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Physical activity and lung function-Cause or consequence?

Bedard, Annabelle (author)
ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain.;CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain.
Carsin, Anne-Elie (author)
ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain.;CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain.
Fuertes, Elaine (author)
ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain.;CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain.;Imperial Coll London, Natl Heart & Lung Inst, London, England.
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Accordini, Simone (author)
Univ Verona, Dept Diagnost & Publ Hlth, Unit Epidemiol & Med Stat, Verona, Italy.
Dharmage, Shyamali C. (author)
Univ Melbourne, Sch Populat & Global Hlth, Allergy & Lung Hlth Unit, Melbourne, Vic, Australia.
Garcia-Larsen, Vanessa (author)
Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Program Human Nutr, Baltimore, MD USA.
Heinrich, Joachim (author)
Univ Melbourne, Sch Populat & Global Hlth, Allergy & Lung Hlth Unit, Melbourne, Vic, Australia.;Ludwig Maximilians Univ Munchen, Univ Hosp Munich, Inst & Outpatient Clin Occupat Social & Environm, Munich, Germany.
Janson, Christer (author)
Uppsala universitet,Lung- allergi- och sömnforskning
Johannessen, Ane (author)
Univ Bergen, Ctr Int Hlth, Dept Global Publ Hlth & Primary Care, Bergen, Norway.;Haukeland Hosp, Dept Occupat Med, Bergen, Norway.
Leynaert, Benedicte (author)
INSERM, Pathophysiol & Epidemiol Resp Dis, UMR 1152, Paris, France.;Univ Paris Diderot, UMR 1152, Paris, France.
Luis Sanchez-Ramos, Jose (author)
Juan Ramon Jimenez Hosp, Pneumol Serv, Huelva, Spain.
Peralta, Gabriela P. (author)
ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain.;CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain.
Pin, Isabelle (author)
CHU Grenoble Alpes, Dept Pediat, Grenoble, France.;INSERM, Inst Adv Biosci, Grenoble, France.;Univ Grenoble Alpes, Grenoble, France.
Squillacioti, Giulia (author)
Univ Turin, Dept Publ Hlth & Pediat, Turin, Italy.
Weyler, Joost (author)
Univ Antwerp, Dept Epidemiol & Social Med, Antwerp, Belgium.
Jarvis, Deborah (author)
Imperial Coll London, Natl Heart & Lung Inst, London, England.;Imperial Coll London, MRC PHE Ctr Environm & Hlth, London, England.
Garcia-Aymerich, Judith (author)
ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain.;CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain.
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ISGlobal, Barcelona, Spain;Univ Pompeu Fabra UPF, Barcelona, Spain.;CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain. ISGlobal, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain.;CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain.;Imperial Coll London, Natl Heart & Lung Inst, London, England. (creator_code:org_t)
2020-08-20
2020
English.
In: PLOS ONE. - : PUBLIC LIBRARY SCIENCE. - 1932-6203. ; 15:8
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Concerns exist that the positive association of physical activity with better lung function, which has been suggested in previous longitudinal studies in smokers, is due to reverse causation. To investigate this, we applied structural equation modeling (SEM), an exploratory approach, and marginal structural modeling (MSM), an approach from the causal inference framework that corrects for reverse causation and time-dependent confounding and estimates causal effects, on data from participants in the European Community Respiratory Health Survey (ECRHS, a multicentre European cohort study initiated in 1991-1993 with ECRHS I, and with two follow-ups: ECRHS II in 1999-2003, and ECRHS III in 2010-2014). 753 subjects who reported current smoking at ECRHS II, with repeated data on lung function at ECRHS I, II and III, physical activity at ECRHS II and III, and potential confounders at ECRHS I and II, were included in the analyses. SEM showed positive associations between physical activity and lung function in both directions. MSM suggested a protectivecausaleffect of physical activity on lung function (overall difference in mean beta (95% CI), comparing active versus non-active individuals: 58 mL (21-95) for forced expiratory volume in one second and 83 mL (36-130) for forced vital capacity). Our results suggest bi-directional causation and support a true protective effect of physical activity on lung function in smokers, after accounting for reverse causation and time-dependent confounding.

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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