Síntomas respiratorios y diagnóstico de EPOC en fumadores de distintas labores de tabaco. Resultados del estudio IBERPOC
Respiratory symptoms and diagnosis of COPD in smokers of various types to tobacco. Results from the Iberpoc study
C.A. Jiménez-Ruiza,
, V. Sobradillob, R. Gabrielc, J.L. Viejod, J.F. Masae, M. Miravitllesf, C. Villasanteg, L. Fernández-Fauh
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victorina@ctv.es
Correspondencia: Servicio de Neumología. Unidad de Tabaquismo. Hospital Universitario de la Princesa. Diego de León, 62. 28006 Madrid. España
Correspondencia: Servicio de Neumología. Unidad de Tabaquismo. Hospital Universitario de la Princesa. Diego de León, 62. 28006 Madrid. España
a Servicio de Neumología. Hospital de la Princesa. Madrid. España
b Unidad de Patología Respiratoria. Hospital de Cruces. Baracaldo. Vizcaya. España
c Unidad de Epidemiología Clínica. Hospital de la Princesa. Madrid. España
d Servicio de Neumología. Hospital General Yagüe. Burgos. España
e Unidad de Neumología. Hospital San Pedro de Alcántara. Cáceres. España
f Servicio de Neumología. Hospital General Vall d'Hebron. Barcelona. España
g Servicio de Neumología. Hospital La Paz. Madrid. España
h Servicio de Cirugía Torácica. Hospital de la Princesa. Madrid. España
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España" "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff0030" ] 6 => array:3 [ "entidad" => "Servicio de Neumología. Hospital La Paz. Madrid. España" "etiqueta" => "<span class="elsevierStyleSup">g</span>" "identificador" => "aff0035" ] 7 => array:3 [ "entidad" => "Servicio de Cirugía Torácica. Hospital de la Princesa. Madrid. España" "etiqueta" => "<span class="elsevierStyleSup">h</span>" "identificador" => "aff0040" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Neumología. Unidad de Tabaquismo. Hospital Universitario de la Princesa. Diego de León, 62. 28006 Madrid. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Respiratory symptoms and diagnosis of COPD in smokers of various types to tobacco. Results from the Iberpoc study" ] ] "miscelanea" => "El estudio Iberpoc ha sido financiado por Boehringer Ingelheim España, S.A." "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-02-11" "fechaAceptado" => "2002-06-18" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190648" "palabras" => array:4 [ 0 => "EPOC" 1 => "Tabaco" 2 => "Prevalencia" 3 => "Síntomas respiratorios" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190647" "palabras" => array:4 [ 0 => "COPD" 1 => "Smoking" 2 => "Prevalence" 3 => "Respiratory symptoms" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este estudio fue investigar las características sociodemográficas y de tabaquismo, así como la presencia de síntomas respiratorios y enfermedad pulmonar obstructiva crónica (EPOC) en cuatro grupos de fumadores: de cigarrillos (FC), de cigarros (FP), de cigarrillos y cigarros (FCP), de cigarros que fueron fumadores de cigarrillos (FPEC) y de cigarrillos que fueron fumadores de cigarros (FCEP).</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio epidemiológico multicéntrico que incluyó a 4.035 individuos entre 40 y 69 años; 1.963 no fumadores, y 1.146 fumadores activos. Entre estos últimos, 869 eran FC, 37 FP, 97 FCP, 86 FPEC y 57 FCEP. Se analizaron sus características sociodemográficas y de tabaquismo, así como los síntomas respiratorios y la presencia de EPOC.