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Lifestyle factors and experience of respiratory alarm symptoms in the general population

机译:一般人群的生活方式因素和呼吸道警报症状的体会

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Background The first step in the diagnosis of lung cancer is for individuals in the general population to recognise respiratory alarm symptoms (RAS). Knowledge is sparse about RAS and factors associated with experiencing RAS in the general population. This study aimed to estimate the prevalence of RAS in the general population, and to analyse possible associations between lifestyle factors and experiencing RAS. Methods A web-based survey comprising 100?000 individuals randomly selected from the Danish Civil Registration System. Items regarding experience of RAS (prolonged coughing, shortness of breath, coughing up blood and prolonged hoarseness) and self-reported lifestyle factors (smoking status, alcohol intake and body mass index) were included in the analysis. Results A total of 49?706 individuals completed the questionnaire. 16 per cent reported at least one RAS. Prolonged coughing (8.4%) and shortness of breath (8%) were most prevalent, while coughing up blood was least prevalent (0.1%). More men than women reported RAS (p0.001). Odds of reporting RAS increased with age (Ptrend0.001). In men and women, former and current smoking was associated with reporting at least one RAS (former smoking: ORmen=1.42, 95% CI 1.39 to 1.56; ORwomen=1.25, 95% CI 1.15 to 1.36; current smoking: ORmen=2.58, 95% CI 2.35 to 2.83; ORwomen=2.45, 95% CI 2.25 to 2.68). Individuals who were underweight or obese were significantly more likely to report at least one RAS. Odds of reporting at least one RAS increased with increasing alcohol intake for both genders (Ptrend0.001). Conclusions RAS are common in the general population. Men experience more symptoms than women, and prevalence increases with age. Being a former or current smoker and being underweight or obese are positively associated with experiencing RAS. The likelihood of experiencing RAS increases with increasing alcohol intake. Future research should investigate healthcare seeking for RAS among individuals with different lifestyles.
机译:背景技术肺癌诊断的第一步是让普通人群中的个体认识呼吸警报症状(RAS)。关于RAS以及与普通人群中经历RAS相关的因素的知识很少。这项研究旨在评估普通人群中RAS的患病率,并分析生活方式因素与经历RAS之间的可能关联。方法一项基于网络的调查,包括从丹麦民事登记系统中随机选择的100,000个人。分析中包括了有关RAS经验(长时间咳嗽,呼吸急促,咳血和长时间嘶哑)和自我报告的生活方式因素(吸烟状况,酒精摄入和体重指数)的项目。结果共有49?706人完成了问卷调查。 16%的人报告至少有一项RAS。长时间咳嗽(8.4%)和呼吸急促(8%)最为普遍,而咳嗽的血液最少(0.1%)。报告RAS的男性多于女性(p <0.001)。报告RAS的几率随年龄增加(P 趋势 <0.001)。在男性和女性中,以前和现在的吸烟与报告至少一种RAS有关(以前的吸烟:OR men = 1.42,95%CI 1.39至1.56; OR women = 1.25,95%CI 1.15至1.36;当前吸烟:OR 男性 = 2.58,95%CI 2.35至2.83; OR 女性 = 2.45,95%CI 2.25至2.68) 。体重过轻或肥胖的个体更有可能报告至少一种RAS。两种性别中至少报告一种RAS的可能性随饮酒量的增加而增加(P trend <0.001)。结论RAS在普通人群中很常见。男性比女性经历更多的症状,并且患病率随年龄增长而增加。曾经吸烟或现在吸烟,体重过轻或肥胖与经历RAS呈正相关。 RAS的可能性随酒精摄入量的增加而增加。未来的研究应该调查在不同生活方式的个体中寻求RAS的医疗保健。

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