Increased respiratory symptoms in COPD patients living in the vicinity of livestock farms.
Identifieur interne : 000085 ( PubMed/Checkpoint ); précédent : 000084; suivant : 000086Increased respiratory symptoms in COPD patients living in the vicinity of livestock farms.
Auteurs : Floor Borlée [Pays-Bas] ; C Joris Yzermans [Pays-Bas] ; Christel E. Van Dijk [Pays-Bas] ; Dick Heederik [Pays-Bas] ; Lidwien A M. Smit [Pays-Bas]Source :
- The European respiratory journal [ 1399-3003 ] ; 2015.
Descripteurs français
- Wicri :
- geographic : Pays-Bas.
English descriptors
- KwdEn :
- Adult, Aged, Agriculture (statistics & numerical data), Animals, Asthma (epidemiology), Cross-Sectional Studies, Disease Progression, Environmental Exposure (statistics & numerical data), Female, Humans, Livestock, Male, Middle Aged, Netherlands (epidemiology), Nonlinear Dynamics, Prevalence, Pulmonary Disease, Chronic Obstructive (epidemiology), Pulmonary Disease, Chronic Obstructive (physiopathology), Residence Characteristics (statistics & numerical data), Rhinitis, Allergic (epidemiology), Risk Factors, Rural Population (statistics & numerical data), Severity of Illness Index, Smoking (epidemiology), Surveys and Questionnaires.
- MESH :
- geographic , epidemiology : Netherlands.
- epidemiology : Asthma, Pulmonary Disease, Chronic Obstructive, Rhinitis, Allergic, Smoking.
- physiopathology : Pulmonary Disease, Chronic Obstructive.
- statistics & numerical data : Agriculture, Environmental Exposure, Residence Characteristics, Rural Population.
- Adult, Aged, Animals, Cross-Sectional Studies, Disease Progression, Female, Humans, Livestock, Male, Middle Aged, Nonlinear Dynamics, Prevalence, Risk Factors, Severity of Illness Index, Surveys and Questionnaires.
Abstract
Several studies have investigated the effect of livestock farm emissions on the respiratory health of local residents, but results are inconsistent. This study aims to explore associations between the presence of livestock farms and respiratory health in an area of high-density livestock farming in the Netherlands. We focused especially on associations between farm exposures and respiratory symptoms within subgroups of potentially susceptible patients with a pre-existing lung disease.In total, 14 875 adults (response rate 53.4%) completed a questionnaire concerning respiratory health, smoking habits and personal characteristics. Different indicators of livestock farm exposures relative to the home address were computed using a geographic information system.Prevalence of chronic obstructive pulmonary disease (COPD) and asthma was lower among residents living within 100 m of a farm (OR 0.47, 95% CI 0.24-0.91 and OR 0.65, 95% CI 0.45-0.93, respectively). However, >11 farms in 1000 m compared to fewer than four farms in 1000 m (fourth quartile versus first quartile) was associated with wheezing among COPD patients (OR 1.71, 95% CI 1.01-2.89). Using general practitioners' electronic medical records, we demonstrated that selection bias did not affect the observed associations.Our data suggest a protective effect of livestock farm emissions on the respiratory health of residents. Nonetheless, COPD patients living near livestock farms reported more respiratory symptoms, suggesting an increased risk of exacerbations.
