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Cited by 302

The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.

Gender-Related Differences in Severe, Early-Onset Chronic Obstructive Pulmonary Disease

SILVERMAN, EDWIN K., WEISS, SCOTT T., DRAZEN, JEFFREY M., CHAPMAN, HAROLD A., CAREY, VINCENT, CAMPBELL, EDWARD J., DENISH, PAUL, SILVERMAN, RACHEL A., CELEDON, JUAN C., REILLY, JOHN J., GINNS, LEO C., SPEIZER, FRANK E.·2000·American Journal of Respiratory and Critical Care Medicine

Abstract

Men have higher prevalence rates of chronic obstructive pulmonary disease (COPD) than women, which has been attributed to the historically higher rates of cigarette smoking in males. However, the increased rates of cigarette smoking in females within the last several decades have been associated with steadily increasing rates of COPD in women. As part of a study of the genetics of severe, early-onset COPD, we assembled a group of 84 probands with severe, early-onset COPD (without severe alpha(1)-antitrypsin deficiency) and 348 of their first-degree relatives. We found a markedly elevated prevalence (71.4%) of females among the early-onset COPD probands. Among the entire group of first-degree relatives of early-onset COPD probands, univariate analysis demonstrated similar spirometric values and bronchodilator responsiveness in males and females; however, among current or ex-smokers, female first-degree relatives had significantly lower FEV(1)/ FVC (81.4 +/- 17.2% in females versus 87.0 +/- 12.9% in males, p = 0.009) and significantly greater bronchodilator responsiveness (expressed as percentage of baseline FEV(1)) (7.7 +/- 9.4% pred in females versus 4.1 +/- 6.4% pred in males, p = 0.002). Female smoking first-degree relatives were significantly more likely to demonstrate profound reductions in FEV(1) (< 40% pred) than male smoking first-degree relatives (p = 0. 03). Multivariate analysis, performed with generalized estimating equations, demonstrated that current or ex-smoking female first-degree relatives had significantly greater risk of FEV(1) < 80% pred (OR 1.91, 95% CI 1.03- 3.54), FEV(1) < 40% pred (OR 3.56, 95% CI 1.08-11.71), and bronchodilator response greater than 10% of baseline FEV(1) (OR 4.74, 95% CI 1.91-11.75). These results suggest that women may be more susceptible to the development of severe COPD.

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Metadata

Authors
SILVERMAN, E. K., WEISS, S. T., DRAZEN, J. M., CHAPMAN, H. A., CAREY, V., CAMPBELL, E. J., DENISH, P., SILVERMAN, R. A., CELEDON, J. C., REILLY, J. J., GINNS, L. C., & SPEIZER, F. E.
Venue
American Journal of Respiratory and Critical Care Medicine
Published
2000-12-01
Volume
162
Issue
6
Pages
2152-2158
ISSN
  • 1073-449X (ISSN-L)
  • 1535-4970
OpenAlex
W1983387970
Cited by
302
References
31
FWCI
6.58
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Gender-Related Differences in Severe, Early-Onset Chronic Obstructive Pulmonary Disease. https://app.cochat.ai/papers/10.1164/ajrccm.162.6.2003112
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SILVERMAN, E. K., WEISS, S. T., DRAZEN, J. M., CHAPMAN, H. A., CAREY, V., CAMPBELL, E. J., DENISH, P., SILVERMAN, R. A., CELEDON, J. C., REILLY, J. J., GINNS, L. C., & SPEIZER, F. E. (2000). Gender-Related Differences in Severe, Early-Onset Chronic Obstructive Pulmonary Disease. American Journal of Respiratory and Critical Care Medicine. https://doi.org/10.1164/ajrccm.162.6.2003112

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.