Relationship between Habit of Cigarette Smoking and Airflow Limitation in Healthy Japanese Individuals: The Takahata Study
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概要
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Background Chronic obstructive pulmonary disease (COPD) is characterized by chronic airflow limitation. The prevalence of airflow limitation in Japan is 10.9% (16.4% of males and 5.0% of females). Cigarette smoking is well known as a major cause of COPD. However, few epidemiological studies have evaluated the effects of cigarette smoking on pulmonary function in healthy subjects. Methods Subjects aged 40 years or older (n=2,917), who had participated in a community-based annual health check in Takahata, Japan, from 2004 through 2005, were enrolled in the study. The smoking histories of these subjects were investigated using a self-reported questionnaire. Forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and forced expiratory flow at 25-75% of FVC (FEF25-75) were measured by standard procedures using spirometric machines. Results There were 554 current smokers (18.6%) and 403 former smokers (13.8%). The prevalence of airflow limitation defined by FEV1/FVC <0.7 in this population was 10.6%, and prevalence of airflow limitation defined by 5th percentile lower limit of normal was 6.4%. In smokers, percent predicted values of measured spirometric parameters (%FVC, %FEV1 and %FEF25-75) decreased significantly with age, except for male %FVC. Also, percent predicted values of measured spirometric parameters decreased significantly with increasing pack-years, except for female %FEF25-75. Conclusion Cigarette smoking increased the prevalence and severity of airflow limitation. It is concluded that cigarette smoking increases the risk of airflow limitation in a healthy Japanese population.
著者
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KAWATA Sumio
Department of Gastroenterology, Yamagata University School of Medicine
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Inoue Sumito
Department of Internal Medicine, Yamagata Prefectural Shinjo Hospital
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Takabatake Noriaki
Department Of Cardiology Pulmonology And Nephrology Yamagata University School Of Medicine
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Kishi Hiroyuki
Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Japan
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Osaka Daisuke
Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Japan
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Abe Shuichi
Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Japan
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Tokairin Yoshikane
Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Japan
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Yamauchi Keiko
Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Japan
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Shibata Yoko
Department Of Cardiology Pulmonology And Nephrology Yamagata University School Of Medicine
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Sata Makoto
Department Of Cardiology National Cardiovascular Center
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Kimura Tomomi
Department Of Biochemistry Showa University School Of Medicine
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Kawata Sumio
Department Of Biochemistry And Second Department Of Internal Medicine Osaka University Medical Schoo
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Konta Tsuneo
Department Of Cardiology Pulmonology And Nephrology Yamagata University School Of Medicine
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Igarashi Akira
Department Of Applied Chemistry Faculty Of Engineering Kogakuin University
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Kubota Isao
Department Of Cardiology Pulmonology And Nephrology Yamagata University Of School Of Medicine
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Watanabe Tetsu
Department Of Basic Clinical Science And Public Health Tokai University School Of Medicine
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Sato Michiko
Department Of Biotechnology Tokyo University Of Agriculture And Technology
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KATO Takeo
Department of Applied Physics, Osaka City University
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Abe Shuichi
Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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Osaka Daisuke
Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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Inoue Sumito
Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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Kimura Tomomi
Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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Kishi Hiroyuki
Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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Tokairin Yoshikane
Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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