Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
권호 표지
DOI QR코드

DOI QR Code

Correlation between Physical Activity and Lung Function in Dusty Areas: Results from the Chronic Obstructive Pulmonary Disease in Dusty Areas (CODA) Cohort

  • Han, Yuri (Department of Internal Medicine and Environmental Health Center, Kangwon National University) ;
  • Heo, Yeonjeong (Department of Internal Medicine and Environmental Health Center, Kangwon National University) ;
  • Hong, Yoonki (Department of Internal Medicine and Environmental Health Center, Kangwon National University) ;
  • Kwon, Sung Ok (Biomedical Research Institute, Kangwon National University Hospital) ;
  • Kim, Woo Jin (Department of Internal Medicine and Environmental Health Center, Kangwon National University)
  • Received : 2019.01.21
  • Accepted : 2019.05.09
  • Published : 2019.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Although physical activity is known to be beneficial to lung function, few studies have been conducted to investigate the correlation between physical activity and lung function in dusty areas. Therefore, the purpose of this study is to investigate the correlation between physical activity and lung function in a Korean cohort including normal and COPD-diagnosed participants. Methods: Data obtained from the COPD in dusty areas (CODA) cohort was analyzed for the following factors: lung function, symptoms, and information about physical activity. Information on physical activity was valuated using questionnaires, and participants were categorized into two groups: active and inactive. The evaluation of the mean lung function, modified Medical Research Council dyspnea grade scores, and COPD assessment test scores was done based on the participant physical activity using a general linear model after adjusting for age, sex, smoking status, pack-years, height, and weight. In addition, a stratification analysis was performed based on the smoking status and COPD. Results: Physical activity had a correlation with high forced expiratory volume in 1 second ($FEV_1$) among CODA cohort (p=0.03). While the active group exhibited significantly higher $FEV_1$ compared to one exhibited by the inactive group among past smokers (p=0.02), no such correlation existed among current smokers. There was no significant difference observed in lung function after it was stratified by COPD. Conclusion: This study established a positive correlation between regular physical activity in dusty areas and lung function in participants.

