Time trends in limited lung function among German middle-aged and older adults

Abstract Limited lung function represents a serious health impairment. However, studies investigating changes in limited lung function over time are rare. Thus, the current study investigates time-related changes in limited lung function and potential social inequalities. Data from the 2008 and 2017...

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Main Authors: Johannes Beller, Batoul Safieddine, Stefanie Sperlich, Juliane Tetzlaff, Siegfried Geyer
Format: Article
Language:English
Published: Nature Portfolio 2024-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-55624-2
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author Johannes Beller
Batoul Safieddine
Stefanie Sperlich
Juliane Tetzlaff
Siegfried Geyer
author_facet Johannes Beller
Batoul Safieddine
Stefanie Sperlich
Juliane Tetzlaff
Siegfried Geyer
author_sort Johannes Beller
collection DOAJ
description Abstract Limited lung function represents a serious health impairment. However, studies investigating changes in limited lung function over time are rare. Thus, the current study investigates time-related changes in limited lung function and potential social inequalities. Data from the 2008 and 2017 waves of the population-based German Aging Survey were used in a repeated cross-sectional study design (N = 8778), including participants aged 40 years and older. Lung function was assessed by the peak flow test. Socio-economic indicators included educational attainment, income and occupational group. Additionally, smoking history, occupational exposure to fumes and gases, and physical exercise were used as potentially explanatory variables for the observed changes. We found that the prevalence of limited lung function decreased strongly over time on a descriptive level from 9.0 to 5.4%. In line with these results, a decreasing trend emerged (OR = 0.48) when controlling for age and gender differences. When additionally controlling for changes in socio-economic indicators and explanatory variables there were still significant decreases over time, but the decline was slightly reduced (OR = 0.57). Moreover, similar significant relative decreases over time occurred for middle-aged and older participants, female and male participants, and those belonging to the different socio-economic groups. Thus, limited lung function generally decreased over time. This decrease could partially be explained by beneficial developments in socio-economic indicators, smoking, occupational exposures, and physical exercise. Future studies might investigate how changes in medicinal treatment and prevention efforts have contributed to the observed beneficial trends in lung health.
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spelling doaj.art-9e0113f90fc1497499a2f946bfdc7f102024-03-05T19:06:58ZengNature PortfolioScientific Reports2045-23222024-02-0114111010.1038/s41598-024-55624-2Time trends in limited lung function among German middle-aged and older adultsJohannes Beller0Batoul Safieddine1Stefanie Sperlich2Juliane Tetzlaff3Siegfried Geyer4Hannover Medical School, Center for Public Health and Health Care, Medical Sociology UnitHannover Medical School, Center for Public Health and Health Care, Medical Sociology UnitHannover Medical School, Center for Public Health and Health Care, Medical Sociology UnitHannover Medical School, Center for Public Health and Health Care, Medical Sociology UnitHannover Medical School, Center for Public Health and Health Care, Medical Sociology UnitAbstract Limited lung function represents a serious health impairment. However, studies investigating changes in limited lung function over time are rare. Thus, the current study investigates time-related changes in limited lung function and potential social inequalities. Data from the 2008 and 2017 waves of the population-based German Aging Survey were used in a repeated cross-sectional study design (N = 8778), including participants aged 40 years and older. Lung function was assessed by the peak flow test. Socio-economic indicators included educational attainment, income and occupational group. Additionally, smoking history, occupational exposure to fumes and gases, and physical exercise were used as potentially explanatory variables for the observed changes. We found that the prevalence of limited lung function decreased strongly over time on a descriptive level from 9.0 to 5.4%. In line with these results, a decreasing trend emerged (OR = 0.48) when controlling for age and gender differences. When additionally controlling for changes in socio-economic indicators and explanatory variables there were still significant decreases over time, but the decline was slightly reduced (OR = 0.57). Moreover, similar significant relative decreases over time occurred for middle-aged and older participants, female and male participants, and those belonging to the different socio-economic groups. Thus, limited lung function generally decreased over time. This decrease could partially be explained by beneficial developments in socio-economic indicators, smoking, occupational exposures, and physical exercise. Future studies might investigate how changes in medicinal treatment and prevention efforts have contributed to the observed beneficial trends in lung health.https://doi.org/10.1038/s41598-024-55624-2
spellingShingle Johannes Beller
Batoul Safieddine
Stefanie Sperlich
Juliane Tetzlaff
Siegfried Geyer
Time trends in limited lung function among German middle-aged and older adults
Scientific Reports
title Time trends in limited lung function among German middle-aged and older adults
title_full Time trends in limited lung function among German middle-aged and older adults
title_fullStr Time trends in limited lung function among German middle-aged and older adults
title_full_unstemmed Time trends in limited lung function among German middle-aged and older adults
title_short Time trends in limited lung function among German middle-aged and older adults
title_sort time trends in limited lung function among german middle aged and older adults
url https://doi.org/10.1038/s41598-024-55624-2
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