DOI: 10.1183/13993003.00265-2015
PubMed: 26250492
Affiliations:
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This study aims to explore associations between the presence of livestock farms and respiratory health in an area of high-density livestock farming in the Netherlands. We focused especially on associations between farm exposures and respiratory symptoms within subgroups of potentially susceptible patients with a pre-existing lung disease.In total, 14 875 adults (response rate 53.4%) completed a questionnaire concerning respiratory health, smoking habits and personal characteristics. Different indicators of livestock farm exposures relative to the home address were computed using a geographic information system.Prevalence of chronic obstructive pulmonary disease (COPD) and asthma was lower among residents living within 100 m of a farm (OR 0.47, 95% CI 0.24-0.91 and OR 0.65, 95% CI 0.45-0.93, respectively). However, >11 farms in 1000 m compared to fewer than four farms in 1000 m (fourth quartile versus first quartile) was associated with wheezing among COPD patients (OR 1.71, 95% CI 1.01-2.89). Using general practitioners' electronic medical records, we demonstrated that selection bias did not affect the observed associations.Our data suggest a protective effect of livestock farm emissions on the respiratory health of residents. Nonetheless, COPD patients living near livestock farms reported more respiratory symptoms, suggesting an increased risk of exacerbations.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26250492</PMID><DateCreated><Year>2015</Year><Month>12</Month><Day>01</Day></DateCreated><DateCompleted><Year>2016</Year><Month>09</Month><Day>13</Day></DateCompleted><DateRevised><Year>2015</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1399-3003</ISSN><JournalIssue CitedMedium="Internet"><Volume>46</Volume><Issue>6</Issue><PubDate><Year>2015</Year><Month>Dec</Month></PubDate></JournalIssue><Title>The European respiratory journal</Title><ISOAbbreviation>Eur. Respir. J.</ISOAbbreviation></Journal><ArticleTitle>Increased respiratory symptoms in COPD patients living in the vicinity of livestock farms.</ArticleTitle><Pagination><MedlinePgn>1605-14</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1183/13993003.00265-2015</ELocationID><Abstract><AbstractText>Several studies have investigated the effect of livestock farm emissions on the respiratory health of local residents, but results are inconsistent. This study aims to explore associations between the presence of livestock farms and respiratory health in an area of high-density livestock farming in the Netherlands. We focused especially on associations between farm exposures and respiratory symptoms within subgroups of potentially susceptible patients with a pre-existing lung disease.In total, 14 875 adults (response rate 53.4%) completed a questionnaire concerning respiratory health, smoking habits and personal characteristics. Different indicators of livestock farm exposures relative to the home address were computed using a geographic information system.Prevalence of chronic obstructive pulmonary disease (COPD) and asthma was lower among residents living within 100 m of a farm (OR 0.47, 95% CI 0.24-0.91 and OR 0.65, 95% CI 0.45-0.93, respectively). However, >11 farms in 1000 m compared to fewer than four farms in 1000 m (fourth quartile versus first quartile) was associated with wheezing among COPD patients (OR 1.71, 95% CI 1.01-2.89). Using general practitioners' electronic medical records, we demonstrated that selection bias did not affect the observed associations.Our data suggest a protective effect of livestock farm emissions on the respiratory health of residents. Nonetheless, COPD patients living near livestock farms reported more respiratory symptoms, suggesting an increased risk of exacerbations.</AbstractText><CopyrightInformation>Copyright ©ERS 2015.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Borlée</LastName><ForeName>Floor</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands f.borlee@uu.nl.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yzermans</LastName><ForeName>C Joris</ForeName><Initials>CJ</Initials><AffiliationInfo><Affiliation>Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van Dijk</LastName><ForeName>Christel E</ForeName><Initials>CE</Initials><AffiliationInfo><Affiliation>Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Heederik</LastName><ForeName>Dick</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smit</LastName><ForeName>Lidwien A M</ForeName><Initials>LA</Initials><AffiliationInfo><Affiliation>Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>08</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur Respir J</MedlineTA><NlmUniqueID>8803460</NlmUniqueID><ISSNLinking>0903-1936</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000383" MajorTopicYN="N">Agriculture</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000818" MajorTopicYN="N">Animals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001249" MajorTopicYN="N">Asthma</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018450" MajorTopicYN="N">Disease Progression</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004781" MajorTopicYN="N">Environmental Exposure</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058751" MajorTopicYN="Y">Livestock</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009426" MajorTopicYN="N" Type="Geographic">Netherlands</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017711" MajorTopicYN="N">Nonlinear Dynamics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D029424" MajorTopicYN="N">Pulmonary Disease, Chronic Obstructive</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012111" MajorTopicYN="N">Residence Characteristics</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D065631" MajorTopicYN="N">Rhinitis, Allergic</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012424" MajorTopicYN="N">Rural 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last="Heederik">Dick Heederik</name><name sortKey="Smit, Lidwien A M" sort="Smit, Lidwien A M" uniqKey="Smit L" first="Lidwien A M" last="Smit">Lidwien A M. Smit</name><name sortKey="Van Dijk, Christel E" sort="Van Dijk, Christel E" uniqKey="Van Dijk C" first="Christel E" last="Van Dijk">Christel E. Van Dijk</name><name sortKey="Yzermans, C Joris" sort="Yzermans, C Joris" uniqKey="Yzermans C" first="C Joris" last="Yzermans">C Joris Yzermans</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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