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  • Backman, HelenaUmeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden (författare)

Decreased COPD prevalence in Sweden after decades of decrease in smoking

  • Artikel/kapitelEngelska2020

Förlag, utgivningsår, omfång ...

  • 2020-10-28
  • Springer Nature,2020
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:ltu-81283
  • https://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-81283URI
  • https://doi.org/10.1186/s12931-020-01536-4DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-176800URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-36775URI
  • https://gup.ub.gu.se/publication/297556URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Validerad;2020;Nivå 2;2020-11-02 (alebob)
  • BackgroundCOPD has increased in prevalence worldwide over several decades until the first decade after the millennium shift. Evidence from a few recent population studies indicate that the prevalence may be levelling or even decreasing in some areas in Europe. Since the 1970s, a substantial and ongoing decrease in smoking prevalence has been observed in several European countries including Sweden. The aim of the current study was to estimate the prevalence, characteristics and risk factors for COPD in the Swedish general population. A further aim was to estimate the prevalence trend of COPD in Northern Sweden from 1994 to 2009.MethodsTwo large random population samples were invited to spirometry with bronchodilator testing and structured interviews in 2009–2012, one in south-western and one in northern Sweden, n = 1839 participants in total. The results from northern Sweden were compared to a study performed 15 years earlier in the same area and age-span. The diagnosis of COPD required both chronic airway obstruction (CAO) and the presence of respiratory symptoms, in line with the GOLD documents since 2017. CAO was defined as post-bronchodilator FEV1/FVC < 0.70, with sensitivity analyses based on the FEV1/FVC < lower limit of normal (LLN) criterion.ResultsBased on the fixed ratio definition, the prevalence of COPD was 7.0% (men 8.3%; women 5.8%) in 2009–2012. The prevalence of moderate to severe (GOLD ≥ 2) COPD was 3.5%. The LLN based results were about 30% lower. Smoking, occupational exposures, and older age were risk factors for COPD, whereof smoking was the most dominating risk factor. In northern Sweden the prevalence of COPD, particularly moderate to severe COPD, decreased significantly from 1994 to 2009, and the decrease followed a decrease in smoking.ConclusionsThe prevalence of COPD has decreased in Sweden, and the prevalence of moderate to severe COPD was particularly low. The decrease follows a major decrease in smoking prevalence over several decades, but smoking remained the dominating risk factor for COPD.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Vanfleteren, Lowie E G WGothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine(Swepub:gu)xvanlo (författare)
  • Lindberg, AnneUmeå universitet,Avdelningen för medicin,Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden(Swepub:umu)anelig02 (författare)
  • Ekerljung, Linda,1979Gothenburg University,Göteborgs universitet,Krefting Research Centre(Swepub:gu)xekeli (författare)
  • Stridsman, CarolineUmeå universitet,Luleå tekniska universitet,Omvårdnad och medicinsk teknik,Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden,Avdelningen för medicin,Department of Health Sciences, Luleå University of Technology, Luleå, Sweden(Swepub:umu)cast0052 (författare)
  • Axelsson, MalinMalmö universitet,Institutionen för vårdvetenskap (VV),Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden(Swepub:mau)ad6596 (författare)
  • Nilsson, UlfUmeå universitet,Avdelningen för medicin,Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden(Swepub:umu)ulni0011 (författare)
  • Nwaru, Bright IGothenburg University,Göteborgs universitet,Wallenberg Centre for Molecular and Translational Medicine,Krefting Research Centre(Swepub:gu)xnwabr (författare)
  • Sawalha, SamiUmeå universitet,Avdelningen för medicin,Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden(Swepub:umu)sasa0131 (författare)
  • Eriksson, BerneGothenburg University,Göteborgs universitet,Krefting Research Centre(Swepub:gu)xerber (författare)
  • Hedman, Linnea,1979-Umeå universitet,Luleå tekniska universitet,Omvårdnad och medicinsk teknik,Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden,Avdelningen för hållbar hälsa,Department of Health Sciences, Luleå University of Technology, Luleå, Sweden(Swepub:umu)evli0029 (författare)
  • Rådinger, Madeleine,1967Gothenburg University,Göteborgs universitet,Krefting Research Centre(Swepub:gu)xradim (författare)
  • Jansson, Sven-ArneUmeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden(Swepub:umu)svja0005 (författare)
  • Ullman, AndersGothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine (författare)
  • Kankaanranta, Hannu,1967Gothenburg University,Göteborgs universitet,Krefting Research Centre(Swepub:gu)xkankh (författare)
  • Lötvall, Jan,1956Gothenburg University,Göteborgs universitet,Krefting Research Centre(Swepub:gu)xlotja (författare)
  • Rönmark, EvaUmeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden(Swepub:umu)evra0004 (författare)
  • Lundbäck, Bo,1948Gothenburg University,Göteborgs universitet,Krefting Research Centre(Swepub:gu)xlunbo (författare)
  • Umeå universitetAvdelningen för hållbar hälsa (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Respiratory Research: Springer Nature211465-99211465-993X

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