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Associations between chronic airflow limitation, respiratory symptoms, and quality of life across alcohol use categories: a population based study

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Název: Associations between chronic airflow limitation, respiratory symptoms, and quality of life across alcohol use categories: a population based study
Autoři: Nielsen, Line Bjerrehave, Olsson, Max, Weinreich, Ulla Møller, Ekström, Magnus
Přispěvatelé: Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section II, Respiratory Medicine, Allergology, and Palliative Medicine, Breathlessness and chronic respiratory failure, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion II, Lungmedicin, allergologi och palliativ medicin, Andfåddhet och kronisk andningssvikt, Originator, Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section II, Respiratory Medicine, Allergology, and Palliative Medicine, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion II, Lungmedicin, allergologi och palliativ medicin, Originator, Lund University, Profile areas and other strong research environments, Strategic research areas (SRA), EpiHealth: Epidemiology for Health, Lunds universitet, Profilområden och andra starka forskningsmiljöer, Strategiska forskningsområden (SFO), EpiHealth: Epidemiology for Health, Originator, Lund University, Faculty of Science, Centre for Environmental and Climate Science (CEC), Computational Science for Health and Environment, Lunds universitet, Naturvetenskapliga fakulteten, Centrum för miljö- och klimatvetenskap (CEC), Beräkningsvetenskap för hälsa och miljö, Originator, Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section II, Respiratory Medicine, Allergology, and Palliative Medicine, The Institute for Palliative Care, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion II, Lungmedicin, allergologi och palliativ medicin, Palliativt Utvecklingscentrum, Originator
Zdroj: Respiratory Medicine. 248
Témata: Medical and Health Sciences, Health Sciences, Drug Abuse and Addiction, Medicin och hälsovetenskap, Hälsovetenskap, Beroendelära och missbruk
Popis: Introduction: Alcohol use has significant health implications, yet the association between alcohol use and respiratory symptoms remains relatively understudied. This study examines the prevalence of hazardous alcohol use and its associations with breathlessness, chronic cough, and health-related quality of life (HRQoL) and whether these associations with chronic airway limitation (CAL) differ by alcohol use. Methods: Cross-sectional study of the Swedish CArdioPulmonary bioImage Study (SCAPIS) comprising 25,424 aged 50–64. Hazardous alcohol use was defined as an Alcohol Use Disorders Identification Test (AUDIT) score ≥8. CAL was defined as a post-bronchodilator FEV1/FVC ratio <0.7. Breathlessness (mMRC rating ≥2), chronic cough, and HRQoL, measured using the Short Form 12 (SF-12) were assessed through questionnaires. Associations were analysed using multivariable regression models adjusted for smoking, BMI, age, sex, comorbidities, and predicted FEV1/FVC %. In secondary analyses, associations between CAL and outcomes were examined stratified by alcohol use. Results: Hazardous alcohol use was present in 11 % of the analytic sample and in 15 % of those with CAL. Hazardous alcohol use was associated with increased odds of breathlessness (odds ratio [OR] 1.37; [95 % confidence interval] 1.09–1.70) and chronic cough (OR 1.46; 1.32–1.62), and with lower physical and mental HRQoL scores. CAL was more strongly associated with symptoms in participants with hazardous alcohol use than in lower-level users. Conclusion: Hazardous alcohol use was linked to increased breathlessness, chronic cough, and lower HRQoL. Associations between CAL and respiratory symptoms were stronger among individuals with hazardous alcohol use, suggesting a potential interaction.
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  Data: Associations between chronic airflow limitation, respiratory symptoms, and quality of life across alcohol use categories: a population based study
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Nielsen%2C+Line+Bjerrehave%22&quot;&gt;Nielsen, Line Bjerrehave&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Olsson%2C+Max%22&quot;&gt;Olsson, Max&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Weinreich%2C+Ulla+M&#248;ller%22&quot;&gt;Weinreich, Ulla M&#248;ller&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ekstr&#246;m%2C+Magnus%22&quot;&gt;Ekstr&#246;m, Magnus&lt;/searchLink&gt;
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  Data: Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section II, Respiratory Medicine, Allergology, and Palliative Medicine, Breathlessness and chronic respiratory failure, Lunds universitet, Medicinska fakulteten, Institutionen f&#246;r kliniska vetenskaper, Lund, Sektion II, Lungmedicin, allergologi och palliativ medicin, Andf&#229;ddhet och kronisk andningssvikt, Originator&lt;br /&gt;Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section II, Respiratory Medicine, Allergology, and Palliative Medicine, Lunds universitet, Medicinska fakulteten, Institutionen f&#246;r kliniska vetenskaper, Lund, Sektion II, Lungmedicin, allergologi och palliativ medicin, Originator&lt;br /&gt;Lund University, Profile areas and other strong research environments, Strategic research areas (SRA), EpiHealth: Epidemiology for Health, Lunds universitet, Profilomr&#229;den och andra starka forskningsmilj&#246;er, Strategiska forskningsomr&#229;den (SFO), EpiHealth: Epidemiology for Health, Originator&lt;br /&gt;Lund University, Faculty of Science, Centre for Environmental and Climate Science (CEC), Computational Science for Health and Environment, Lunds universitet, Naturvetenskapliga fakulteten, Centrum f&#246;r milj&#246;- och klimatvetenskap (CEC), Ber&#228;kningsvetenskap f&#246;r h&#228;lsa och milj&#246;, Originator&lt;br /&gt;Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section II, Respiratory Medicine, Allergology, and Palliative Medicine, The Institute for Palliative Care, Lunds universitet, Medicinska fakulteten, Institutionen f&#246;r kliniska vetenskaper, Lund, Sektion II, Lungmedicin, allergologi och palliativ medicin, Palliativt Utvecklingscentrum, Originator
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  Data: Introduction: Alcohol use has significant health implications, yet the association between alcohol use and respiratory symptoms remains relatively understudied. This study examines the prevalence of hazardous alcohol use and its associations with breathlessness, chronic cough, and health-related quality of life (HRQoL) and whether these associations with chronic airway limitation (CAL) differ by alcohol use. Methods: Cross-sectional study of the Swedish CArdioPulmonary bioImage Study (SCAPIS) comprising 25,424 aged 50–64. Hazardous alcohol use was defined as an Alcohol Use Disorders Identification Test (AUDIT) score ≥8. CAL was defined as a post-bronchodilator FEV1/FVC ratio &lt;0.7. Breathlessness (mMRC rating ≥2), chronic cough, and HRQoL, measured using the Short Form 12 (SF-12) were assessed through questionnaires. Associations were analysed using multivariable regression models adjusted for smoking, BMI, age, sex, comorbidities, and predicted FEV1/FVC %. In secondary analyses, associations between CAL and outcomes were examined stratified by alcohol use. Results: Hazardous alcohol use was present in 11 % of the analytic sample and in 15 % of those with CAL. Hazardous alcohol use was associated with increased odds of breathlessness (odds ratio [OR] 1.37; [95 % confidence interval] 1.09–1.70) and chronic cough (OR 1.46; 1.32–1.62), and with lower physical and mental HRQoL scores. CAL was more strongly associated with symptoms in participants with hazardous alcohol use than in lower-level users. Conclusion: Hazardous alcohol use was linked to increased breathlessness, chronic cough, and lower HRQoL. Associations between CAL and respiratory symptoms were stronger among individuals with hazardous alcohol use, suggesting a potential interaction.
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