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J-GLOBAL ID：201802280625298294   整理番号：18A0851951

中国における慢性閉塞性肺疾患の有病率と危険因子(中国の肺健康[CPH]研究):全国横断研究【JST・京大機械翻訳】

Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health [CPH] study): a national cross-sectional study

著者 (85件)： Wang Chen (Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China) ,  Wang Chen (National Clinical Research Center for Respiratory Diseases, Beijing, China) ,  Wang Chen (Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China) ,  Wang Chen (Department of Respiratory Medicine, Capital Medical University, Beijing, China) ,  Wang Chen (WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention, Beijing, China) ,  Xu Jianying (Department of Pulmonary and Critical Care Medicine, Shanxi Dayi Hospital, Taiyuan, Shanxi Province, China) ,  Yang Lan (The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, Shaanxi Province, China) ,  Xu Yongjian (Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China) ,  Zhang Xiangyan (Department of Pulmonary and Critical Care Medicine, Guizhou Provincial People’s Hospital, Guiyang, Guizhou Province, China) ,  Bai Chunxue (Department of Pulmonary and Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China) ,  Kang Jian (The First Hospital of China Medical University, Shenyang, Liaoning Province, China) ,  Ran Pixin (State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Diseases, The First Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong Province, China) ,  Ran Pixin (National Clinical Research Center for Respiratory Diseases, Guangzhou, Guangdong Province, China) ,  Shen Huahao (Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, Zhejiang Province, China) ,  Wen Fuqiang (State Key Laboratory of Biotherapy of China and Department of Respiratory and Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China) ,  Huang Kewu (Department of Pulmonary and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China) ,  Huang Kewu (Beijing Institute of Respiratory Medicine, Beijing, China) ,  Yao Wanzhen (Department of Respiratory and Critical Care Medicine, Peking University Third Hospital, Beijing, China) ,  Sun Tieying (National Clinical Research Center for Respiratory Diseases, Beijing, China) ,  Sun Tieying (Department of Respiratory and Critical Care Medicine, Beijing Hospital, Beijing, China) ,  Sun Tieying (National Center of Gerontology, Beijing, China) ,  Shan Guangliang (Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing, China) ,  Yang Ting (Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China) ,  Yang Ting (National Clinical Research Center for Respiratory Diseases, Beijing, China) ,  Yang Ting (Department of Respiratory Medicine, Capital Medical University, Beijing, China) ,  Lin Yingxiang (Department of Pulmonary and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China) ,  Lin Yingxiang (Beijing Institute of Respiratory Medicine, Beijing, China) ,  Wu Sinan (Institute of Clinical Medical Sciences, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China) ,  Wu Sinan (National Clinical Research Center for Respiratory Diseases, Beijing, China) ,  Zhu Jianguo (National Clinical Research Center for Respiratory Diseases, Beijing, China) ,  Zhu Jianguo (Department of Respiratory and Critical Care Medicine, Beijing Hospital, Beijing, China) ,  Wang Ruiying (Department of Pulmonary and Critical Care Medicine, Shanxi Dayi Hospital, Taiyuan, Shanxi Province, China) ,  Shi Zhihong (The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, Shaanxi Province, China) ,  Zhao Jianping (Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China) ,  Ye Xianwei (Department of Pulmonary and Critical Care Medicine, Guizhou Provincial People’s Hospital, Guiyang, Guizhou Province, China) ,  Song Yuanlin (Department of Pulmonary and Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China) ,  Wang Qiuyue (The First Hospital of China Medical University, Shenyang, Liaoning Province, China) ,  Zhou Yumin (State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Diseases, The First Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong Province, China) ,  Zhou Yumin (National Clinical Research Center for Respiratory Diseases, Guangzhou, Guangdong Province, China) ,  Ding Liren (Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, Zhejiang Province, China) ,  Yang Ting (State Key Laboratory of Biotherapy of China and Department of Respiratory and Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China) ,  Chen Yahong (Department of Respiratory and Critical Care Medicine, Peking University Third Hospital, Beijing, China) ,  Guo Yanfei (National Clinical Research Center for Respiratory Diseases, Beijing, China) ,  Guo Yanfei (Department of Respiratory and Critical Care Medicine, Beijing Hospital, Beijing, China) ,  Guo Yanfei (National Center of Gerontology, Beijing, China) ,  Xiao Fei (National Clinical Research Center for Respiratory Diseases, Beijing, China) ,  Xiao Fei (Department of Pathology, Beijing Hospital, Beijing, China) ,  Xiao Fei (National Center of Gerontology, Beijing, China) ,  Lu Yong (Department of Pulmonary and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China) ,  Lu Yong (Beijing Institute of Respiratory Medicine, Beijing, China) ,  Peng Xiaoxia (Center for Clinical Epidemiology and Evidence-based Medicine, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China) ,  Zhang Biao (Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing, China) ,  Xiao Dan (Tobacco Medicine and Tobacco Cessation Center, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China) ,  Xiao Dan (National Clinical Research Center for Respiratory Diseases, Beijing, China) ,  Xiao Dan (WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention, Beijing, China) ,  Chen Chung-Shiuan (Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA) ,  Wang Zuomin (Department of Stomatology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China) ,  Wang Zuomin (Beijing Institute of Respiratory Medicine, Beijing, China) ,  Zhang Hong (Department of Pulmonary and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China) ,  Zhang Hong (Beijing Institute of Respiratory Medicine, Beijing, China) ,  Bu Xiaoning (Department of Pulmonary and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China) ,  Bu Xiaoning (Beijing Institute of Respiratory Medicine, Beijing, China) ,  Zhang Xiaolei (Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China) ,  Zhang Xiaolei (National Clinical Research Center for Respiratory Diseases, Beijing, China) ,  Zhang Xiaolei (Department of Respiratory Medicine, Capital Medical University, Beijing, China) ,  An Li (Department of Pulmonary and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China) ,  An Li (Beijing Institute of Respiratory Medicine, Beijing, China) ,  Zhang Shu (Department of Pulmonary and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China) ,  Zhang Shu (Beijing Institute of Respiratory Medicine, Beijing, China) ,  Cao Zhixin (Department of Pulmonary and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China) ,  Cao Zhixin (Beijing Institute of Respiratory Medicine, Beijing, China) ,  Zhan Qingyuan (Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China) ,  Zhan Qingyuan (National Clinical Research Center for Respiratory Diseases, Beijing, China) ,  Zhan Qingyuan (Department of Respiratory Medicine, Capital Medical University, Beijing, China) ,  Yang Yuanhua (Department of Pulmonary and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China) ,  Yang Yuanhua (Beijing Institute of Respiratory Medicine, Beijing, China) ,  Cao Bin (Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China) ,  Cao Bin (National Clinical Research Center for Respiratory Diseases, Beijing, China) ,  Cao Bin (Department of Respiratory Medicine, Capital Medical University, Beijing, China) ,  Dai Huaping (Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China) ,  Dai Huaping (National Clinical Research Center for Respiratory Diseases, Beijing, China) ,  Dai Huaping (Department of Respiratory Medicine, Capital Medical University, Beijing, China) ,  Liang Lirong (Department of Epidemiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China) ,  Liang Lirong (Beijing Institute of Respiratory Medicine, Beijing, China) ,  He Jiang (Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA)
資料名： Lancet  (Lancet)
巻： 391  号： 10131  ページ： 1706-1717  発行年： 2018年 
JST資料番号： B0673A  ISSN： 0140-6736  CODEN： LANCA  資料種別： 逐次刊行物 (A)
記事区分： 原著論文  発行国： オランダ (NLD)  言語： 英語 (EN)

