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饮酒对阻塞性肺病患者生活质量、抑郁情绪及代谢综合征的影响:基于2014年和2016年韩国国民健康与营养检查调查数据的分析

Impact of Alcohol Consumption on Quality of Life, Depressive Mood and Metabolic Syndrome in Obstructive Lung Disease Patients: Analysis of Data from Korean National Health and Nutrition Examination Survey from 2014 and 2016.

作者信息

Heo I Re, Kim Tae Hoon, Jeong Jong Hwan, Heo Manbong, Ju Sun Mi, Yoo Jung-Wan, Lee Seung Jun, Cho Yu Ji, Jeong Yi Yeong, Lee Jong Deog, Kim Ho Cheol

机构信息

Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Changwon, Republic of Korea.

Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Jinju, Republic of Korea.

出版信息

Tuberc Respir Dis (Seoul). 2023 Apr;86(2):111-119. doi: 10.4046/trd.2022.0107. Epub 2023 Feb 2.

Abstract

BACKGROUND

The objective of this study was to investigate whether alcohol consumption might affect the quality of life (QOL), depressive mood, and metabolic syndrome in patients with obstructive lung disease (OLD).

METHODS

Data were obtained from the Korean National Health and Nutrition Examination Survey from 2014 and 2016. OLD was defined as spirometry of forced expiratory volume in 1 second/forced vital capacity <0.7 in those aged more than 40 years. QOL was evaluated using the European Quality of Life Questionnaire-5D (EQ-5D) index. Patient Health Questionnaire-9 (PHQ-9) was used to assess the severity of depressive mood. Alcohol consumption was based on a history of alcohol ingestion during the previous month.

RESULTS

A total of 984 participants with OLD (695 males, 289 females, age 65.8±9.7 years) were enrolled. The EQ-5D index was significantly higher in alcohol drinkers (n=525) than in non-alcohol drinkers (n=459) (0.94±0.11 vs. 0.91±0.13, p=0.002). PHQ- 9 scores were considerably lower in alcohol drinkers than in non-alcohol drinkers (2.15±3.57 vs. 2.78±4.13, p=0.013). However, multiple logistic regression analysis showed that alcohol consumption was not associated with EQ-5D index or PHQ-9 score. Body mass index ≥25 kg/m2, triglyceride ≥150 mg/dL, high-density lipoprotein <40 mg/dL in men and <50 mg/dL in women, and blood pressure ≥130/85 mm Hg were significantly more common in alcohol drinkers than in non-alcohol drinkers (all p<0.05).

CONCLUSION

Alcohol consumption did not change the QOL or depressive mood of OLD patients. However, metabolic syndrome-related factors were more common in alcohol drinkers than in non-alcohol drinkers.

摘要

背景

本研究的目的是调查饮酒是否会影响阻塞性肺疾病(OLD)患者的生活质量(QOL)、抑郁情绪和代谢综合征。

方法

数据来自2014年和2016年的韩国国家健康与营养检查调查。OLD定义为40岁以上人群一秒用力呼气量/用力肺活量的肺量计检查结果<0.7。使用欧洲生活质量问卷-5维度(EQ-5D)指数评估生活质量。患者健康问卷-9(PHQ-9)用于评估抑郁情绪的严重程度。饮酒情况基于前一个月的饮酒史。

结果

共纳入984例OLD患者(男性695例,女性289例,年龄65.8±9.7岁)。饮酒者(n=525)的EQ-5D指数显著高于不饮酒者(n=459)(0.94±0.11对0.91±0.13,p=0.002)。饮酒者的PHQ-9评分显著低于不饮酒者(2.15±3.57对2.78±4.13,p=0.013)。然而,多因素logistic回归分析显示,饮酒与EQ-5D指数或PHQ-9评分无关。饮酒者的体重指数≥25 kg/m2、甘油三酯≥150 mg/dL、男性高密度脂蛋白<40 mg/dL、女性高密度脂蛋白<50 mg/dL以及血压≥130/85 mmHg显著高于不饮酒者(所有p<0.05)。

结论

饮酒并未改变OLD患者的生活质量或抑郁情绪。然而,饮酒者中与代谢综合征相关因素比不饮酒者更常见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e1c/10073609/b4753c09e034/trd-2022-0107f1.jpg

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