A comprehensive analysis of factors related to lung function in older adults: Cross-sectional findings from the Canadian Longitudinal Study on Aging - 12/11/20
![](/templates/common/images/mail.png)
Abstract |
Maintenance of lung function is an often underappreciated, yet critical component of healthy aging. Given the unprecedented shift in the average age of Canadians over the next half century, it will be important to investigate the determinants of lung function in the elderly.
In the following study, we estimated the association between lung function and a broad array of factors related to sociodemographics, lifestyle, chronic medical conditions and psychosocial factors in older adults aged 45–86 years old using cross-sectional data from the Canadian Longitudinal Study of Aging (n = 21,338). In addition to examining the entire cohort, we also performed stratified analyses within men/women, adults aged 45–64/65+, and healthy/comorbid. In multivariable regression, our explanatory factors (excluding age, sex, height and ethnicity) were able to explain 17% and 11% of the total variance in FEV1 and FEV1/FVC, respectively. Notable and significant contributions were observed for respiratory disease, smoking, obesity, income, and physical activity, while psychosocial factors mainly exhibited non-significant associations. Generally, these associations were stronger for males than females, and adults 65 and older as compared to those aged 45–64.
Our findings indicate that there are pervasive and generally under-recognized sociodemographic and lifestyle factors that exhibit significant associations with FEV1 and FEV1/FVC in older adults.
While implication of causality in these relationships is not possible due to the cross-sectional nature of the study, future work aiming to investigate determinants of lung health in older adults may choose to target these factors, given that many are modifiable.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Many pervasive sociodemographic, lifestyle, and health-related factors contribute to the lung function of older adults. |
• | Using data from the CLSA (n = 21,338) we examined a broad array of correlates to spirometric lung function in adults 45–86. |
• | Notable effects were observed for respiratory disease, smoking, obesity, income, and activity, but not psychosocial factors. |
• | Generally, these associations were stronger for males than females, and adults 65 and older as compared to those aged 45–64. |
Keywords : Aging, Lung function, Spirometry, Determinants, Sex
Plan
Vol 173
Article 106157- novembre 2020 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?