Prevalence of Chronic Obstructive Pulmonary Disease in Kocaeli: An Industrialised City in Turkey

Yıl 2013, , 387 - 393, 01.04.2013

Zeliha Arslan Ahmet Ilgazlı Nilay Etiler , Onur Hamzaoğlu

https://doi.org/10.5152/balkanmedj.2013.8042

Öz

Background: Chronic obstructive pulmonary disease (COPD) is an important cause of mortality worldwide. Aims: The aim of this study was to establish the prevalence of chronic obstructive pulmonary disease (COPD) in residents who were ≥40 years old and living in a heavily industrialised city of Turkey, Kocaeli, using the Burden of Obstructive Lung Disease Initiative questionnaire. Study Design: Cross-sectional study. Methods: 1035 residents ≥40 years old and living in Kocaeli were surveyed. Spirometry and the basic BOLD questionnaire was performed. Results: 946 subjects entered into the analysis. The prevalence of stage I or higher COPD was 13.3% (8.7% for women and 16.5% for men), the prevalence of COPD at GOLD stage II or higher was 7.1% (4.1% for women and 9.2% for men). We also noted a high prevalence of COPD in never-smokers. Conclusion: Besides cigarette smoking, occupational exposure to fumes, chemicals and dusts might have also contributed to the high prevalence of COPD noted in residents who were ≥40 years old and living in Kocaeli, Turkey. Turkish Başlık:Kocaeli'de Kronik Obstrüktif Akciğer Hastalığı Prevalansı: Türkiye'de Bir Sanayi Şehri Anahtar Kelimeler:KOAH, prevalans, anket, sigara içimi, yaş, epidemiyoloji Arkaplan: Kronik obstüktif akciğer hasalığı (KOAH) dünyada önemli bir mortalite nedenidir. Amaç: Çalışmanın amacı Türkiye' de bir sanayi şehri Kocaeli' de ≥40 yaş nüfusta kronik obstrüktif akciğer hastalığı (KOAH) prevalansını Burden of Obstructive Lung Disease Initiative anketini kullanarak tespit etmektir. Çalışma Tasarımı: Kesitsel çalışma Yöntemler: Kocaeli'de ikamet eden ≥40 yaş 1035 kişi çalışmaya alındı . Spirometre ve temel BOLD anketi uygulandı. Bulgular: Dokuz yüz kırk altı kişi analize alındı. GOLD Evre I ve üzeri KOAH prevalansı % 13.3 (kadınlarda %8.7 ve erkeklerde %16.5), GOLD Evre II ve üzeri KOAH prevalansı %7.1 (kadınlarda %4.1 ve erkeklerde % 9.2) tespit edildi. Hiç sigara içmeyenlerde de yüksek KOAH prevalansı tespit ettik. Sonuç: Türkiye Kocaeli'de ikamet eden ≥40 yaş kişilerde tespit edilen yüksek KOAH prevalansına sigara içimi dışında işyerlerinde kimyasal maddelere, dumana ve toza maruziyet de katkıda bulunuyor olabilir.

Anahtar Kelimeler

COPD, prevalence, questionnaires, cigarette smoking, age, epidemiology

Prevalence of Chronic Obstructive Pulmonary Disease in Kocaeli: An Industrialised City in Turkey

Öz

Kaynakça

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• Never smoker (551) Former/Current smoker (395) Overall (946) p Stage I or higher 0.003 Yes N 58 68 126 % 5 2 3 No N 493 327 820 % 85 88 87 Stage II or higher 0.010 Yes N 29 38 67 % 3 6 1 No N 522 357 879 % 97 90.4 99