Keywords

Acknowledgement

Supported by : Kangwon National University

References

  1. World Health Organization. Chronic respiratory diseases: burden of COPD [Internet]. Geneva: World Health Organization; 2018 [cited 2018 Nov 30]. Available from: http://www.who.int/respiratory/copd/burden/en/.
  2. Celli BR, MacNee W; ATS/ERS Task Force. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. Eur Respir J 2004;23:932-46. https://doi.org/10.1183/09031936.04.00014304
  3. Sharma G, Goodwin J. Effect of aging on respiratory system physiology and immunology. Clin Interv Aging 2006;1:253-60. https://doi.org/10.2147/ciia.2006.1.3.253
  4. Hwang YI, Park YB, Yoo KH. Recent trends in the prevalence of chronic obstructive pulmonary disease in Korea. Tuberc Respir Dis 2017;80:226-9. https://doi.org/10.4046/trd.2017.80.3.226
  5. Anthonisen NR, Connett JE, Murray RP. Smoking and lung function of Lung Health Study participants after 11 years. Am J Respir Crit Care Med 2002;166:675-9. https://doi.org/10.1164/rccm.2112096
  6. Kim WJ, Lee CY. Environmental exposures and chronic obstructive pulmonary disease. Mol Cell Toxicol 2017;13:251-5. https://doi.org/10.1007/s13273-017-0027-4
  7. Mbelambela EP, Eitoku M, Muchanga SM, Villanueva AF, Hirota R, Pulphus TY, et al. Prevalence of chronic obstructive pulmonary disease (COPD) among Congolese cement workers exposed to cement dust, in Kongo Central Province. Environ Sci Pollut Res Int 2018;25:35074-83. https://doi.org/10.1007/s11356-018-3401-4
  8. World Health Organization. Chronic respiratory diseases: COPD management [Internet]. Geneva: World Health Organization; 2018 [cited 2018 Nov 30]. Available from: https://www.who.int/respiratory/copd/management/en/.
  9. Cheng SW, McKeough Z, Alison J, Dennis S, Hamer M, Stamatakis E. Associations of total and type-specific physical activity with mortality in chronic obstructive pulmonary disease: a population-based cohort study. BMC Public Health 2018;18:268. https://doi.org/10.1186/s12889-018-5167-5
  10. Crook S, Busching G, Keusch S, Wieser S, Turk A, Frey M, et al. The association between daily exacerbation symptoms and physical activity in patients with chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis 2018;13:2199-206. https://doi.org/10.2147/COPD.S156986
  11. Fuertes E, Carsin AE, Anto JM, Bono R, Corsico AG, Demoly P, et al. Leisure-time vigorous physical activity is associated with better lung function: the prospective ECRHS study. Thorax 2018;73:376-84. https://doi.org/10.1136/thoraxjnl-2017-210947
  12. Ji J, Wang SQ, Liu YJ, He QQ. Physical activity and lung function growth in a cohort of Chinese school children: a prospective study. PLoS One 2013;8:e66098. https://doi.org/10.1371/journal.pone.0066098
  13. Luzak A, Karrasch S, Thorand B, Nowak D, Holle R, Peters A, et al. Association of physical activity with lung function in lung-healthy German adults: results from the KORA FF4 study. BMC Pulm Med 2017;17:215. https://doi.org/10.1186/s12890-017-0562-8
  14. Fisher JE, Loft S, Ulrik CS, Raaschou-Nielsen O, Hertel O, Tjonneland A, et al. Physical activity, air pollution, and the risk of asthma and chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2016;194:855-65. https://doi.org/10.1164/rccm.201510-2036OC
  15. Kubesch NJ, de Nazelle A, Westerdahl D, Martinez D, Carrasco- Turigas G, Bouso L, et al. Respiratory and inflammatory responses to short-term exposure to traffic-related air pollution with and without moderate physical activity. Occup Environ Med 2015;72:284-93. https://doi.org/10.1136/oemed-2014-102106
  16. Hong Y, Kwon JW, Lee SA, Han YJ, Moon JY, Kim HY, et al. Methodology of an observational cohort study for subjects with chronic obstructive pulmonary disease in dusty areas near cement plants. J Pulm Respir Med 2014;4:169.
  17. Kim S, Lim MN, Hong Y, Han SS, Lee SJ, Kim WJ. A cluster analysis of chronic obstructive pulmonary disease in dusty areas cohort identified three subgroups. BMC Pulm Med 2017;17:209. https://doi.org/10.1186/s12890-017-0553-9
  18. Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. Standardisation of spirometry. Eur Respir J 2005;26:319-38. https://doi.org/10.1183/09031936.05.00034805
  19. Rabe KF, Hurd S, Anzueto A, Barnes PJ, Buist SA, Calverley P, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med 2007;176:532-55. https://doi.org/10.1164/rccm.200703-456SO
  20. Korea Centers for Disease Control and Prevention. Korea Health Statistics 2016: Korea National Health and Nutrition Examination Survey (KNHANES VII-1) [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2016 [cited 2018 Jan 10]. Available from: https://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do?classType=7.
  21. Jakes RW, Day NE, Patel B, Khaw KT, Oakes S, Luben R, et al. Physical inactivity is associated with lower forced expiratory volume in 1 second: European Prospective Investigation into Cancer-Norfolk Prospective Population Study. Am J Epidemiol 2002;156:139-47. https://doi.org/10.1093/aje/kwf021
