Association between chronic obstructive pulmonary disease and cardiovascular disease in adults aged 40 years and above: data from NHANES 2013–2018

Abstract Background Chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD) are two major age-related diseases prevalent in the elderly. However, it is unclear whether there is a higher prevalence of one or more CVDs in COPD patients compared to those without COPD, and the magn...

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Main Authors: Hong Chen, Xiaojia Luo, Yuejun Du, Chenyun He, Yanjun Lu, Zixuan Shi, Jin Zhou
Format: Article
Language:English
Published: BMC 2023-08-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12890-023-02606-1
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author Hong Chen
Xiaojia Luo
Yuejun Du
Chenyun He
Yanjun Lu
Zixuan Shi
Jin Zhou
author_facet Hong Chen
Xiaojia Luo
Yuejun Du
Chenyun He
Yanjun Lu
Zixuan Shi
Jin Zhou
author_sort Hong Chen
collection DOAJ
description Abstract Background Chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD) are two major age-related diseases prevalent in the elderly. However, it is unclear whether there is a higher prevalence of one or more CVDs in COPD patients compared to those without COPD, and the magnitude of this increased prevalence. Methods This population-based cross-sectional study was conducted using data from the National Health and Nutrition Examination Survey (NHANES) 2013–2018 among American adults aged 40 years and above. Multivariable logistic regression models (including unadjusted model, minimally adjusted model, and fully adjusted model) were conducted to investigate the association between COPD and the prevalence of one or more CVDs, including coronary heart disease, heart failure, angina pectoris, heart attack, diabetes, and stroke. Results This study included 11,425 participants, consisting of 661 participants with COPD and 10,764 participants without COPD. COPD patients had a significantly higher prevalence of CVD than those without COPD (59.6% vs. 28.4%). After adjusting for covariates, COPD was significantly associated with the prevalence of one CVD (OR = 2.2, 95% CI = 1.6–3.0, p < 0.001), two or more CVDs (OR = 3.3, 95% CI = 2.2–5.0, p < 0.001), and three or more CVDs (OR = 4.3, 95% CI = 2.9–6.5, p < 0.001). Conclusions Patients with COPD have a higher prevalence of one or more CVDs compared with those without COPD. Our findings highlight the importance of CVD prevention and management in patients with COPD.
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spelling doaj.art-8a52685164344b50ab026381845dbba12023-11-19T12:14:27ZengBMCBMC Pulmonary Medicine1471-24662023-08-0123111010.1186/s12890-023-02606-1Association between chronic obstructive pulmonary disease and cardiovascular disease in adults aged 40 years and above: data from NHANES 2013–2018Hong Chen0Xiaojia Luo1Yuejun Du2Chenyun He3Yanjun Lu4Zixuan Shi5Jin Zhou6Department of Respiratory and Critical Care Medicine, Chengdu Second People’s HospitalDepartment of Cardiovascular Medicine, Chengdu Second People’s HospitalDepartment of Emergency, Chengdu Second People’s HospitalDepartment of Respiratory and Critical Care Medicine, Chengdu Second People’s HospitalDepartment of Respiratory and Critical Care Medicine, Chengdu Second People’s HospitalDepartment of Emergency, Chengdu Second People’s HospitalDepartment of Medical Oncology, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of ChinaAbstract Background Chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD) are two major age-related diseases prevalent in the elderly. However, it is unclear whether there is a higher prevalence of one or more CVDs in COPD patients compared to those without COPD, and the magnitude of this increased prevalence. Methods This population-based cross-sectional study was conducted using data from the National Health and Nutrition Examination Survey (NHANES) 2013–2018 among American adults aged 40 years and above. Multivariable logistic regression models (including unadjusted model, minimally adjusted model, and fully adjusted model) were conducted to investigate the association between COPD and the prevalence of one or more CVDs, including coronary heart disease, heart failure, angina pectoris, heart attack, diabetes, and stroke. Results This study included 11,425 participants, consisting of 661 participants with COPD and 10,764 participants without COPD. COPD patients had a significantly higher prevalence of CVD than those without COPD (59.6% vs. 28.4%). After adjusting for covariates, COPD was significantly associated with the prevalence of one CVD (OR = 2.2, 95% CI = 1.6–3.0, p < 0.001), two or more CVDs (OR = 3.3, 95% CI = 2.2–5.0, p < 0.001), and three or more CVDs (OR = 4.3, 95% CI = 2.9–6.5, p < 0.001). Conclusions Patients with COPD have a higher prevalence of one or more CVDs compared with those without COPD. Our findings highlight the importance of CVD prevention and management in patients with COPD.https://doi.org/10.1186/s12890-023-02606-1Chronic obstructive pulmonary disease (COPD)Cardiovascular disease (CVD)NHANESAging
spellingShingle Hong Chen
Xiaojia Luo
Yuejun Du
Chenyun He
Yanjun Lu
Zixuan Shi
Jin Zhou
Association between chronic obstructive pulmonary disease and cardiovascular disease in adults aged 40 years and above: data from NHANES 2013–2018
BMC Pulmonary Medicine
Chronic obstructive pulmonary disease (COPD)
Cardiovascular disease (CVD)
NHANES
Aging
title Association between chronic obstructive pulmonary disease and cardiovascular disease in adults aged 40 years and above: data from NHANES 2013–2018
title_full Association between chronic obstructive pulmonary disease and cardiovascular disease in adults aged 40 years and above: data from NHANES 2013–2018
title_fullStr Association between chronic obstructive pulmonary disease and cardiovascular disease in adults aged 40 years and above: data from NHANES 2013–2018
title_full_unstemmed Association between chronic obstructive pulmonary disease and cardiovascular disease in adults aged 40 years and above: data from NHANES 2013–2018
title_short Association between chronic obstructive pulmonary disease and cardiovascular disease in adults aged 40 years and above: data from NHANES 2013–2018
title_sort association between chronic obstructive pulmonary disease and cardiovascular disease in adults aged 40 years and above data from nhanes 2013 2018
topic Chronic obstructive pulmonary disease (COPD)
Cardiovascular disease (CVD)
NHANES
Aging
url https://doi.org/10.1186/s12890-023-02606-1
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