Meta-analysis of prevalence and risk factors of chronic obstructive pulmonary disease in China plateau_West China Medical Journal

Authors：

CHEN Yuting ¹ ,  HUANG Ling ² , XIA Junjie ² , QIU Yu ² , YI Ke ³ , WANG Jincheng ⁴ , CHEN Runjiao ¹ , XUE Haishi ¹

1. Clinical Medical College, Southwest Medical University, Luzhou, Sichuan 646000, P. R. China;
2. Department of Respiratory and Critical Care Medicine, the Third Hospital of Mianyang (Sichuan Mental Health Center), Mianyang, Sichuan 621054, P. R. China;
3. Department of Respiratory and Critical Care Medicine, Sichuan Science City Hospital, Mianyang, Sichuan 621054, P. R. China;
4. Department of Respiratory and Critical Care Medicine, People’s Hospital of Zhongjiang County, Deyang, Sichuan 618199, P. R. China;

Corresponding author：

HUANG Ling, Email: 1721684460@qq.com

Keywords：

Chronic obstructive pulmonary disease; plateau; prevalence; epidemiology; meta-analysis

DOI：

10.7507/1002-0179.202212089

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Objective To analyze the prevalence rate of chronic obstructive pulmonary disease in people over 40 years old in China plateau (altitude≥1 000 m) in recent years. Methods PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure, WanFang Data, VIP databases and Chinese Medical Database were searched, and the articles published between January 1, 2010 and December 5, 2022 were collected. Two reviewers independently reviewed the literature, extracted data, and assessed the risk of bias of included articles. Meta-analysis was performed with Stata 17.1. Results A total of 13 articles were included, with a total sample size of 37 230 people, including 3 697 chronic obstructive pulmonary disease patients. The prevalence rate of chronic obstructive pulmonary disease in people over 40 years old in China plateau was 9.0% [95% confidence interval (0.07, 0.11), P<0.001]. The results of subgroup analysis showed that males (12.4%), smokers (13.4%), 61-70 years old (15.1%), primary school and below (10.3%), low body weight (12.2%) and Yunnan (11.5%) had the highest prevalence rates within the subgroup (P<0.05). Conclusions The prevalence of chronic obstructive pulmonary disease in China plateau is still high. Gender, age, smoking, education level, body mass index and region are still important influencing factors of chronic obstructive pulmonary disease.

Citation： CHEN Yuting, HUANG Ling, XIA Junjie, QIU Yu, YI Ke, WANG Jincheng, CHEN Runjiao, XUE Haishi. Meta-analysis of prevalence and risk factors of chronic obstructive pulmonary disease in China plateau. West China Medical Journal, 2023, 38(7): 1058-1064. doi: 10.7507/1002-0179.202212089 Copy

