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Physical activity and incidence of restrictive spirometry pattern in adults

Carsin, Anne-Elie (author)
Ctr Res Environm Epidemiol CREAL, ISGlobal, Barcelona, Spain
Keidel, Dirk (author)
Swiss Trop & Publ Hlth Inst, Basel, Switzerland
Fuertes, Elaine (author)
Ctr Res Environm Epidemiol CREAL, ISGlobal, Barcelona, Spain
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Imboden, Medea (author)
Swiss Trop & Publ Hlth Inst, Basel, Switzerland
Weyler, Joost (author)
Dept Epidemiol & Social Med, Antwerp, Belgium
Nowak, Dennis (author)
Univ Hosp Munich, Inst & Outpatient Clin Occupat Social & Environm, Munich, Germany
Heinrich, Joachim (author)
Univ Hosp Munich, Inst & Outpatient Clin Occupat Social & Environm, Munich, Germany
Urrutia, Isabel (author)
Galdakao Hosp, Galdakao, Spain
Martinez-Moratalla, Jose (author)
Complejo Hosp Univ, Albacete, Spain
Caviezel, S. (author)
Swiss Trop & Publ Hlth Inst, Basel, Switzerland
Beckmeyer-Borowko, A. (author)
Swiss Trop & Publ Hlth Inst, Basel, Switzerland,Imperial Coll London, London, England
Raherison, Chantal (author)
Bordeaux Univ, U1219, Bordeaux, France
Pin, Isabelle (author)
CHU Grenoble Alpes, Grenoble, France
Demoly, Pascal (author)
Univ Hosp Montpellier, Hop Arnaud Villeneuve, Dept Pneumol & Addictol, Montpellier, France
Leynaert, Benedicte (author)
Univ Paris Diderot, INSERM, Equipe Epidemiol, UMR 1152, Paris, France
Cerveri, I. (author)
Univ Pavia, Pavia, Italy
Bono, Roberto (author)
Univ Turin, Dept Publ Hlth & Pediat, Turin, Italy
Accordini, Simone (author)
Univ Verona, Dipartimento Diagnost & Sanita Pubbl, Verona, Italy
Amaral, A. (author)
Gislason, Thorarig (author)
Univ Iceland, Reykjavik, Iceland
Svanes, Cecilie (author)
Univ Bergen, Dept Clin Sci, Bergen, Norway
Toren, K. (author)
Univ Gothenburg, Gothenburg, Sweden
Forsberg, Bertil (author)
Umeå universitet,Yrkes- och miljömedicin,Umea Univ, Div Occupat & Environm Med, Umea, Sweden
Janson, Christer (author)
Uppsala universitet,Lung- allergi- och sömnforskning
Dharmage, S. (author)
Univ Melbourne, Melbourne Sch Populat & Global Hlth, Melbourne, Vic, Australia
Jogi, Rain (author)
Tartu Univ Hosp, Lung Clin, Tartu, Estonia
Anto, Jm (author)
Ctr Res Environm Epidemiol CREAL, ISGlobal, Barcelona, Spain
Probst-Hensch, Nicole (author)
Swiss Trop & Publ Hlth Inst, Basel, Switzerland
Garcia-Aymerich, Judith (author)
Ctr Res Environm Epidemiol CREAL, ISGlobal, Barcelona, Spain
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 (creator_code:org_t)
European Respiratory Society, 2018
2018
English.
In: European Respiratory Journal. - : European Respiratory Society. - 0903-1936 .- 1399-3003. ; 52
Related links:
https://urn.kb.se/re...
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https://doi.org/10.1...
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  • Journal article (other academic/artistic)
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  • Introduction: A restrictive spirometry pattern is associated with high morbidity and mortality. Whether regular physical activity (PA) protects against this pattern has never been studied.Objective: To assess if PA is associated with the development of restrictive pattern.Methods: Lung function and PA were assessed in the second and third follow-up of the ECRHS (n=2757, 39-67 years) and SAPALDIA (n=2610, 36-82 y) cohorts. Subjects with restrictive or obstructive pattern at baseline were excluded. We assessed the association of being active at baseline (defined as exercising vigorously >2-3 times/wk for >1 h) and restrictive pattern at follow-up (defined as a post-bronchodilator FEV1/FVC≥LLN and FVC<80% pred.) using modified Poisson regression, adjusting for age, sex, smoking and asthma. We explored the impact of adjusting for baseline FVC. Additionally, models were repeated stratified by BMI.Results: After 10 years follow-up, 3.7% and 2.8% of participants developed a restrictive pattern, in ECRHS and SAPALDIA respectively. In both cohorts, being physically active was associated with lower risk of a restrictive pattern (meta-analysed RR 0.65, 95% CI 0.47-0.89). This association was stronger in overweight (0.41, 0.23-0.75) and obese (0.42, 0.17-1.05) than in normal weight subjects, but was attenuated when adjusting for baseline FVC (0.77, 0.58-1.04).Conclusion: In two large European studies, adults who reported more PA were at lower risk of developing a restrictive spirometry pattern. Lung function at baseline seemed to explain part of the observed association, stressing the need of adequate method to take into account both horse-racing and regression-to-the-means effects.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)

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