity and lung function: a systematic review. Einstein (Sao Paulo) 2014;12:120-125. https://doi.org/10.1590/S1679-45082014RW2691
  25. Bano R, Ahmad N, Mahagaonkar AM, Latti RG. Study of lung functions in smokers and non-smokers in rural India. Indian J Physiol Pharmacol 2011;55:84-88.
  26. Boskabady MH, Mahmoodinia M, Boskabady M, Heydari GR. Pulmonary function tests and respiratory symptoms among smokers in the city of Mashhad (north east of Iran). Rev Port Pneumol 2011;17:199-204. https://doi.org/10.1016/j.rppneu.2011.05.001

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