Cited by 148Chronic Obstructive Pulmonary Disease (COPD) ResearchAsthma and respiratory diseasesSmoking Behavior and Cessation

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Predictors of dyspnoea prevalence: results from the BOLD study

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Grønseth, Rune, Vollmer, William M., Hardie, Jon A., Ólafsdóttir, Inga Sif, Lamprecht, Bernd, Buist, A. Sonia, Gnatiuc, Louisa, Gulsvik, Amund, Johannessen, Ane, Enright, Paul·2014·European Respiratory Journal

DOI 10.1183/09031936.00036813PMC PMC4143752

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Abstract

Dyspnoea is a cardinal symptom for cardiorespiratory diseases. No study has assessed worldwide variation in dyspnoea prevalence or predictors of dyspnoea. We used cross-sectional data from population-based samples in 15 countries of the Burden of Obstructive Lung Disease (BOLD) study to estimate prevalence of dyspnoea in the full sample, as well as in an a priori defined low-risk group (few risk factors or dyspnoea-associated diseases). Dyspnoea was defined by the modified Medical Research Council questions. We used ordered logistic regression analysis to study the association of dyspnoea with site, sex, age, education, smoking habits, low/high body mass index, self-reported disease and spirometry results. Of the 9484 participants, 27% reported any dyspnoea. In the low-risk subsample (n=4329), 16% reported some dyspnoea. In multivariate analyses, all covariates were correlated to dyspnoea, but only 13% of dyspnoea variation was explained. Females reported more dyspnoea than males (odds ratio ∼2.1). When forced vital capacity fell below 60% of predicted, dyspnoea was much more likely. There was considerable geographical variation in dyspnoea, even when we adjusted for known risk factors and spirometry results. We were only able to explain 13% of dyspnoea variation.

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Authors: Grønseth, R., Vollmer, W. M., Hardie, J. A., Ólafsdóttir, I. S., Lamprecht, B., Buist, A. S., Gnatiuc, L., Gulsvik, A., Johannessen, A., & Enright, P.
Affiliations: Haukeland University Hospital (NO)
Kaiser Permanente Center for Health Research (US)
Uppsala University (SE)
Paracelsus Medical University (AT)
Oregon Health & Science University (US)
Imperial College London (GB)
University of Arizona (US)
ORCID: Vollmer, William M.
Lamprecht, Bernd
Gnatiuc, Louisa
Johannessen, Ane
Venue: European Respiratory Journal
Publisher: European Respiratory Society (ERS)
Published: 2013-10-31
Volume: 43
Issue: 6
Pages: 1610-1620
ISSN: 0903-1936 (ISSN-L)
1399-3003
DOI: 10.1183/09031936.00036813
PMC: PMC4143752
OpenAlex: W1981564791
Cited by: 148
References: 28
Citations by year: 2026: 6 · 2025: 15 · 2024: 21 · 2023: 11 · 2022: 15 · 2021: 15 · 2020: 8 · 2019: 16 · 2018: 7 · 2017: 9 · 2016: 15 · 2015: 5 · 2014: 5
FWCI: 6.79
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: European Respiratory Journal (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: Pfizer
AstraZeneca
GlaxoSmithKline
University of Kentucky
Wellcome Trust (085790, 085790/Z/08/Z)
South African Medical Research Council
Topics: Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Keywords: dyspnea, prevalence, obstructive lung disease, forced vital capacity, sex differences, regional variation, smoking, body mass index, spirometry, cardiopulmonary disease
MeSH terms: Adult, Aged, Cross-Sectional Studies, Dyspnea, Female, Forced Expiratory Volume, Geography, Health Surveys, Humans, Lung Diseases, Obstructive, Male, Middle Aged, Risk Factors, Smoking, Spirometry, Vital Capacity, Body Mass Index, Prevalence, Odds Ratio, Internationality

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Predictors of dyspnoea prevalence: results from the BOLD study

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