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Non-infectious rhinitis is more strongly associated with early-rather than late-onset of COPD: data from the European Community Respiratory Health Survey (ECRHS)

Artikel i vetenskaplig tidskrift
Författare Joel Bergqvist
A. Andersson
Linus Schiöler
Anna-Carin Olin
Nicola Murgia
M. Bove
C. Janson
M. J. Abramson
B. Leynaert
D. Nowak
K. A. Franklin
I. Pin
T. Storaas
V. Schlunssen
J. Heinrich
Johan Hellgren
Publicerad i European Archives of Oto-Rhino-Laryngology
Sidor 7
ISSN 0937-4477
Publiceringsår 2020
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Institutionen för kliniska vetenskaper, Avdelningen för öron-, näs- och halssjukdomar
Sidor 7
Språk en
Länkar dx.doi.org/10.1007/s00405-020-05837...
Ämnesord Epidemiology, COPD, Rhinitis, Spirometry, Co-morbidity, occupational-exposure, risk-factors, disease, prevalence, asthma, impact, Otorhinolaryngology
Ämneskategorier Oto-rino-laryngologi

Sammanfattning

Purpose Chronic obstructive pulmonary disease (COPD) is associated with several co-morbidities and non-infectious rhinitis (NIR) has emerged as a new possible co-morbidity. The primary aim of this study is to confirm a previously reported association between NIR and COPD in a multicentre population over time. The secondary aim is to investigate the course over time of such an association through a comparison between early- and late-onset COPD. Methods This study is part of the European Community Respiratory Health Survey (ECRHS). A random adult population from 25 centres in Europe and one in Australia was examined with spirometry and answered a respiratory questionnaire in 1998-2002 (ECRHS II) and in 2008-2013 (ECRHS III). Symptoms of non-infectious rhinitis, hay fever and asthma, and smoking habits were reported. Subjects reporting asthma were excluded. COPD was defined as a spirometry ratio of FEV1/FVC < 0.7. A total of 5901 subjects were included. Results Non-infectious rhinitis was significantly more prevalent in subjects with COPD compared with no COPD (48.9% vs 37.1%, p < 0.001) in ECRHS II (mean age 43) but not in ECHRS III (mean age 54). In the multivariable regression model adjusted for COPD, smoking, age, BMI, and gender, non-infectious rhinitis was associated with COPD in both ECRHS II and III. Conclusion Non-infectious rhinitis was significantly more common in subjects with COPD at a mean age of 43. Ten years later, the association was weaker. The findings indicate that NIR could be associated with the early onset of COPD.

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