1.	Varmaghani M, Dehghani M, Heidari E, et al. Global prevalence of chronic obstructive pulmonary disease: systematic review and meta-analysis. East Mediterr Health J, 2019, 25(1): 47-57.
2.	Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
3.	刘岚, 王旭明, 李锦波, 等. 云南省农村居民慢性阻塞性肺疾病患病现况及基于结构方程模型的影响因素. 中华疾病控制杂志, 2022, 26(11): 1332-1338.
4.	黄露, 王艺颖, 刘涛, 等. 贵州省 40 岁及以上人群慢性阻塞性肺疾病流行及影响因素. 中华疾病控制杂志, 2022, 26(5): 529-534, 553.
5.	王益德, 李争, 徐丹, 等. 新疆墨玉县乡村地区慢性阻塞性肺疾病患病现况及影响因素分析. 第三军医大学学报, 2021, 43(22): 2485-2494.
6.	刘颖楠, 蔡乐, 王贵义, 等. 云南玉龙县纳西族居民慢性阻塞性肺疾病的患病现状及影响因素分析. 现代预防医学, 2020, 47(9): 1699-1702.
7.	关英, 阿选德. 西宁市 40 岁及以上居民慢性阻塞性肺病流行病学调查. 华南预防医学, 2019, 45(5): 478-480.
8.	嘎玛仓决, 李亚杰, 白国霞, 等. 2015 年西藏≥40 岁居民慢性阻塞性肺疾病流行病学调查. 中国公共卫生, 2019, 35(1): 104-106.
9.	李亚杰, 嘎玛仓决, 索朗曲珍. 那曲县≥40 岁居民慢性阻塞性肺疾病流行特征分析. 世界最新医学信息文摘, 2018, 18(A0): 189, 191.
10.	邵英, 杨永芳, 秦明芳, 等. 云南省 40 岁及以上居民慢性阻塞性肺疾病流行情况及影响因素分析. 现代预防医学, 2018, 45(20): 3654-3658.
11.	张银娥, 吴婷婷, 马丽霞, 等. 宁夏监测点居民慢性阻塞性肺疾病流行特征及危险因素调查分析. 中华疾病控制杂志, 2018, 22(3): 231-234.
12.	李玉玺, 王怀振, 商勇, 等. 维吾尔族人群慢性阻塞性肺疾病病因研究. 中国医学工程, 2015, 23(12): 1-2, 4.
13.	张雅囡, 邱洁, 张锦, 等. 宁夏慢性阻塞性肺疾病危险因素流行病学调查. 中国实用内科杂志, 2013, 33(11): 876-880.
14.	张鑫, 刘翱, 李少莹, 等. 昆明市慢性阻塞性肺疾病患病率及相关因素调查. 西南国防医药, 2013, 23(11): 1273-1274.
15.	荣艳, 凌敏, 胡翠芬, 等. 新疆阿克苏农村地区慢性阻塞性肺疾病危险因素分析. 中国实用内科杂志, 2010, 30(6): 528-530.
16.	熊风, 赖玉清, 涂嘉欣, 等. 中国老年人群睡眠障碍流行特征的 Meta 分析. 中国循证医学杂志, 2019, 19(4): 398-403.
17.	Wang C, Xu J, Yang L, et al. Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health study): a national cross-sectional study. Lancet, 2018, 391(10131): 1706-1717.
18.	Fang L, Gao P, Bao H, et al. Chronic obstructive pulmonary disease in China: a nationwide prevalence study. Lancet Respir Med, 2018, 6(6): 421-430.
19.	Xiong H, Huang Q, He C, et al. Prevalence of chronic obstructive pulmonary disease at high altitude: a systematic review and meta-analysis. PeerJ, 2020, 8: e8586.
20.	Laniado-Laborin R, Rendón A, Batiz F, et al. High altitude and chronic obstructive pulmonary disease prevalence: a casual or causal correlation?. Arch Bronconeumol, 2012, 48(5): 156-160.
21.	Horner A, Soriano JB, Puhan MA, et al. Altitude and COPD prevalence: analysis of the PREPOCOL-PLATINO-BOLD-EPI-SCAN study. Respir Res, 2017, 18(1): 162.
22.	Brakema EA, Tabyshova A, Kasteleyn MJ, et al. High COPD prevalence at high altitude: does household air pollution play a role?. Eur Respir J, 2019, 53(2): 1801193.
23.	Miele CH, Grigsby MR, Siddharthan T, et al. Environmental exposures and systemic hypertension are risk factors for decline in lung function. Thorax, 2018, 73(12): 1120-1127.
24.	Spelta F, Fratta Pasini AM, Cazzoletti L, et al. Body weight and mortality in COPD: focus on the obesity paradox. Eat Weight Disord, 2018, 23(1): 15-22.
25.	Wada H, Ikeda A, Maruyama K, et al. Low BMI and weight loss aggravate COPD mortality in men, findings from a large prospective cohort: the JACC study. Sci Rep, 2021, 11(1): 1531.

