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Influence of Gender and Environment on the Occurrence of Chronic Obstructive Pulmonary Disease: Cross-Sectional Study

Received: 2 August 2020     Accepted: 12 October 2020     Published: 24 November 2020
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Abstract

Background and Objective: Chronic obstructive pulmonary disease (COPD) is predicted to be the third leading cause of death worldwide by 2020. Its diagnosis remains a challenge in developing countries such as DRC, with the use of Gold standard, spirometry, limited. Chest imaging plays an important role in orientation. The absence of local radiological data from COPD had therefore motivated this study. The aim of this study is to establish a relationship between gender, environment and COPD. Materials and Methods: Retrospective and analytical study of clinical and thoracic imaging data (radiography and CT scan), collected from the records of 120 COPD subjects followed in three Kinshasa medical trainings between January 2014 and June 2017. Fisher's test compared the results obtained. The combination of imaging data and clinical phenotype through Pearson chi-square testing, logistic regression and odds-ratio (OR). The service threshold was set at 0.05. Results: the study population (average age of 64.52±6.82 years) was predominantly male (78.3% n=94). Results: the study population (average age of 64.52±6.82 years) was predominantly male (78.3% n=94). The proportions of sputum were more common in men than in women, the difference being statistically significant. Indeed, the male sex confers a triple risk (OR=3.1; IC 95% 1.2-8; P=0.015). Women were more exposed to domestic and/or occupational pollution (65.4% n=17; than men were (26.6% n=25). Indeed, the male sex conferred a risk of exposure to domestic pollution and/or occupational pollution multiplied by 14 times (OR=14.3; IC 95%; 2-100; P=0.001) and allergy conferred a risk of exposure to domestic pollution by 17 times (OR=17.1; IC95%: 2.1-137, p=0.007). Conclusion: This study showed the male sex and allergy is conferred a high risk of the domestic pollution or occupation pollution.

Published in Cardiology and Cardiovascular Research (Volume 4, Issue 4)
DOI 10.11648/j.ccr.20200404.17
Page(s) 210-214
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

COPD, Environment, Sex, Radiological Profile, Kinshasa

References
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[3] Pauwels RA, Buist AS, Jenkins CR, et al., Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease: National Heart, Lung, and Blood Institute and World Health Organization Global Initiative for Chronic Obstructive Lung Disease (GOLD): executive summary. Respir Care 2013; 176: 532-5.
[4] Khated Ait, Enarson D, Bousquet J. les maladies respiratoires chroniques dans les pays en développement: charges des morbidités et stratégies de prévention et de prise en charge, Bulletin de l’OMS recueil d’articles No 6, 2002; 115-20.
[5] Burgel P-R. Comorbidité dans la BPCO: causes ou conséquences. Rév Mal resp 2010; 25: 12-5.
[6] Charie-H Marquette. Pneumologie. Collège des enseignants de pneumologie, S Edition. Paris 2011, 200-50.
[7] Aubier M, Crestani B, Michel F. Traité de pneumologie 2ème éd, Paris, Flammarion 2009; 230-50.
[8] Kapinga S. Santé respiratoire et environnement dans la ville de Kinshasa. Mémoire de spécialisation, Unikin 2012; 35-40.
[9] Tshiasuma M. La broncho-pneumopathie chronique obstructive: Profil épidemio-clinique et principales comorbidités dans quelques hôpitaux de Kinshasa, Mémoire de fin de spécialisation. Unikin 2013, 41-55.
[10] Ballon C. E, Ione SW et al associated loss of fat-free mass and bone mineral density in chronic obstructive pulmonary disease. Am j respire crit care med 2004; 170: 1286-93.
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[12] Hnizdo E, et al. Association between chronic obstructive pulmonary disease and employment by instruction and occupation in the US population: a study of data from the third national health and nutrition examination survey. Am j Epidemiol 2002; 156 (8): 738-46.
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[15] Yacouba T. Broncho-pneumopathie chronique obstructive. Journée académique du conseil de l’ordre des médecins du mali 2017, 20-30.
[16] Eisner MD. Official american thoracic society public policy statement: Novel risk factors and the global burden of chronic obstructive pulmonary disease. Am j respir crit care Med 2010; 182 (5): 693-718.
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[18] Sophie. multimorbidité. rumed suisse 2016; volume 12. 917-21.
[19] Scheen A. Médecine personnalisée: tout bénéfice pour le patient mais nouveau challenge pour la relation médecin-malade. Revue médicale de liège 2015; volume 70: 5-6.
[20] Huiart L. Cardiovascular morbidity and mortality in COPD chest. oct 2005; 128 (4): 2640-6.
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  • APA Style

    Fiston Dikamba Fiondo, Benjamin Longo Mbenza, David Kizungu Milinganya, Alex Tukadila Kabangi, Michel Lelo Tshikwela, et al. (2020). Influence of Gender and Environment on the Occurrence of Chronic Obstructive Pulmonary Disease: Cross-Sectional Study. Cardiology and Cardiovascular Research, 4(4), 210-214. https://doi.org/10.11648/j.ccr.20200404.17

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    ACS Style

    Fiston Dikamba Fiondo; Benjamin Longo Mbenza; David Kizungu Milinganya; Alex Tukadila Kabangi; Michel Lelo Tshikwela, et al. Influence of Gender and Environment on the Occurrence of Chronic Obstructive Pulmonary Disease: Cross-Sectional Study. Cardiol. Cardiovasc. Res. 2020, 4(4), 210-214. doi: 10.11648/j.ccr.20200404.17