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los FP fueron con mayor frecuencia varones, de clases sociales más deprimidas (p<0,001) y de mayor edad que los FC (p<0,001), pero sus concentraciones de CO en aire espirado fueron inferiores a las de los FC (5 ppm frente a 15,7; p<0,001). El 86,5% de los FP y el 79,1% de los FPEC pensaban que consumir este tipo de tabaco no era perjudicial para su salud ni para la de los fumadores pasivos. La EPOC se diagnosticó en el 13,2% de los FC, en el 24,7% de los FCP y en el 12,8% de los FPEC, frente al 4% de los no fumadores (p<0,001 en todas las comparaciones).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los FP son mayoritariamente varones de más edad que los FC y pertenecen a estratos educacionales deprimidos. Tienen concentraciones bajas de CO en su aire espirado y escaso conocimiento de los riesgos que este hábito supone para su salud. Los FPEC tienen más alta incidencia de síntomas respiratorios y de EPOC que los no fumadores e idéntica incidencia de EPOC que los FC.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to investigate the sociodemographic characteristics, smoking habits, the prevalence of respiratory symptoms and chronic obstructive pulmonary disease (COPD) in four groups of smokers: of cigarettes (SCt), of cigars (SCigar), of both (SB), of cigars currently but of cigarettes in the past (SCigarExCt) and of cigarettes currently but of cigars in the past (SCtEx-Cigar).</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A multicenter epidemiological study enrolling 4,035 subjects aged between 40 and 69 years. One thousand nine hundred sixty-three were non-smokers and 1,146 were current smokers. Among the smokers, 869 were SCt, 37 were SCigar, 97 were SB, 86 were SCigarExCt and 57 were SCtExCigar. We analyzed sociodemographic characteristics, smoking and the prevalence of respiratory symptoms and COPD.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Cigar smokers were usually men, of lower socioeconomic status (p<0.001) and older than cigarette smokers (p<0.001), but CO concentrations in expired air were lower in the SCigar group than in the SCt group (5 ppm vs 15.7; p<0.001). Informants who believed their smoking was not detrimental to their health or to that of second-hand smokers made up 86.5% of the SCigar group and 79.1% of the SCigarExCt group. COPD was diagnosed in 13.2% of the SCt group, in 24.7% of the SB group, and in 12.8% of the SCigarExCt group, in comparison with 4% of the non-smokers (p<0.001 for all comparisons).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">SCigar are mainly older men with lower educational levels. Their concentrations of CO in expired air are low and they have little awareness of the health risks posed by their habit. SCigar who were once smokers of cigarettes have a higher prevalence of respiratory symptoms and COPD than non-smokers and the same prevalence of COPD as SCt.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">El estudio Iberpoc es una iniciativa del Área de Trabajo Insuficiencia Respiratoria y Trastornos del Sueño (IRTS) de la Sociedad Española de Neumología y Cirugía Torácica (SEPAR). 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 1 | 5 |
| 2024 October | 48 | 13 | 61 |
| 2024 September | 40 | 10 | 50 |
| 2024 August | 55 | 34 | 89 |
| 2024 July | 34 | 22 | 56 |
| 2024 June | 56 | 21 | 77 |
| 2024 May | 45 | 26 | 71 |
| 2024 April | 27 | 23 | 50 |
| 2024 March | 45 | 30 | 75 |
| 2024 February | 24 | 45 | 69 |
| 2024 January | 0 | 2 | 2 |
| 2023 December | 0 | 2 | 2 |
| 2023 November | 0 | 1 | 1 |
| 2023 October | 0 | 4 | 4 |
| 2023 August | 0 | 1 | 1 |
| 2023 July | 0 | 6 | 6 |
| 2023 June | 0 | 13 | 13 |
| 2023 May | 0 | 1 | 1 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 6 | 8 | 14 |
| 2023 February | 32 | 15 | 47 |
