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慢性呼吸急促在整个人口中的负担。

The burden of chronic breathlessness across the population.

作者信息

Ahmadi Zainab

机构信息

Division of Respiratory Medicine & Allergology, Department of Clinical Sciences, Lund University, Lund, Sweden.

出版信息

Curr Opin Support Palliat Care. 2018 Sep;12(3):214-218. doi: 10.1097/SPC.0000000000000364.

DOI:10.1097/SPC.0000000000000364
PMID:29927754
Abstract

PURPOSE OF REVIEW

Chronic breathlessness is a common and distressing symptom globally. It is associated with major adverse health outcomes. This review provides an overview of new evidence about the prevalence of chronic breathlessness in the population.

RECENT FINDINGS

A literature search was conducted using MEDLINE database including studies on prevalence of chronic breathlessness and its impact on the community published between 2016 and 2018. Identified studies were divided into four themes: breathlessness in relation to sex, BMI, quality of life and age (the elderly). In the general population, breathlessness was twice as common in women as in men related to their smaller absolute lung volumes. Obesity was to be found an independent risk factor for chronic breathlessness. A strong association between chronic breathlessness and poor physical and mental health-related quality of life was found across all adult age groups. Among elderly people, breathlessness predicted activity of daily living decline over 5 years.

SUMMARY

Interesting large population-based studies published recently have shed light on the association between chronic breathlessness and sex, obesity, quality of life and increasing age.

摘要

综述目的

慢性呼吸急促是全球常见且令人苦恼的症状。它与主要的不良健康后果相关。本综述概述了有关人群中慢性呼吸急促患病率的新证据。

最新发现

使用MEDLINE数据库进行文献检索,纳入2016年至2018年间发表的关于慢性呼吸急促患病率及其对社区影响的研究。确定的研究分为四个主题:与性别、体重指数、生活质量和年龄(老年人)相关的呼吸急促。在一般人群中,由于女性绝对肺容积较小,呼吸急促的发生率是男性的两倍。肥胖是慢性呼吸急促的独立危险因素。在所有成年年龄组中,慢性呼吸急促与身心健康相关生活质量差之间存在强烈关联。在老年人中,呼吸急促预示着5年内日常生活活动能力下降。

总结

最近发表的有趣的基于大人群的研究揭示了慢性呼吸急促与性别、肥胖、生活质量和年龄增长之间的关联。

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1
The burden of chronic breathlessness across the population.慢性呼吸急促在整个人口中的负担。
Curr Opin Support Palliat Care. 2018 Sep;12(3):214-218. doi: 10.1097/SPC.0000000000000364.
2
The association of body mass index, weight gain and central obesity with activity-related breathlessness: the Swedish Cardiopulmonary Bioimage Study.体重指数、体重增加和中心性肥胖与活动相关呼吸困难的关系:瑞典心肺生物影像学研究。
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PLoS One. 2018 Jan 5;13(1):e0190876. doi: 10.1371/journal.pone.0190876. eCollection 2018.
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Living with breathlessness in chronic heart failure: a qualitative study.慢性心力衰竭患者呼吸困难的生活体验:一项定性研究。
J Clin Nurs. 2017 Jul;26(13-14):2036-2044. doi: 10.1111/jocn.13615. Epub 2017 Mar 27.
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The lived experience of breathlessness for people diagnosed with heart failure: a qualitative synthesis of the literature.呼吸困难的体验:心力衰竭患者的生活体验——文献定性综合研究。
Curr Opin Support Palliat Care. 2019 Mar;13(1):18-23. doi: 10.1097/SPC.0000000000000405.
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Prevalence and Outcomes of Breathlessness in Older Adults: A National Population Study.老年人呼吸困难的患病率和结局:一项全国性人口研究。
J Am Geriatr Soc. 2016 Oct;64(10):2035-2041. doi: 10.1111/jgs.14313. Epub 2016 Sep 7.
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Update on complex nonpharmacological interventions for breathlessness.呼吸困难的复杂非药物干预措施更新。
Curr Opin Support Palliat Care. 2012 Jun;6(2):144-52. doi: 10.1097/SPC.0b013e3283536413.
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Predictors of chronic breathlessness: a large population study.慢性呼吸困难的预测因素:一项大型人群研究。
BMC Public Health. 2011 Jan 12;11:33. doi: 10.1186/1471-2458-11-33.
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Breathlessness in Elderly Adults During the Last Year of Life Sufficient to Restrict Activity: Prevalence, Pattern, and Associated Factors.老年人生命最后一年中足以限制活动的呼吸困难:患病率、模式及相关因素。
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What can we learn about breathlessness from population-based and administrative health data?从基于人群的行政卫生数据中,我们能了解到哪些关于呼吸急促的信息?
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