{"title":"美国成年人身体圆度指数与慢性阻塞性肺疾病之间的关系:NHANES 2013-2018的数据","authors":"Weibo Zheng, Liandong Chen, Haojie Ying, Jiawei Lv, Binzhe Zhou, Chendong Tian, Yuchen Wu, Qihui Shao, Hanyu Xu, Bowen Jin","doi":"10.2147/COPD.S545770","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The association between the body roundness index (BRI) and the prevalence of chronic obstructive pulmonary disease (COPD) in US adults remains unclear. This study aims to investigate the association between BRI and the likelihood of developing COPD.</p><p><strong>Methods: </strong>This study was conducted based on data from the 2013-2018 National Health and Nutrition Examination Survey. Participants were classified as having COPD if they met any of the following criteria: (i) self-reported physician diagnosis of COPD; (ii) physician-confirmed diagnosis of emphysema; or (iii) physician-confirmed diagnosis of chronic bronchitis. Those who responded \"no\" to all of the above were categorized as non-COPD. To assess the association between BRI and COPD, weighted logistic regression models, subgroup analyses, and interaction tests were employed. The dose-response relationship was investigated using a restricted cubic spline (RCS) model.</p><p><strong>Results: </strong>A total of 14,254 individuals were included. The overall weighted prevalence of COPD was 8.3%. After adjusting for multiple confounders, continuous BRI was found to be positively associated with COPD (odds ratio [OR] = 1.140, 95% confidence interval [CI]: 1.033-1.259, P = 0.012). The RCS analysis confirmed a linear dose-response relationship between BRI and COPD. Subgroup analyses demonstrated substantial heterogeneity across sex, hypertension, and cardiovascular disease subgroups, indicating that the association between BRI and COPD may be impacted by these factors.</p><p><strong>Conclusion: </strong>Higher BRI levels were positively associated with an increased likelihood of developing COPD among US adults. Our study suggests that BRI holds promise as a tool for assessing the odds of having COPD.</p>","PeriodicalId":48818,"journal":{"name":"International Journal of Chronic Obstructive Pulmonary Disease","volume":"20 ","pages":"3217-3228"},"PeriodicalIF":3.1000,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449875/pdf/","citationCount":"0","resultStr":"{\"title\":\"Association Between Body Roundness Index and Chronic Obstructive Pulmonary Disease in US Adults: Data from NHANES 2013-2018.\",\"authors\":\"Weibo Zheng, Liandong Chen, Haojie Ying, Jiawei Lv, Binzhe Zhou, Chendong Tian, Yuchen Wu, Qihui Shao, Hanyu Xu, Bowen Jin\",\"doi\":\"10.2147/COPD.S545770\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The association between the body roundness index (BRI) and the prevalence of chronic obstructive pulmonary disease (COPD) in US adults remains unclear. 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引用次数: 0
摘要
背景:美国成年人身体圆度指数(BRI)与慢性阻塞性肺疾病(COPD)患病率之间的关系尚不清楚。本研究旨在探讨BRI与COPD发生可能性之间的关系。方法:基于2013-2018年全国健康与营养检查调查数据进行研究。如果参与者符合以下任何标准,则将其归类为COPD: (i)自我报告的医师诊断为COPD;(ii)经医生确诊为肺气肿;或(iii)经医生确诊为慢性支气管炎。对上述所有问题回答“否”的患者被归类为非copd患者。为了评估BRI与COPD之间的关系,采用了加权逻辑回归模型、亚组分析和相互作用检验。采用限制三次样条(RCS)模型研究了剂量-反应关系。结果:共纳入14254人。COPD的总加权患病率为8.3%。在对多个混杂因素进行校正后,发现连续BRI与COPD呈正相关(优势比[OR] = 1.140, 95%可信区间[CI]: 1.033-1.259, P = 0.012)。RCS分析证实了BRI与COPD之间的线性剂量-反应关系。亚组分析显示性别、高血压和心血管疾病亚组之间存在显著异质性,表明BRI和COPD之间的关联可能受到这些因素的影响。结论:在美国成年人中,较高的BRI水平与患COPD的可能性增加呈正相关。我们的研究表明,BRI有望作为评估患COPD几率的工具。
Association Between Body Roundness Index and Chronic Obstructive Pulmonary Disease in US Adults: Data from NHANES 2013-2018.
Background: The association between the body roundness index (BRI) and the prevalence of chronic obstructive pulmonary disease (COPD) in US adults remains unclear. This study aims to investigate the association between BRI and the likelihood of developing COPD.
Methods: This study was conducted based on data from the 2013-2018 National Health and Nutrition Examination Survey. Participants were classified as having COPD if they met any of the following criteria: (i) self-reported physician diagnosis of COPD; (ii) physician-confirmed diagnosis of emphysema; or (iii) physician-confirmed diagnosis of chronic bronchitis. Those who responded "no" to all of the above were categorized as non-COPD. To assess the association between BRI and COPD, weighted logistic regression models, subgroup analyses, and interaction tests were employed. The dose-response relationship was investigated using a restricted cubic spline (RCS) model.
Results: A total of 14,254 individuals were included. The overall weighted prevalence of COPD was 8.3%. After adjusting for multiple confounders, continuous BRI was found to be positively associated with COPD (odds ratio [OR] = 1.140, 95% confidence interval [CI]: 1.033-1.259, P = 0.012). The RCS analysis confirmed a linear dose-response relationship between BRI and COPD. Subgroup analyses demonstrated substantial heterogeneity across sex, hypertension, and cardiovascular disease subgroups, indicating that the association between BRI and COPD may be impacted by these factors.
Conclusion: Higher BRI levels were positively associated with an increased likelihood of developing COPD among US adults. Our study suggests that BRI holds promise as a tool for assessing the odds of having COPD.
期刊介绍:
An international, peer-reviewed journal of therapeutics and pharmacology focusing on concise rapid reporting of clinical studies and reviews in COPD. Special focus will be given to the pathophysiological processes underlying the disease, intervention programs, patient focused education, and self management protocols. This journal is directed at specialists and healthcare professionals