Body mass index as a predictor of mortality in bronchiectasis : A nationwide population-based study

Copyright © 2021 Elsevier Ltd. All rights reserved..

INTRODUCTION: The prognosis of bronchiectasis is not well known. The purpose of this study was to evaluate the association between body mass index (BMI) and mortality in bronchiectasis using a large nationwide population-based cohort.

MATERIAL AND METHODS: Using the National Health Insurance Service-Health Screening Cohort in Korea, individuals with bronchiectasis were identified from 2004 to 2006 and monitored for up to 10 years. Mortality in bronchiectasis was analyzed based on a BMI score <18.5 kg/m2 (underweight), 1.85-22.9 kg/m2 (normal weight), 23.0-24.9 kg/m2 (overweight), and >25.0 kg/m2 (obese).

RESULTS: A total of 2769 individuals with bronchiectasis were included. The underweight, normal weight, overweight, and obese accounted for 5.1%, 40.4%, 25.4%, and 29.3% of all patients with bronchiectasis, respectively. Compared to normal weight, underweight in bronchiectasis was associated with increased all-cause mortality (hazard ratio [HR] = 2.60; 95% confidence interval [CI] = 1.92-3.54), while obese was associated with decreased all-cause mortality (HR = 0.71; 95% CI = 0.55-0.93). This relationship between BMI and mortality was more prominent in respiratory disease-related mortality.

CONCLUSIONS: BMI is a predictor of mortality in bronchiectasis. Underweight is associated with increased mortality among individuals with bronchiectasis while obese is associated with decreased mortality.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:180

Enthalten in:

Respiratory medicine - 180(2021) vom: 05. Apr., Seite 106370

Sprache:

Englisch

Beteiligte Personen:

Lee, Jung Mo [VerfasserIn]
Lee, Sang Ah [VerfasserIn]
Han, Chang Hoon [VerfasserIn]
Lee, Sun Min [VerfasserIn]
Kim, Cheong Ju [VerfasserIn]
Lee, Sang Chul [VerfasserIn]
Park, Seon Cheol [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Population
Prognosis
Research Support, Non-U.S. Gov't
Risk factors
Underweight

Anmerkungen:

Date Completed 16.12.2021

Date Revised 16.12.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.rmed.2021.106370

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM323215785