  22. O'Donovan G, Hamer M. The association between leisuretime physical activity and lung function in older adults: The English longitudinal study of ageing. Prev Med 2018;106:145-9. https://doi.org/10.1016/j.ypmed.2017.10.030
  23. Esteban C, Quintana JM, Moraza J, Aburto M, Egurrola M, Espana PP, et al. Impact of hospitalisations for exacerbations of COPD on health-related quality of life. Respir Med 2009;103:1201-8. https://doi.org/10.1016/j.rmed.2009.02.002
  24. Schonmann M, Sievi NA, Clarenbach CF, Brack T, Brutsche M, Frey M, et al. Physical activity and the frequency of acute exacerbations in patients with chronic obstructive pulmonary disease. Lung 2015;193:63-70. https://doi.org/10.1007/s00408-014-9673-7
  25. Garcia-Aymerich J, Lange P, Benet M, Schnohr P, Anto JM. Regular physical activity reduces hospital admission and mortality in chronic obstructive pulmonary disease: a population based cohort study. Thorax 2006;61:772-8. https://doi.org/10.1136/thx.2006.060145
  26. Esteban C, Quintana JM, Aburto M, Moraza J, Egurrola M, Perez-Izquierdo J, et al. Impact of changes in physical activity on health-related quality of life among patients with COPD. Eur Respir J 2010;36:292-300. https://doi.org/10.1183/09031936.00021409
  27. Lee SH, Kim KU, Lee H, Kim YS, Lee MK, Park HK. Factors associated with low-level physical activity in elderly patients with chronic obstructive pulmonary disease. Korean J Intern Med 2018;33:130-7. https://doi.org/10.3904/kjim.2016.090
  28. Higgins MW, Enright PL, Kronmal RA, Schenker MB, Anton-Culver H, Lyles M. Smoking and lung function in elderly men and women. The Cardiovascular Health Study. JAMA 1993;269:2741-8. https://doi.org/10.1001/jama.1993.03500210041029
  29. de Borba AT, Jost RT, Gass R, Nedel FB, Cardoso DM, Pohl HH, et al. The influence of active and passive smoking on the cardiorespiratory fitness of adults. Multidiscip Respir Med 2014;9:34. https://doi.org/10.1186/2049-6958-9-34
  30. Walters MS, De BP, Salit J, Buro-Auriemma LJ, Wilson T, Rogalski AM, et al. Smoking accelerates aging of the small airway epithelium. Respir Res 2014;15:94. https://doi.org/10.1186/s12931-014-0094-1
  31. Barboza ML, Barbosa AC, Spina GD, Sperandio EF, Arantes RL, Gagliardi AR, et al. Association between physical activity in daily life and pulmonary function in adult smokers. J Bras Pneumol 2016;42:130-5. https://doi.org/10.1590/S1806-37562015000000102
  32. Yanbaeva DG, Dentener MA, Creutzberg EC, Wesseling G, Wouters EF. Systemic effects of smoking. Chest 2007;131:1557-66. https://doi.org/10.1378/chest.06-2179
  33. Gan WQ, Man SF, Sin DD. The interactions between cigarette smoking and reduced lung function on systemic inflammation. Chest 2005;127:558-64. https://doi.org/10.1378/chest.127.2.558
  34. Elosua R, Bartali B, Ordovas JM, Corsi AM, Lauretani F, Ferrucci L, et al. Association between physical activity, physical performance, and inflammatory biomarkers in an elderly population: the InCHIANTI study. J Gerontol A Biol Sci Med Sci 2005;60:760-7. https://doi.org/10.1093/gerona/60.6.760
  35. Colbert LH, Visser M, Simonsick EM, Tracy RP, Newman AB, Kritchevsky SB, et al. Physical activity, exercise, and inflammatory markers in older adults: findings from the Health, Aging and Body Composition Study. J Am Geriatr Soc 2004;52:1098-104. https://doi.org/10.1111/j.1532-5415.2004.52307.x
  36. Reuben DB, Judd-Hamilton L, Harris TB, Seeman TE; MacArthur Studies of Successful Aging. The associations between physical activity and inflammatory markers in high-functioning older persons: MacArthur Studies of Successful Aging. J Am Geriatr Soc 2003;51:1125-30. https://doi.org/10.1046/j.1532-5415.2003.51380.x
  37. Chavannes N, Vollenberg JJ, van Schayck CP, Wouters EF. Effects of physical activity in mild to moderate COPD: a systematic review. Br J Gen Pract 2002;52:574-8.

Cited by

  1. Implications of Managing Chronic Obstructive Pulmonary Disease in Cardiovascular Diseases vol.84, pp.1, 2019, https://doi.org/10.4046/trd.2020.0088
  2. Association between Long-Term Exposure to PM2.5 and Lung Imaging Phenotype in CODA Cohort vol.12, pp.2, 2019, https://doi.org/10.3390/atmos12020282
  3. Update on pharmacotherapy for smoking cessation vol.64, pp.3, 2019, https://doi.org/10.5124/jkma.2021.64.3.216
  4. Environment and lung diseases vol.64, pp.4, 2019, https://doi.org/10.5124/jkma.2021.64.4.240
  5. A comparative study of chest CT findings regarding the effects of regional dust exposure on patients with COPD living in urban areas and rural areas near cement plants vol.22, pp.1, 2021, https://doi.org/10.1186/s12931-021-01649-4
  6. Quantitative computed tomography imaging-based classification of cement dust-exposed subjects with an artificial neural network technique vol.141, 2019, https://doi.org/10.1016/j.compbiomed.2021.105162