Total sample (n = 352) | Profile 1 (n = 77) | Profile 2 (n = 93) | Profile 3 (n = 105) | Profile 4 (n = 77) | p-value (comparisons across profiles) | Longitudinal subsample (n = 90) | p-value (longitudinal vs. total sample) | |
---|---|---|---|---|---|---|---|---|
Age, years | 68 (61–74) | 71 (67–78)b,d | 66 (58–71)a,c,d | 72 (69–78)b,d | 59 (54–64)a,b,c | < 0.001 | 68 (62–72) | 0.945 |
Sex, n (%) | 0.1373 | 0.1569 | ||||||
Male | 275 (78.1) | 65 (84.4) | 69 (74.2) | 86 (81.9) | 55 (71.4) | 77 (85.6) | ||
Female | 77 (21.9) | 12 (15.6) | 24 (25.8) | 19 (18.1) | 22 (28.6) | 13 (14.4) | ||
AECOPD, n/per year | 0 (0–1) | 1 (0–2)d | 1 (0–3)c,d | 0 (0–1)b | 0 (0–1)a,b | < 0.001 | 0 (0–1) | 0.180 |
CCI, score | 4 (3–5) | 5 (3–5)b,d | 4 (3–4)a,c,d | 4 (4–5)b,d | 3 (2–3)a,b,c | < 0.001 | 3 (3–4) | 0.109 |
Medication use, n (%) | 276 (83.1) | 61 (84.7) | 79 (91.9) | 84 (84.0) | 52 (70.3) | 0.003 | 66 (73.3) | 0.252 |
SABA | 37 (11.4) | 10 (14.3) | 15 (17.6) | 7 (7.1) | 5 (6.9) | 10 (11.1) | ||
LABA | 53 (16.3) | 13 (18.6) | 19 (22.4) | 18 (18.4) | 3 (4.2) | 11 (12.2) | ||
SAMA | 16 (4.9) | 4 (5.7) | 9 (10.6) | 3 (3.1) | 0 (0.0) | 2 (2.2) | ||
LAMA | 90 (27.7) | 26 (37.1) | 23 (27.1) | 27 (27.6) | 14 (19.4) | 19 (21.1) | ||
LABA/LAMA combination | 98 (30.2) | 18 (25.7) | 31 (36.5) | 30 (30.6) | 19 (26.4) | 31 (34.4) | ||
ICS | 38 (11.7) | 7 (10.0) | 14 (16.5) | 11 (11.2) | 6 (8.3) | 13 (14.4) | ||
ICS/LABA combination | 121 (37.2) | 31 (44.3) | 32 (37.6) | 35 (35.7) | 23 (31.9) | 30 (33.3) | ||
LTRA | 16 (4.9) | 5 (7.2) | 3 (3.5) | 5 (5.1) | 3 (4.2) | 4 (4.4) | ||
Xanthines | 27 (8.3) | 14 (20.0) | 6 (7.1) | 3 (3.1) | 4 (5.6) | 3 (3.3) | ||
Mucolytics | 22 (6.8) | 5 (7.1) | 9 (10.6) | 7 (7.1) | 1 (1.4) | 8 (8.9) | ||
NIV, n (%) | 45 (12.8) | 27 (35.1) | 7 (7.5) | 10 (9.5) | 1 (1.3) | < 0.001 | 12 (13.5) | 1.000 |
LTOT, n (%) | 46 (13.1) | 24 (31.2) | 19 (20.4) | 1 (1.0) | 2 (2.6) | < 0.001 | 13 (14.6) | 0.8363 |
Pulmonary traits | ||||||||
Lung function | ||||||||
FEV1, % of predicted | 55.0 (40.8–70.3) | 41 (32–49)b,c,d | 47 (36–66)a,c,d | 69 (57–80)a,b,d | 62 (44–75)a,b,c | < 0.001 | 49.0 (37.0–62.0) | 0.075 |
FVC, % of predicted | 80 (66.0–93.8) | 64 (53.5–70.0)b,c,d | 78 (63.0–90.3)a,c | 93 (80.0–105.5)a,b,d | 81 (68.5–96.0)a,c | < 0.001 | 78.0 (63.0–91.0) | 0.641 |
FEV1/FVC | 56.2 (44.1–65.0) | 50.3 (41.2–61.9)c,d | 51.4 (38.7–62.7)c,d | 59.1 (50–65.1)a,b | 61.7 (50.2–68)a,b | < 0.001 | 50.0 (42.0–59.2) | 0.008 |
GOLD grades, n (%) | < 0.001 | 0.196 | ||||||
1 | 49 (13.9) | 0 (0) | 7 (7.5) | 28 (26.7) | 14 (18.2) | 10 (11.1) | ||
2 | 159 (45.2) | 18 (23.4) | 39 (41.9) | 65 (61.9) | 37 (48.1) | 34 (37.8) | ||
3 | 111 (31.5) | 45 (58.4) | 34 (36.6) | 12 (11.4) | 20 (26.0) | 34 (37.8) | ||
4 | 33 (9.4) | 14 (18.2) | 13 (14.0) | 0 (0) | 6 (7.8) | 11 (12.2) | ||
GOLD groups, n (%) | < 0.001 | 0.003 | ||||||
A | 85 (24.1) | 7 (9.1) | 0 (0) | 42 (40.0) | 36 (46.8) | 22 (24.4) | ||
