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Reference: Koul, PA, Hakim, NA, Malik, SA et al., (2016). Prevalence of chronic airflow limitation in Kashmir, North India: results from the BOLD study. International Journal of Tuberculosis and Lung Disease, 20 (10), 1399-1404.Citable link to this page:

 

Prevalence of chronic airflow limitation in Kashmir, North India: results from the BOLD study

Abstract: Background: Data on spirometrically defined chronic airflow limitation (CAL) are scarce in developing countries.Objective: To estimate the prevalence of spirometrically defined CAL in Kashmir, North India.Methods: Using Burden of Obstructive Lung Disease survey methods, we administered questionnaires to randomly selected adults aged 40 years. Post-bronchodilator spirometry was performed to estimate the prevalence of CAL and its relation to potential risk factors.Results: Of 1100 participants initially recruited, 953 (86.9%) responded and 757 completed acceptable spirometry and questionnaires. The prevalence of a forced expiratory volume in 1 s/forced vital capacity (FEV1/FVC) ratio less than the lower limit of normal was 17.3% (4.5) in males and 14.8% (2.1) in females. Risk factors for CAL included higher age, cooking with wood and lower educational status. The prevalence of current smoking was 61% in males and 22% in females; most smoked hookahs. CAL was found equally in non-smoking males and females, and was independently associated with the use of the hookah, family history of respiratory disease and poor education. A self-reported doctor's diagnosis of chronic obstructive pulmonary disease was reported in 8.4/1000 (0.9% of females and 0.8% of males).Conclusion: Spirometrically confirmed CAL is highly prevalent in Indian Kashmir, and seems to be related to the high prevalence of smoking, predominantly in the form of hookah smoking.

Publication status:PublishedPeer Review status:Peer reviewedVersion:Accepted ManuscriptDate of acceptance:01 September 2016 Funder: Sher-i-Kashmir Institute of Medical Sciences,Srinagar   Funder: Wellcome Trust   Notes:Copyright © 2016 Koul et al. This is the accepted manuscript version of the article. The final version is available online from International Union Against Tuberculosis and Lung Disease at: https://doi.org/10.5588/ijtld.15.0968

Bibliographic Details

Publisher: International Union Against Tuberculosis and Lung Disease

Publisher Website: http://www.theunion.org/

Journal: International Journal of Tuberculosis and Lung Diseasesee more from them

Publication Website: http://www.theunion.org/what-we-do/journals/ijtld

Volume: 20

Issue: 10

Extent: 1399-1404

Issue Date: 20 October 2016

pages:1399-1404Identifiers

Doi: https://doi.org/10.5588/ijtld.15.0968

Uuid: uuid:19977439-1315-442d-a627-a8ea60672b64

Urn: uri:19977439-1315-442d-a627-a8ea60672b64

Pubs-id: pubs:651963

Issn: 1027-3719

Eissn: 1815-7920 Item Description

Type: journal-article;

Version: Accepted ManuscriptKeywords: COPD chronic airflow limitation prevalence smoking spirometry

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Author: Koul, PA - - - Hakim, NA - - - Malik, SA - - - Khan, UH - - - Patel, J - - - Gnatiuc, L - Oxford, MSD, Nuffield Department of Pop

Source: https://ora.ox.ac.uk/objects/uuid:19977439-1315-442d-a627-a8ea60672b64



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