1. Varmaghani M, Dehghani M, Heidari E, et al. Global prevalence of chronic obstructive pulmonary disease: systematic review and meta-analysis. East Mediterr Health J, 2019, 25(1): 47-57.
2. Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
3. 刘岚, 王旭明, 李锦波, 等. 云南省农村居民慢性阻塞性肺疾病患病现况及基于结构方程模型的影响因素. 中华疾病控制杂志, 2022, 26(11): 1332-1338.
4. 黄露, 王艺颖, 刘涛, 等. 贵州省 40 岁及以上人群慢性阻塞性肺疾病流行及影响因素. 中华疾病控制杂志, 2022, 26(5): 529-534, 553.
5. 王益德, 李争, 徐丹, 等. 新疆墨玉县乡村地区慢性阻塞性肺疾病患病现况及影响因素分析. 第三军医大学学报, 2021, 43(22): 2485-2494.
6. 刘颖楠, 蔡乐, 王贵义, 等. 云南玉龙县纳西族居民慢性阻塞性肺疾病的患病现状及影响因素分析. 现代预防医学, 2020, 47(9): 1699-1702.
7. 关英, 阿选德. 西宁市 40 岁及以上居民慢性阻塞性肺病流行病学调查. 华南预防医学, 2019, 45(5): 478-480.
8. 嘎玛仓决, 李亚杰, 白国霞, 等. 2015 年西藏≥40 岁居民慢性阻塞性肺疾病流行病学调查. 中国公共卫生, 2019, 35(1): 104-106.
9. 李亚杰, 嘎玛仓决, 索朗曲珍. 那曲县≥40 岁居民慢性阻塞性肺疾病流行特征分析. 世界最新医学信息文摘, 2018, 18(A0): 189, 191.
10. 邵英, 杨永芳, 秦明芳, 等. 云南省 40 岁及以上居民慢性阻塞性肺疾病流行情况及影响因素分析. 现代预防医学, 2018, 45(20): 3654-3658.
11. 张银娥, 吴婷婷, 马丽霞, 等. 宁夏监测点居民慢性阻塞性肺疾病流行特征及危险因素调查分析. 中华疾病控制杂志, 2018, 22(3): 231-234.
12. 李玉玺, 王怀振, 商勇, 等. 维吾尔族人群慢性阻塞性肺疾病病因研究. 中国医学工程, 2015, 23(12): 1-2, 4.
13. 张雅囡, 邱洁, 张锦, 等. 宁夏慢性阻塞性肺疾病危险因素流行病学调查. 中国实用内科杂志, 2013, 33(11): 876-880.
14. 张鑫, 刘翱, 李少莹, 等. 昆明市慢性阻塞性肺疾病患病率及相关因素调查. 西南国防医药, 2013, 23(11): 1273-1274.
15. 荣艳, 凌敏, 胡翠芬, 等. 新疆阿克苏农村地区慢性阻塞性肺疾病危险因素分析. 中国实用内科杂志, 2010, 30(6): 528-530.
16. 熊风, 赖玉清, 涂嘉欣, 等. 中国老年人群睡眠障碍流行特征的 Meta 分析. 中国循证医学杂志, 2019, 19(4): 398-403.
17. Wang C, Xu J, Yang L, et al. Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health study): a national cross-sectional study. Lancet, 2018, 391(10131): 1706-1717.
18. Fang L, Gao P, Bao H, et al. Chronic obstructive pulmonary disease in China: a nationwide prevalence study. Lancet Respir Med, 2018, 6(6): 421-430.
19. Xiong H, Huang Q, He C, et al. Prevalence of chronic obstructive pulmonary disease at high altitude: a systematic review and meta-analysis. PeerJ, 2020, 8: e8586.
20. Laniado-Laborin R, Rendón A, Batiz F, et al. High altitude and chronic obstructive pulmonary disease prevalence: a casual or causal correlation?. Arch Bronconeumol, 2012, 48(5): 156-160.
21. Horner A, Soriano JB, Puhan MA, et al. Altitude and COPD prevalence: analysis of the PREPOCOL-PLATINO-BOLD-EPI-SCAN study. Respir Res, 2017, 18(1): 162.
22. Brakema EA, Tabyshova A, Kasteleyn MJ, et al. High COPD prevalence at high altitude: does household air pollution play a role?. Eur Respir J, 2019, 53(2): 1801193.
23. Miele CH, Grigsby MR, Siddharthan T, et al. Environmental exposures and systemic hypertension are risk factors for decline in lung function. Thorax, 2018, 73(12): 1120-1127.
24. Spelta F, Fratta Pasini AM, Cazzoletti L, et al. Body weight and mortality in COPD: focus on the obesity paradox. Eat Weight Disord, 2018, 23(1): 15-22.
25. Wada H, Ikeda A, Maruyama K, et al. Low BMI and weight loss aggravate COPD mortality in men, findings from a large prospective cohort: the JACC study. Sci Rep, 2021, 11(1): 1531.

West China Medical Journal

Meta-analysis of prevalence and risk factors of chronic obstructive pulmonary disease in China plateau

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