Abstract
BackgroundPromotion of a healthy lifestyle and non-pharmacological interventions in the treatment of chronic obstructive pulmonary disease (COPD) has received great attention in recent decades. The aim of this study was to investigate trends in leisure time physical activity (PA), smoking, alcohol consumption and body mass index (BMI) from 2000 to 2010 in Danish individuals with and without COPD.MethodsAnalyses were based on data provided by The Danish Health and Morbidity’s three cross-sectional surveys from 2000, 2005 and 2010. Data compromised level of leisure time PA, smoking, alcohol consumption, BMI and sociodemographic characteristics. Participants aged 25 years or older with and without COPD were included in the analyses.ResultsIn multiple logistic regression analyses, odds ratio (OR) of being physically active in the leisure time in 2010 compared to 2000 was 1.70 (95 % CI: 1.28-2.26), p < 0.001, and 1.32 (1.22-1.43), p < 0.001, in participants with and without COPD, respectively. Being a non-smoker in 2010 compared to 2000 was associated with an OR of 1.41 (1.07-1.85), p = 0.015, and 1.73 (1.63-1.85), p < 0.001, in participants with and without COPD. The OR of not exceeding national recommended alcohol limits was 0.64 (0.45-0.93), p = 0.020, and 1.19 (1.09-1.29), p < 0.001, in participants with and without COPD. In a multiple linear regression analysis, the time frame from 2000 to 2010 was associated with an increased BMI of 1.18 kg · m−2 (0.52-1.84), p < 0.001, and 0.74 kg · m−2 (0.63-0.86), p < 0.001, in participants with and without COPD. The COPD participants with higher levels of education and/or living in a marriage or a relationship were more likely to be physically active, non-smoking and not exceeding the recommended alcohol limits.ConclusionFrom the 2000 to 2010, Danish individuals aged 25 years with and without COPD, increased their leisure time PA level and reduced smoking. Lower socioeconomic status was associated with a reduced level of PA, smoking and an increased alcohol intake. Future national health campaigns and treatment strategies need to target this socioeconomic impact. The reported increased PA level and reduced smoking may have important implications in relation to a reduced morbidity and mortality risk in Danish patients with COPD.
Highlights
Promotion of a healthy lifestyle and non-pharmacological interventions in the treatment of chronic obstructive pulmonary disease (COPD) has received great attention in recent decades
The COPD participants were older compared to the non-COPD participants in the three analysed periods
The level of education and percentages of subjects who were married or living with partner were consistently lower in participants with COPD compared to the nonCOPD participants
Summary
Promotion of a healthy lifestyle and non-pharmacological interventions in the treatment of chronic obstructive pulmonary disease (COPD) has received great attention in recent decades. Physical activity (PA) is a recognized cornerstone in the treatment of patients with chronic obstructive pulmonary disease (COPD) [1,2,3,4]. Physical activity has the potential to prevent or delay onset of other chronic diseases, and in patients with COPD, PA is associated with a relatively reduced risk of hospitalization and death [5, 8,9,10,11]. A relatively high amount of alcohol consumption and to some degree overweight and obesity is associated with an impaired health condition in patients with COPD as in the general population [14, 15]. General health campaigns and pulmonary rehabilitation programmes focus on PA, smoking cessation, a limited alcohol intake and a balanced caloric intake
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