Prevalence of chronic obstructive pulmonary disease in Japanese people on medical check-up
Prevalence of chronic obstructive pulmonary disease in Japanese people on medical check-up
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DOI：
10.1620/tjem.207.41
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发表时间：
2005-09-01
影响因子：
2.2
通讯作者：
Sen, T
中科院分区：
文献类型：
--
作者：
Takemura, H;Hida, W;Sen, T
在日本，肺活量测定法尚未作为一个项目列入所有人的体检。本研究的目的是提供证据，以推荐肺功能测定法常规体检慢性阻塞性肺疾病（COPD）的早期发现。有12 760名登记人员接受了体检。慢性阻塞性肺疾病（COPD）定义为1秒用力呼气容积与慢肺活量之比≤ 70%，我们调查了健康体检人群中COPD的患病率及其特征。所有受试者的COPD患病率为3.6%，男性为4.5%，女性为1.8%。在男女之间的比较中，大部分年龄组的男性COPD患病率高于女性，且随着年龄的增长，这种差异更大。男性50 ~ 60岁及女性60岁以上患病率明显增高。吸烟率高的职业，如交通运输相关职业，COPD患病率较高。这些结果表明，在体检中对所有人进行肺功能测定可以识别出许多不知道这种疾病的COPD患者。体检时应常规进行肺量测定。
In Japan, spirometry has not been included as an item in medical check-ups for all persons. The purpose of this study was to show evidence to recommend spirometry routinely on medical check-up for the early detection of chronic obstructive pulmonary disease (COPD). There were 12,760 enrolled persons who underwent medical check-up. COPD was defined as a ratio of forced expiratory volume in one second to slow vital capacity of 70% or less. We investigated the prevalence and its characteristics of COPD in people on medical check-up. The prevalence of COPD, was 3.6% in all subjects, 4.5% in males, and 1.8% in females. In the comparison between males and females, the prevalence of COPD in males of most age groups was higher than that of females, and this difference was greater with aging. Males in their 50s and over 60 years old and females over 60 years old showed remarkably high prevalences. Occupations associated with a high smoking rate such as transportation-related occupations showed a higher prevalence of COPD. These results suggest that spirometry for all persons in medical check-ups can identify many COPD patients not aware of this disease. Spirometry should be carried out routinely on medical check-up.