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Table 3 Relationship between AL and comorbidities according to lung function

From: Comorbidities according to airflow limitation severity: data from comprehensive health examination in Japan

Comorbidity

Normal n = 11,785

AL total

n = 920

p Value

AL

Mild n = 469

p Value

Moderate-to-very severe n = 451

p Value

Men (n = 6,661)

n = 6,010

n = 651

 

n = 257

 

n = 394

 

Lung cancer

 Crude OR (95% CI)

1.00

10.40 (4.21–25.69)

<0.001

7.88 (2.12–29.27)

0.002

12.06 (4.47–32.56)

<0.001

 Adjusted OR (95% CI)

1.00

9.88 (3.88–25.14)

<0.001

6.52 (1.70–24.99)

0.006

12.58 (4.53–34.94)

<0.001

Hypertension

 Crude OR (95% CI)

1.00

1.21 (1.03–1.42)

0.024

1.28 (1.00–1.64)

0.053

1.16 (0.95–1.42)

0.156

 Adjusted OR (95% CI)

1.00

1.08 (0.91–1.27)

0.404

1.08 (0.83–1.39)

0.585

1.08 (0.87–1.33)

0.506

Diabetes and hyperglycemia

 Crude OR (95% CI)

1.00

1.33 (1.10–1.60)

0.003

1.30 (0.98–1.74)

0.073

1.34 (1.06–1.70)

0.014

 Adjusted OR (95% CI)

1.00

1.23 (1.02–1.49)

0.034

1.19 (0.89–1.60)

0.245

1.26 (0.99–1.60)

0.06

Dyslipidemia

 Crude OR (95% CI)

1.00

0.93 (0.79–1.09)

0.343

0.92 (0.72–1.18)

0.505

0.93 (0.76–1.14)

0.478

 Adjusted OR (95% CI)

1.00

0.95 (0.81–1.13)

0.576

0.98 (0.76–1.26)

0.862

0.94 (0.76–1.16)

0.551

MetS (JIS)

 Crude OR (95% CI)

1.00

1.21 (0.99–1.49)

0.065

1.02 (0.74–1.43)

0.889

1.34 (1.05–1.73)

0.021

 Adjusted* OR (95% CI)

1.00

1.21 (0.98–1.49)

0.075

1.05 (0.75–1.46)

0.797

1.32 (1.02–1.69)

0.034

MetS (JCCMS)

 Crude OR (95% CI)

1.00

1.11 (0.90–1.38)

0.333

1.14 (0.82–1.58)

0.428

1.09 (0.83–1.43)

0.524

 Adjusted* OR (95% CI

1.00

1.05 (0.85–1.31)

0.648

1.08 (0.77–1.50)

0.665

1.04 (0.79–1.36)

0.797

Ischemic heart disease

 Crude OR (95% CI)

1.00

1.12 (0.75–1.89)

0.464

1.00 (0.46–2.15)

0.996

1.31 (0.75–2.29)

0.336

 Adjusted OR (95% CI)

1.00

0.86 (0.53–1.38)

0.524

0.65 (0.30–1.41)

0.27

1.02 (0.58–1.81)

0.937

Women (n–6,044)

n = 5,775

n = 269

 

n = 212

 

n = 57

 

Lung cancer

 Crude OR (95% CI)

1.00

4.33 (1.25–15.05)

0.02

3.66 (0.83–16.10)

0.086

6.86 (0.89–52.80)

0.065

 Adjusted OR (95% CI)

1.00

3.42 (0.97–12.11)

0.057

2.82 (0.63–12.64)

0.176

5.95 (0.75–47.32)

0.09

Hypertension

 Crude OR (95% CI)

1.00

1.71 (1.34–2.19)

<0.001

1.74 (1.32–2.29)

<0.001

1.61 (0.95–2.73)

0.08

 Adjusted OR (95% CI)

1.00

1.63 (1.26–2.10)

<0.001

1.59 (1.20–2.11)

0.001

1.79 (1.04–3.10)

0.037

Diabetes and hyperglycemia

 Crude OR (95% CI)

1.00

1.63 (1.20–2.23)

0.002

1.74 (1.24–2.45)

0.001

1.25 (0.61–2.56)

0.54

 Adjusted OR (95% CI)

1.00

1.61 (1.18–2.20)

0.003

1.68 (1.19–2.37)

0.003

1.34 (0.65–2.75)

0.43

Dyslipidemia

 Crude OR (95% CI)

1.00

0.97 (0.75–1.24)

0.779

1.09 (0.83–1.44)

0.522

0.58 (0.33–1.78)

0.70

 Adjusted OR (95% CI)

1.00

0.90 (0.70–1.16)

0.418

1.00 (0.75–1.32)

0.982

0.89 (0.43–1.82)

0.74

MetS (JIS)

 Crude OR (95% CI)

1.00

1.33 (0.99–1.79)

0.057

1.47 (1.07–2.03)

0.019

0.87 (0.43–1.78)

0.70

 Adjusted* OR (95% CI)

1.00

1.31 (0.97–1.76)

0.075

1.43 (1.04–1.98)

0.03

0.89 (0.43–1.82)

0.74

MetS (JCCMS)

 Crude OR (95% CI)

1.00

1.76 (1.04–2.98)

0.034

1.97 (1.13–3.45)

0.018

1.01 (0.25–4.19)

0.99

 Adjusted* OR (95% CI)

1.00

1.64 (0.97–2.78)

0.067

1.83 (1.04–3.21)

0.036

0.94 (0.23–3.93)

0.94

Osteoporosis

 Crude OR (95% CI)

1.00

1.77 (1.16–2.71)

0.009

1.70 (1.05–2.76)

0.032

2.03 (0.87–4.77)

0.10

 Adjusted OR (95% CI)

1.00

1.33 (0.83–2.14)

0.243

1.24 (0.73–2.12)

0.428

1.73 (0.64–4.68)

0.28

  1. Adjusted for age, body mass index, smoking status, * adjusted for age and smoking status
  2. Airflow limitation (AL) was difined as FEV1/FVC < 0.7
  3. Hypertension; antihypertensive medication use or systolic blood pressure 130 mmHg or diastolic blood pressure 85 mmHg Diabetes and hyperglycemia; blood glucose-lowerning medication use or elevated fasting glucose 110 Dyslipidemia; medication use or triglycerides 150 mg/dl, HDL-C < 40 mg/dl or LDL-C140 mg/dl MetS (JCCMS) Dyslipidemia
  4. AL airflow limitation, MetS metabolic syndrome, JIS Joint Interim Statement, JCCMS Japanese Committee of Criteria for MetS, OR odds ratio, CI confidence interval