Chronic obstructive pulmonary disease related to wood smoke and impact of the combined exposure to tobacco
BACKGROUND: Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2023 highlights the need to explore aetiotypes of chronic obstructive pulmonary disease (COPD) beyond the tobacco-smoking COPD. Exposure to wood smoke (WS) is a risk factor for COPD in women, but the effect of the combined exp...
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| Format: | Article |
| Language: | English |
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International Union Against Tuberculosis and Lung Disease (The Union)
2024-03-01
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| Series: | IJTLD Open |
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| Online Access: | https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000003/art00005 |
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| author | C.A. Torres-Duque C. Jaramillo A. Caballero N.J. Proaños-Jurado M.J. Pareja-Zabala J.B. Soriano M. González-García |
| author_facet | C.A. Torres-Duque C. Jaramillo A. Caballero N.J. Proaños-Jurado M.J. Pareja-Zabala J.B. Soriano M. González-García |
| author_sort | C.A. Torres-Duque |
| collection | DOAJ |
| description | BACKGROUND: Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2023 highlights the need to explore aetiotypes of chronic obstructive pulmonary disease (COPD) beyond the tobacco-smoking COPD. Exposure to wood smoke (WS) is a risk factor for COPD in women, but the effect of the combined exposure to tobacco smoke (TS) in the general population and among COPD patients, and the characteristics of WS-COPD are unclear. METHOD: This was an analysis of data from PREPOCOL (Prevalence of COPD in Five Colombian Cities Situated at Low, Medium, and High Altitude), a random cross-sectional population-based study (n = 5,539) focusing on the effect of combined WS and TS exposure and WS-COPD characterisation. RESULTS: Prevalence of COPD was significantly higher in those exposed to both WS and TS (16.0%) than in those exposed to WS (6.7%) or TS (7.8%) only (P < 0.001). Exposure to WS was associated with COPD in men (OR 1.53, P = 0.017). WS-COPD individuals were more frequently female, older, shorter and had higher forced expiratory volume in 1 sec (FEV1) (all P < 0.05). Those exposed to both WS and TS had more symptoms and worse airflow limitation (P < 0.001). CONCLUSION: This was the first random population-based study showing that WS is an associated risk factor for COPD also in men, and that people exposed to both WS and TS have a significantly higher prevalence of COPD. Similarly, COPD subjects exposed to both types of smoke have more symptoms and greater airflow obstruction. This suggests an additive effect of WS and TS. |
| format | Article |
| id | doaj-art-ef648ed306ea43c0902352b30d4546b1 |
| institution | Kabale University |
| issn | 3005-7590 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | International Union Against Tuberculosis and Lung Disease (The Union) |
| record_format | Article |
| series | IJTLD Open |
| spelling | doaj-art-ef648ed306ea43c0902352b30d4546b12025-01-21T10:35:34ZengInternational Union Against Tuberculosis and Lung Disease (The Union)IJTLD Open3005-75902024-03-011313013510.5588/ijtldopen.24.00045Chronic obstructive pulmonary disease related to wood smoke and impact of the combined exposure to tobaccoC.A. Torres-Duque0C. Jaramillo1A. Caballero2N.J. Proaños-Jurado3M.J. Pareja-Zabala4J.B. Soriano5M. González-García6CINEUMO, Research Department, Fundación Neumológica Colombiana, Bogotá,Fundación Clínica Shaio, Bogotá,Clínica Reina Sofía, Bogotá,CINEUMO, Research Department, Fundación Neumológica Colombiana, Bogotá,CINEUMO, Research Department, Fundación Neumológica Colombiana, Bogotá,Universitat de les Illes Balears, Palma de Mallorca, SpainCINEUMO, Research Department, Fundación Neumológica Colombiana, Bogotá,BACKGROUND: Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2023 highlights the need to explore aetiotypes of chronic obstructive pulmonary disease (COPD) beyond the tobacco-smoking COPD. Exposure to wood smoke (WS) is a risk factor for COPD in women, but the effect of the combined exposure to tobacco smoke (TS) in the general population and among COPD patients, and the characteristics of WS-COPD are unclear. METHOD: This was an analysis of data from PREPOCOL (Prevalence of COPD in Five Colombian Cities Situated at Low, Medium, and High Altitude), a random cross-sectional population-based study (n = 5,539) focusing on the effect of combined WS and TS exposure and WS-COPD characterisation. RESULTS: Prevalence of COPD was significantly higher in those exposed to both WS and TS (16.0%) than in those exposed to WS (6.7%) or TS (7.8%) only (P < 0.001). Exposure to WS was associated with COPD in men (OR 1.53, P = 0.017). WS-COPD individuals were more frequently female, older, shorter and had higher forced expiratory volume in 1 sec (FEV1) (all P < 0.05). Those exposed to both WS and TS had more symptoms and worse airflow limitation (P < 0.001). CONCLUSION: This was the first random population-based study showing that WS is an associated risk factor for COPD also in men, and that people exposed to both WS and TS have a significantly higher prevalence of COPD. Similarly, COPD subjects exposed to both types of smoke have more symptoms and greater airflow obstruction. This suggests an additive effect of WS and TS.https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000003/art00005biomass smokecopdtobacco smokews-copdts-copdairflow obstruction |
| spellingShingle | C.A. Torres-Duque C. Jaramillo A. Caballero N.J. Proaños-Jurado M.J. Pareja-Zabala J.B. Soriano M. González-García Chronic obstructive pulmonary disease related to wood smoke and impact of the combined exposure to tobacco IJTLD Open biomass smoke copd tobacco smoke ws-copd ts-copd airflow obstruction |
| title | Chronic obstructive pulmonary disease related to wood smoke and impact of the combined exposure to tobacco |
| title_full | Chronic obstructive pulmonary disease related to wood smoke and impact of the combined exposure to tobacco |
| title_fullStr | Chronic obstructive pulmonary disease related to wood smoke and impact of the combined exposure to tobacco |
| title_full_unstemmed | Chronic obstructive pulmonary disease related to wood smoke and impact of the combined exposure to tobacco |
| title_short | Chronic obstructive pulmonary disease related to wood smoke and impact of the combined exposure to tobacco |
| title_sort | chronic obstructive pulmonary disease related to wood smoke and impact of the combined exposure to tobacco |
| topic | biomass smoke copd tobacco smoke ws-copd ts-copd airflow obstruction |
| url | https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000003/art00005 |
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