Prevalence of chronic obstructive pulmonary disease in Indian nonsmokers: a systematic review & meta-analysis.

IF 3 4区医学 Q2 ENVIRONMENTAL SCIENCES

Reviews on Environmental Health Pub Date : 2023-11-29 DOI:10.1515/reveh-2023-0135

Tejas M Suri, Tamoghna Ghosh, Saurabh Mittal, Vijay Hadda, Karan Madan, Anant Mohan

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Abstract

Introduction: Nonsmokers with chronic obstructive pulmonary disease (COPD) are neglected despite constituting half of all cases in studies from the developed world. Herein, we systematically reviewed the prevalence of COPD among nonsmokers in India.

Content: We searched Embase, Scopus, and PubMed databases for studies examining the prevalence of COPD among nonsmokers in India. We used the Joanna Briggs Institute (JBI) checklist to assess included studies' quality. Meta-analysis was performed using random-effects model.

Summary: Seven studies comprising 6,903 subjects were included. The quality of the studies ranged from 5/9 to 8/9. The prevalence of COPD varied between 1.6 and 26.6 %. Studies differed considerably in demographics and biomass exposure profiles of subjects. Among the four studies that enrolled both middle-aged and elderly Indian nonsmokers not screened based on biomass fuel exposure, the pooled prevalence of COPD was 3 % (95 % CI, 2-3 %; I²=50.52 %, p=0.11). The pooled prevalence of COPD among biomass fuel-exposed individuals was 10 % (95 % CI, 2-18 %; I²=98.8 %, p<0.001).

Outlook: Limited evidence suggests a sizable burden of COPD among nonsmokers and biomass fuel-exposed individuals in India. More epidemiological studies of COPD in nonsmokers are needed from low and middle-income countries.

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印度非吸烟者慢性阻塞性肺疾病患病率:一项系统综述和荟萃分析

非吸烟者慢性阻塞性肺疾病(COPD)被忽视，尽管在发达国家的研究中占所有病例的一半。在此，我们系统地回顾了印度非吸烟者中COPD的患病率。内容:我们检索了Embase、Scopus和PubMed数据库，查找印度非吸烟者COPD患病率的研究。我们使用乔安娜布里格斯研究所(JBI)的检查表来评估纳入研究的质量。采用随机效应模型进行meta分析。摘要:纳入了7项研究，6903名受试者。研究质量从5/9到8/9不等。COPD患病率在1.6 - 26.6% %之间变化。研究在受试者的人口统计学和生物量暴露概况方面差异很大。在四项研究中，纳入了未基于生物质燃料暴露进行筛查的中老年印度非吸烟者，COPD的总患病率为3 %(95% % CI, 2-3 %; % I2 = 50.52, p = 0.11)。生物质燃料暴露个体中COPD的总患病率为10 %(95 % CI, 2-18 %;I2=98.8 %，p展望:有限的证据表明，在印度，非吸烟者和接触生物质燃料的个体存在相当大的慢性阻塞性肺病负担。低收入和中等收入国家需要对非吸烟者进行更多的COPD流行病学研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Reviews on Environmental Health Social Sciences-Health (social science)

CiteScore

7.20

自引率

2.60%

发文量

期刊介绍： Reviews on Environmental Health (REVEH) is an international peer-reviewed journal that aims to fill the need for publication of review articles on hot topics in the field of environmental health. Reviews on Environmental Health aims to be an inspiring forum for scientists, environmentalists, physicians, engineers, and students who are concerned with aspects of human health, including quality of life, that are determined by physiological and psychosociological interactions between man and physical, chemical, biological, and social factors in the environment. Reviews on Environmental Health is an important niche served by no other journal, that’s being a site where thoughtful reviews can be published on a variety of subjects related to both health and environment. One challenge is to bridge the research on environmental causes of disease with the clinical practice of medicine. Reviews on Environmental Health is a source of integrated information on environment and health subjects that will be of value to the broad scientific community, whether students, junior and senior professionals, or clinicians.