| 2023 January | 24 | 34 | 58 |
| 2022 December | 36 | 29 | 65 |
| 2022 November | 45 | 31 | 76 |
| 2022 October | 26 | 27 | 53 |
| 2022 September | 19 | 21 | 40 |
| 2022 August | 45 | 47 | 92 |
| 2022 July | 21 | 49 | 70 |
| 2022 June | 22 | 41 | 63 |
| 2022 May | 26 | 37 | 63 |
| 2022 April | 31 | 32 | 63 |
| 2022 March | 37 | 42 | 79 |
| 2022 February | 28 | 23 | 51 |
| 2022 January | 24 | 31 | 55 |
| 2021 December | 26 | 36 | 62 |
| 2021 November | 26 | 38 | 64 |
| 2021 October | 39 | 40 | 79 |
| 2021 September | 25 | 56 | 81 |
| 2021 August | 24 | 41 | 65 |
| 2021 July | 20 | 20 | 40 |
| 2021 June | 29 | 41 | 70 |
| 2021 May | 12 | 27 | 39 |
| 2021 April | 37 | 40 | 77 |
| 2021 March | 36 | 23 | 59 |
| 2021 February | 46 | 14 | 60 |
| 2021 January | 23 | 15 | 38 |
| 2020 December | 26 | 15 | 41 |
| 2020 November | 9 | 15 | 24 |
| 2020 October | 16 | 9 | 25 |
| 2020 September | 18 | 10 | 28 |
| 2020 August | 21 | 6 | 27 |
| 2020 July | 30 | 24 | 54 |
| 2020 June | 12 | 13 | 25 |
| 2020 May | 12 | 10 | 22 |
| 2020 April | 21 | 15 | 36 |
| 2020 March | 12 | 21 | 33 |
| 2020 February | 19 | 16 | 35 |
| 2020 January | 26 | 20 | 46 |
| 2019 December | 20 | 18 | 38 |
| 2019 November | 8 | 7 | 15 |
| 2019 October | 12 | 9 | 21 |
| 2019 September | 7 | 17 | 24 |
| 2019 August | 12 | 0 | 12 |
| 2019 July | 17 | 24 | 41 |
| 2019 June | 17 | 23 | 40 |
| 2019 May | 36 | 39 | 75 |
| 2019 April | 17 | 43 | 60 |
| 2019 March | 9 | 18 | 27 |
| 2019 February | 12 | 8 | 20 |
| 2019 January | 12 | 6 | 18 |
| 2018 December | 6 | 14 | 20 |
| 2018 November | 32 | 11 | 43 |
| 2018 October | 50 | 16 | 66 |
| 2018 September | 15 | 8 | 23 |
| 2018 May | 6 | 1 | 7 |
| 2018 April | 5 | 7 | 12 |
| 2018 March | 9 | 5 | 14 |
| 2018 February | 8 | 9 | 17 |
| 2018 January | 9 | 5 | 14 |
| 2017 December | 10 | 16 | 26 |
| 2017 November | 8 | 11 | 19 |
| 2017 October | 11 | 29 | 40 |
| 2017 September | 9 | 7 | 16 |
| 2017 August | 10 | 11 | 21 |
| 2017 July | 13 | 21 | 34 |
| 2017 June | 17 | 15 | 32 |
| 2017 May | 10 | 12 | 22 |
| 2017 April | 15 | 16 | 31 |
| 2017 March | 13 | 19 | 32 |
| 2017 February | 12 | 8 | 20 |
| 2017 January | 13 | 10 | 23 |
| 2016 December | 18 | 10 | 28 |
| 2016 November | 39 | 19 | 58 |
| 2016 October | 25 | 14 | 39 |
| 2016 September | 31 | 19 | 50 |
| 2016 August | 25 | 13 | 38 |
| 2016 July | 21 | 11 | 32 |
| 2016 June | 25 | 8 | 33 |
| 2016 May | 22 | 5 | 27 |
| 2016 April | 16 | 2 | 18 |
| 2016 March | 16 | 4 | 20 |
| 2016 February | 14 | 5 | 19 |
| 2016 January | 30 | 16 | 46 |
| 2015 December | 33 | 15 | 48 |
| 2015 November | 38 | 13 | 51 |
| 2015 October | 90 | 2 | 92 |
| 2015 September | 60 | 0 | 60 |
| 2015 August | 78 | 0 | 78 |
| 2015 July | 77 | 0 | 77 |
| 2015 June | 57 | 0 | 57 |
| 2015 May | 103 | 0 | 103 |
| 2015 April | 82 | 0 | 82 |
| 2015 March | 73 | 0 | 73 |
| 2015 February | 64 | 0 | 64 |
| 2015 January | 68 | 0 | 68 |
| 2014 December | 44 | 0 | 44 |
| 2014 November | 67 | 0 | 67 |
| 2014 October | 96 | 0 | 96 |
| 2014 September | 48 | 0 | 48 |
| 2014 August | 69 | 0 | 69 |
| 2014 July | 49 | 0 | 49 |
| 2014 June | 56 | 0 | 56 |
| 2014 May | 62 | 0 | 62 |
| 2014 April | 46 | 0 | 46 |
| 2014 March | 60 | 0 | 60 |
| 2014 February | 47 | 0 | 47 |
| 2014 January | 53 | 0 | 53 |
| 2013 December | 43 | 0 | 43 |
| 2013 November | 45 | 0 | 45 |
| 2013 October | 52 | 0 | 52 |
| 2013 September | 49 | 0 | 49 |
| 2013 August | 72 | 0 | 72 |
| 2013 July | 58 | 0 | 58 |
| 2013 June | 36 | 0 | 36 |
| 2013 May | 31 | 0 | 31 |
| 2013 April | 32 | 0 | 32 |
| 2013 March | 14 | 0 | 14 |
| 2000 January | 3173 | 0 | 3173 |
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