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    AMA Style

    Fiston Dikamba Fiondo, Benjamin Longo Mbenza, David Kizungu Milinganya, Alex Tukadila Kabangi, Michel Lelo Tshikwela, et al. Influence of Gender and Environment on the Occurrence of Chronic Obstructive Pulmonary Disease: Cross-Sectional Study. Cardiol Cardiovasc Res. 2020;4(4):210-214. doi: 10.11648/j.ccr.20200404.17

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  • @article{10.11648/j.ccr.20200404.17,
      author = {Fiston Dikamba Fiondo and Benjamin Longo Mbenza and David Kizungu Milinganya and Alex Tukadila Kabangi and Michel Lelo Tshikwela and Jean Mukaya Tshibola and Aliocha Nkodila Natuhoyila},
      title = {Influence of Gender and Environment on the Occurrence of Chronic Obstructive Pulmonary Disease: Cross-Sectional Study},
      journal = {Cardiology and Cardiovascular Research},
      volume = {4},
      number = {4},
      pages = {210-214},
      doi = {10.11648/j.ccr.20200404.17},
      url = {https://doi.org/10.11648/j.ccr.20200404.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20200404.17},
      abstract = {Background and Objective: Chronic obstructive pulmonary disease (COPD) is predicted to be the third leading cause of death worldwide by 2020. Its diagnosis remains a challenge in developing countries such as DRC, with the use of Gold standard, spirometry, limited. Chest imaging plays an important role in orientation. The absence of local radiological data from COPD had therefore motivated this study. The aim of this study is to establish a relationship between gender, environment and COPD. Materials and Methods: Retrospective and analytical study of clinical and thoracic imaging data (radiography and CT scan), collected from the records of 120 COPD subjects followed in three Kinshasa medical trainings between January 2014 and June 2017. Fisher's test compared the results obtained. The combination of imaging data and clinical phenotype through Pearson chi-square testing, logistic regression and odds-ratio (OR). The service threshold was set at 0.05. Results: the study population (average age of 64.52±6.82 years) was predominantly male (78.3% n=94). Results: the study population (average age of 64.52±6.82 years) was predominantly male (78.3% n=94). The proportions of sputum were more common in men than in women, the difference being statistically significant. Indeed, the male sex confers a triple risk (OR=3.1; IC 95% 1.2-8; P=0.015). Women were more exposed to domestic and/or occupational pollution (65.4% n=17; than men were (26.6% n=25). Indeed, the male sex conferred a risk of exposure to domestic pollution and/or occupational pollution multiplied by 14 times (OR=14.3; IC 95%; 2-100; P=0.001) and allergy conferred a risk of exposure to domestic pollution by 17 times (OR=17.1; IC95%: 2.1-137, p=0.007). Conclusion: This study showed the male sex and allergy is conferred a high risk of the domestic pollution or occupation pollution.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Influence of Gender and Environment on the Occurrence of Chronic Obstructive Pulmonary Disease: Cross-Sectional Study
    AU  - Fiston Dikamba Fiondo
    AU  - Benjamin Longo Mbenza
    AU  - David Kizungu Milinganya
    AU  - Alex Tukadila Kabangi
    AU  - Michel Lelo Tshikwela
    AU  - Jean Mukaya Tshibola
    AU  - Aliocha Nkodila Natuhoyila
    Y1  - 2020/11/24
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ccr.20200404.17
    DO  - 10.11648/j.ccr.20200404.17
    T2  - Cardiology and Cardiovascular Research
    JF  - Cardiology and Cardiovascular Research
    JO  - Cardiology and Cardiovascular Research
    SP  - 210
    EP  - 214
    PB  - Science Publishing Group
    SN  - 2578-8914
    UR  - https://doi.org/10.11648/j.ccr.20200404.17
    AB  - Background and Objective: Chronic obstructive pulmonary disease (COPD) is predicted to be the third leading cause of death worldwide by 2020. Its diagnosis remains a challenge in developing countries such as DRC, with the use of Gold standard, spirometry, limited. Chest imaging plays an important role in orientation. The absence of local radiological data from COPD had therefore motivated this study. The aim of this study is to establish a relationship between gender, environment and COPD. Materials and Methods: Retrospective and analytical study of clinical and thoracic imaging data (radiography and CT scan), collected from the records of 120 COPD subjects followed in three Kinshasa medical trainings between January 2014 and June 2017. Fisher's test compared the results obtained. The combination of imaging data and clinical phenotype through Pearson chi-square testing, logistic regression and odds-ratio (OR). The service threshold was set at 0.05. Results: the study population (average age of 64.52±6.82 years) was predominantly male (78.3% n=94). Results: the study population (average age of 64.52±6.82 years) was predominantly male (78.3% n=94). The proportions of sputum were more common in men than in women, the difference being statistically significant. Indeed, the male sex confers a triple risk (OR=3.1; IC 95% 1.2-8; P=0.015). Women were more exposed to domestic and/or occupational pollution (65.4% n=17; than men were (26.6% n=25). Indeed, the male sex conferred a risk of exposure to domestic pollution and/or occupational pollution multiplied by 14 times (OR=14.3; IC 95%; 2-100; P=0.001) and allergy conferred a risk of exposure to domestic pollution by 17 times (OR=17.1; IC95%: 2.1-137, p=0.007). Conclusion: This study showed the male sex and allergy is conferred a high risk of the domestic pollution or occupation pollution.
    VL  - 4
    IS  - 4
    ER  - 

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Author Information
  • Department of Radiology, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Department of Radiology, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Department of Public Health, Lomo University Reseach, Kinshasa, Democratic Republic of Congo

  • Department of Radiology, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Department of Radiology, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Department of Public Health, Lomo University Reseach, Kinshasa, Democratic Republic of Congo

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