Faculty of Sports Sciences, University of Murcia, 30720 Murcia, Spain.
The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge CB5 8DZ, UK.
Int J Environ Res Public Health. 2020 Jan 16;17(2):594. doi: 10.3390/ijerph17020594.
There is a high prevalence of comorbidities among patients with chronic obstructive pulmonary disease (COPD). Comorbidities are likely common in patients with any COPD degree and are associated with increased mortality. The aim of this study was to determine the prevalence of thirty-one different COPD comorbidities and to evaluate the association between physical activity (PA) levels in people with COPD residing in Spain. Cross-sectional data from the Spanish National Health Survey 2017 were analysed. A total of 601 adults (52.2% females) with COPD aged 15 to 69 participated in this study. PA (exposure) was measured with the International Physical Activity Questionnaire (IPAQ) short form and comorbidities (outcomes) were self-reported in response to the question "Have you ever been diagnosed with…?" Multivariable logistic regression, in three different models, was used to assess this association. Results showed a high prevalence of comorbidities (94%), these being chronic lumbar back pain (38.9%), chronic allergy (34.8%), arthrosis (34.1%), chronic cervical back pain (33.3%), asthma (32.9%) and hypertension (32.8%) the most prevalent. Low PA level was significantly associated with urinary incontinence (2.115[1.213-3.689]), chronic constipation (1.970[1.119-3.459]), cataracts (1.840[1.074-3.153]), chronic anxiety (1.508[1.002-2.269]) and chronic lumbar back pain (1.489[1.044-2.125]). Therefore, people with COPD should increase their PA levels in order to reduce their risk of comorbidities and increase their quality of life.
患有慢性阻塞性肺疾病（COPD）的患者往往合并多种疾病。COPD 患者可能在任何疾病程度都存在多种合并症，并且与死亡率增加相关。本研究的目的是确定 31 种不同 COPD 合并症的患病率，并评估居住在西班牙的 COPD 患者的体力活动（PA）水平与合并症之间的关系。对 2017 年西班牙国家健康调查的横断面数据进行了分析。共有 601 名年龄在 15 至 69 岁之间的 COPD 成年患者（52.2%为女性）参与了本研究。PA（暴露）采用国际体力活动问卷（IPAQ）短表进行测量，合并症（结局）则通过回答“您是否曾被诊断患有……？”来报告。采用多变量逻辑回归，在三个不同模型中，评估这种关联。结果显示合并症的患病率很高（94%），最常见的是慢性下腰痛（38.9%）、慢性过敏（34.8%）、关节炎（34.1%）、慢性颈腰痛（33.3%）、哮喘（32.9%）和高血压（32.8%）。低 PA 水平与尿失禁（2.115[1.213-3.689]）、慢性便秘（1.970[1.119-3.459]）、白内障（1.840[1.074-3.153]）、慢性焦虑（1.508[1.002-2.269]）和慢性下腰痛（1.489[1.044-2.125]）显著相关。因此，COPD 患者应增加 PA 水平，以降低合并症风险并提高生活质量。
