在德国中年和老年人中,肺功能受限的时间趋势
Johannes Beller1, Batoul Safieddine2, Stefanie Sperlich2
1Hannover Medical School, Center for Public Health and Health Care, Medical Sociology Unit, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. Beller.Johannes@mh-hannover.de.
Scientific reports
|February 29, 2024
概括
在40岁以上的成年人中,有限肺功能患病率随着时间的推移显著下降,肺部健康的改善部分归因于更好的社会经济因素和生活方式变化.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 呼吸系统医学 呼吸系统医学
背景情况:
- 肺功能受限是一个严重的健康问题.
- 对肺功能的时间变化和相关的社会不平等的研究很少.
研究的目的:
- 为了研究有限的肺功能与时间相关的变化.
- 在这些变化中检查潜在的社会不平等.
- 确定导致肺健康观察到的趋势的因素.
主要方法:
- 利用来自德国老龄化调查 (2008年,2017年) 的数据,以重复的横截面设计.
- 包括8778名40岁及以上的参与者.
- 通过峰值流量测试评估肺功能;分析社会经济指标,吸烟史,职业暴露和体力活动.
主要成果:
- 描述性分析显示,有限肺功能患病率从9.0%降至5.4%.
- 在对年龄和性别进行控制后,下降趋势 (OR=0.48) 持续存在.
- 对社会经济和解释变量的进一步控制显示,略有减少但仍然显著下降 (OR=0.57).
- 在各个年龄组,性别和社会经济阶层中观察到类似的相对下降.
结论:
- 在40岁以上的德国成年人群中,有限的肺功能通常随着时间的推移而下降.
- 社会经济指标的改善,吸烟的减少,更好的职业暴露和增加的体育炼部分解释了这些有益的肺部健康趋势.
- 未来的研究应该探索医疗治疗和预防策略对肺部健康改善的影响.
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