Prevalence of Chronic Obstructive Pulmonary Disease in Adults Aged 40 Years and Older in China From 2014 to 2024: A Systematic Review and Meta-Analysis.

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Asia-Pacific Journal of Public Health Pub Date : 2025-03-25 DOI:10.1177/10105395251329194

Yinxia Luo, Fang Wang, Xia Zeng, Sufang Tan, Liwen Xiang, Shuwen Pang, Xiaoxuan Guo, Xiaorong Mao

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Abstract

Chronic Obstructive Pulmonary Disease (COPD) imposed a heavy disease burden on China. The aim of this study was to identify the prevalence of COPD in adults aged 40 years and older in China through a systematic review and meta-analysis. A web-based search of 11 databases (including PubMed and Web of Science) from January 2014 to September 2024, using specified search/MeSH (Medical Subject Headings) terms and keywords, was conducted. A total of 92 studies (39 320 patients) were included. The combined prevalence of COPD in Chinese adults aged 40 years and older from 2014 to 2024 was 12.1% (11.3%-13.0%). Subgroup analysis showed that the prevalence was higher in males (16.4%, 15.2%-17.6%) than in females (8.4%, 7.5%-9.3%). The lowest prevalence was 4.8% in the age group of 40 to 49 years and 23.7% in the age group of over 70 years. The prevalence was highest in patients with a BMI of less than 18.5 kg/m² (22.4%) and decreased with increasing BMI. The prevalence was highest in Northwestern China (13.9%) and lowest in Southern China (9.2%), and was higher in rural residents (13.7%) than urban residents (11.1%). The prevalence was higher among current smokers (18.7%) and former smokers (18.7%) than among non-smokers (7.9%).

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慢性阻塞性肺病（COPD）给中国带来了沉重的疾病负担。本研究旨在通过系统综述和荟萃分析，确定慢性阻塞性肺疾病在中国 40 岁及以上成年人中的患病率。研究使用指定的检索/MeSH（医学主题词表）术语和关键词，对2014年1月至2024年9月的11个数据库（包括PubMed和Web of Science）进行了网络检索。共纳入 92 项研究（39320 名患者）。2014年至2024年期间，40岁及以上中国成年人的慢性阻塞性肺病综合患病率为12.1%（11.3%-13.0%）。亚组分析显示，男性患病率（16.4%，15.2%-17.6%）高于女性（8.4%，7.5%-9.3%）。40至49岁年龄组的患病率最低，为4.8%；70岁以上年龄组的患病率最高，为23.7%。体重指数小于 18.5 kg/m2 的患者发病率最高（22.4%），随着体重指数的增加而降低。西北地区患病率最高（13.9%），华南地区患病率最低（9.2%），农村居民患病率（13.7%）高于城市居民（11.1%）。目前吸烟者（18.7%）和曾经吸烟者（18.7%）的患病率高于非吸烟者（7.9%）。

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

Asia-Pacific Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.30

自引率

4.00%

发文量

147

审稿时长

6 months

期刊介绍： Asia-Pacific Journal of Public Health (APJPH) is a peer-reviewed, bimonthly journal that focuses on health issues in the Asia-Pacific Region. APJPH publishes original articles on public health related issues, including implications for practical applications to professional education and services for public health and primary health care that are of concern and relevance to the Asia-Pacific region.