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    Association between lung function and future risks of diabetes, asthma, myocardial infarction, hypertension and all-cause mortality

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    Author
    Shah, Chintal H
    Reed, Robert M
    Liang, Yulan
    Zafari, Zafar
    Date
    2021-09-20
    Journal
    ERJ Open Research
    Publisher
    European Respiratory Society
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1183/23120541.00178-2021
    Abstract
    BACKGROUND: While forced expiratory volume in 1 s (FEV1) is a hallmark of disease progression in chronic obstructive lung diseases, little is known about the relationship between baseline FEV1 and future risks of other medical conditions. OBJECTIVE: The aim of this study was to investigate the association between baseline FEV1 and future risks of diabetes, asthma, myocardial infarction, hypertension and all-cause mortality. METHODS: We used data from the National Health and Nutrition Examination Survey and its Epidemiological Follow-Up Study. Our data provided longitudinal follow-up of the original cohort for up to 12 years. We used two competing risks approaches, the cause-specific hazard model and the Fine-Gray sub-distribution hazard model, to measure the associations between baseline FEV1 and future risks of the outcomes of interest. All models were adjusted for major confounding factors. RESULTS: The final sample included 3020 participants (mean±sd baseline age 44.64±13.44 years). In the cause-specific hazard model, for every per cent increase in the baseline per cent predicted FEV1, the hazard of the event reduced by 2.5% (HR 0.975; 95% CI 0.958-0.994) for diabetes, 4.3% (HR 0.957; 95% CI 0.932-0.983) for asthma and 1.8% (HR 0.982; 95% CI 0.971-0.992) for all-cause mortality. There was no statistically significant association between baseline per cent predicted FEV1 and future risks of myocardial infarction (HR 0.987; 95% CI 0.970-1.004) and hypertension (HR 0.998; 95% CI 0.992-1.005). Consistent results were observed for the Fine-Gray sub-distribution hazard model. CONCLUSION: Our data suggest that lower per cent predicted FEV1 values at baseline were significantly associated with higher future risks of diabetes, asthma and all-cause mortality.
    Rights/Terms
    Copyright ©The authors 2021.
    Keyword
    FEV1
    Asthma
    Diabetes Mellitus
    Forced Expiratory Volume
    Mortality
    Risk Factors
    Spirometry
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/16707
    ae974a485f413a2113503eed53cd6c53
    10.1183/23120541.00178-2021
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