抄録/ポイント： タバコ喫煙と大気汚染への曝露は一般的であるが,慢性閉塞性肺疾患(COPD)の現在の罹患率は中国人成人集団では不明である。中国におけるCOPDの罹患率と危険因子を評価するために中国肺健康(CPH)研究を実施した。CPH研究は,中国本土の10の省,自治区,および自治体から20歳以上の成人の全国的に代表的なサンプルにおける横断的研究である。すべての参加者は,気管支拡張後の肺機能検査を受けた。COPDは,慢性閉塞性肺疾患(GOLD)基準のために2017のグローバルイニシアティブによって診断された。2012年6月~2015年5月の間に,57779人の個人が参加し,そのうち50991人(21446人の男性と29545人の女性)が信頼できる気管支拡張後の結果を有し,最終分析に含まれた。肺活量定義COPDの全体的罹患率は,中国におけるCOPDを有する99人の9人(95%CI76人の3-135人の7人)を占めて,8人の6%(95%のCI7人の5-9人の9人)であった。罹患率は女性より男性で高かった(11人の9%,95%CI10人の2~13歳)。20~39歳の女性(5人の4%,4人の6~6人,性別差のp<0人)と40歳以上の人(13人の7%,12人の・1~15人)は年齢差があった。COPDを有する人々の12人の0%(95%CI8人1-17人)のみが,以前の肺機能検査を報告した。COPDに対するリスク因子は,20パック年以上の喫煙曝露(オッズ比[OR]1,95,95%CI1,1,2,3,1,1,2,1,1,2,1,2,1,2,1,2,1,2,1,2,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,1,2,3,3COPDのより低いリスクは,中等度または高い学校教育(OR 0 76,95% CI 0 ・64-0 90)および大学またはより高い教育(0 ・ 47,0 33-0 ・66)と関連していた。中国人の成人集団において,Spirometry-定義されたCOPDは非常に一般的である。喫煙,大気汚染,低体重,小児期慢性咳,呼吸器疾患の親歴,および低教育はCOPDの主要な危険因子である。肺活量測定を用いたCOPDの予防と早期検出は,COPD関連罹患率と死亡率を減少させるために,中国における公衆衛生優先権であるべきである。厚生省科学技術省。Copyright 2018 Elsevier B.V., Amsterdam. All rights reserved. Translated from English into Japanese by JST.【JST・京大機械翻訳】

シソーラス用語： 公衆衛生 ,  死亡率 ,  *罹患率 ,  肺機能検査 ,  肺活量 ,  男性 ,  女性 ,  大気汚染 ,  年齢差 ,  *中華人民共和国 ,  *慢性閉塞性肺疾患 ,  *危険因子 ,  成人 ,  喫煙
準シソーラス用語： *健康 , 【Automatic Indexing@JST】

分類 (2件)： 呼吸器の疾患  (GI03000Z) ,  呼吸器の診断  (GI02000S)

タイトルに関連する用語 (6件)： 中国 ,  慢性閉塞性肺疾患 ,  有病率 ,  危険因子 ,  肺 ,  研究