Common Mental Disorders, Functional Limitation and Diet Quality Trends and Related Factors among COPD Patients in Spain, 2006-2017: Evidence from Spanish National Health Surveys.

Silvia Portero De La Cruz,Jesús Cebrino

doi:10.3390/jcm10112291

Abstract

Certain conditions such as common mental disorders (CMDs), functional limitation (FL) and poor diet quality may affect the lives of individuals who suffer from chronic obstructive pulmonary disease (COPD). This study sought to examine time trends in the prevalence of CMDs, FL and diet quality among male and female COPD patients living in Spain from 2006 to 2017 and to identify which factors were related to CMDs, FL and a poor/improvable diet quality in these patients. We performed a cross-sectional study among COPD patients aged ≥ 40 years old using data from the Spanish National Health Surveys conducted in 2006, 2011 and 2017, identifying a total of 2572 COPD patients. Binary logistic regressions were performed to determine the characteristics related to CMDs, FL and poor/improvable diet quality. Over the years of the study, the prevalence of FL among female COPD patients increased (p for trend <0.001). In addition, CMDs were associated to body mass index (BMI), educational level, physical activity, smoking status, occupation, chronic conditions and alcohol consumption; FL was related to age, living with a partner, educational level, physical activity and chronic conditions; and poor/improvable diet quality was associated to age, smoking status, BMI and physical activity.

Highlights

Chronic obstructive pulmonary disease (COPD) is a highly significant public health problem affecting around 174 million of adults aged 40 years and over, with high morbidity and mortality [1]
The main objectives of the present study were to examine time trends in the prevalence of common mental disorders (CMDs), functional limitation and diet quality among male and female COPD patients living in Spain from 2006 to 2017, and to identify which characteristics, including sociodemographic, health-related variables and the use of clinical preventive care services, were related to CMDs, functional limitation and a poor/improvable diet quality among men and women suffering from COPD
We observed that the number of men with COPD who suffered from CMDs increased from 2006 to 2017

Summary

Introduction

Chronic obstructive pulmonary disease (COPD) is a highly significant public health problem affecting around 174 million of adults aged 40 years and over, with high morbidity and mortality [1]. According to World Health Organization, COPD is the third leading cause of death [2] This chronic condition results in a high economic burden: globally, previous studies report that the direct cost of management of COPD ranges from. The importance of the psychiatric comorbidity in COPD has recently been stressed, and it has been suggested that common mental disorders (CMDs) in COPD patients are associated with sleep disorders, lacking interests, asthenia, lower levels of self-efficacy, more frequent exacerbations and more hospital admissions [6,7] These have a serious impact on the patients’ quality of life, coping strategies and adherence to treatment [8,9], contributing to the overall disease burden of COPD [10]. The prevalence of depression and anxiety in COPD patients is greater compared to the general population, ranging from

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