B | 166 (47.2) | 42 (54.5) | 51 (54.8) | 41 (39.0) | 32 (41.6) | 45 (50.0) | ||
C | 22 (6.3) | 6 (7.8) | 1 (1.1) | 11 (10.5) | 4 (5.2) | 4 (4.4) | ||
D | 79 (22.4) | 22 (28.6) | 41 (44.1) | 11 (10.5) | 5 (6.5) | 18 (20.0) | ||
Extrapulmonary traits—physical | ||||||||
BMI, kg/m2 | 26.4 (23.8–29.8) | 29.7 (26.2–33.2)b,d | 24.7 (22.4–27.9)a,c | 27.7 (25.2–30.5)b,d | 24.6 (22–27)a,c | < 0.001 | 26.0 (23.9–29.8) | 0.540 |
< 21, n (%) | 30 (8.5) | 0 (0) | 13 (14.0) | 3 (2.9) | 14 (18.2) | < 0.001 | 10 (11.1) | 0.765 |
> 30, n (%) | 85 (24.1) | 35 (45.5) | 14 (15.1) | 30 (28.6) | 6 (7.8) | 19 (21.1) | ||
QMS, kgF | 26.2 (20.4–31.6) | 25.7 (18.3–30.8)d | 23.9 (18.2–29.6)d | 26 (21–30.3) | 28.6 (24–33.2)a,b | 0.002 | 31.0 (23.9–36.2) | 0.000 |
< 70% of predicted, n (%) | 174 (49.4) | 48 (62.3) | 49 (52.7) | 45 (42.9) | 32 (41.6) | 0.026 | 15 (16.7) | < 0.001 |
1minSTS, repetitions | 27 (20.8–34.0) | 23 (18–27)c,d | 22 (17–28)c,d | 28 (23–34)* | 36 (30–44)* | < 0.001 | 26.5 (22.0–33.0) | 0.800 |
< 70% of predicted, n (%) | 133 (37.8) | 40 (51.9) | 56 (60.2) | 24 (23.3) | 13 (16.9) | < 0.001 | 25 (27.8) | 0.131 |
Extrapulmonary traits – symptoms and health status | ||||||||
CAT, score | 14 (8–20) | 15 (11–19)* | 23 (19–27)* | 9 (6–14)a,b | 9 (6–13)a,b | < 0.001 | 14.0 (8.0–21.0) | 0.702 |
≥ 10, n (%) | 245 (69.6) | 64 (83.1) | 92 (98.9) | 52 (49.5) | 37 (48.1) | < 0.001 | 58 (64.4) | 0.347 |
≥ 18, n (%) | 110 (31.3) | 23 (29.9) | 77 (82.8) | 9 (8.6) | 1 (1.3) | < 0.001 | 24 (26.7) | 0.399 |
mMRC, score | 2 (1–2) | 2 (2–3)c,d | 3 (2–3)c,d | 1 (1–2)a,b | 1 (0–1)a,b | < 0.001 | 1 (1–2) | 0.984 |
≥ 2, n (%) | 183 (52.0) | 64 (83.1) | 81 (87.1) | 29 (27.6) | 9 (11.7) | < 0.001 | 43 (47.8) | 0.536 |
HADS, score | ||||||||
HADS-A | 6 (3–9) | 5 (3–7)b | 10 (6–12)* | 5 (3–7)b | 5 (3–7)b | < 0.001 | 6.5 (4.2–12.2) | 0.243 |
HADS-A ≥ 8, n (%) | 118 (33.5) | 18 (23.4) | 61 (65.6) | 24 (22.9) | 15 (19.5) | < 0.001 | 24 (26.7) | 0.591 |
HADS-D | 6 (3–9) | 6 (3–9)b,d | 9 (6–11)* | 5 (3–8)b,d | 3 (2–5)* | < 0.001 | 6.0 (3.0–7.0) | 0.697 |
HADS-D ≥ 8, n (%) | 125 (35.5) | 29 (37.7) | 58 (62.4) | 30 (28.6) | 8 (10.4) | < 0.001 | 21 (23.3) | 0.130 |
SGRQ, score | ||||||||
Symptoms | 59.3 (± 24.1) | 69.4 (± 14.2)c,d | 76.1 (± 12.6)c,d | 42.7 (± 20.1)a,b | 35.3 (± 22.8)a,b | < 0.001 | 48.0 (± 22.2) | 0.981 |
Activities | 35.7 (± 21.1) | 41.3 (± 14.9)* | 51.4 (± 14.9)* | 24.6 (± 18.5)* | 13.0 (± 10.8)* | < 0.001 | 55.5 (± 26.2) | 0.397 |
Impact | 41.7 (± 19.0) | 49.5 (± 12.5)* | 61.0 (± 11.3)* | 31.2 (± 13.7)* | 24.8 (± 12.2)* | < 0.001 | 31.7 (± 22.4) | 0.356 |
Total | 48.1 (± 22.1) | 49.9 (± 17.0)b,c | 63.9 (± 15.6)* | 30.9 (± 19.4)a,b | 37.0 (± 20.5)b | < 0.001 | 41.5 (± 21.6) | 0.953 |
Total ≥ 25, n (%) | 271 (77.0) | 75 (97.4) | 93 (100) | 69 (65.7) | 34 (44.2) | < 0.001 | 71 (78.9) | 0.695 |
Total ≥ 46, n (%) | 153 (43.5) | 45 (58.4) | 86 (92.5) | 18 (17.1) | 4 (5.2) | < 0.001 | 34 (37.8) | 0.412 |
Extrapulmonary traits—behavioural | ||||||||
Smoking status, n (%) | < 0.001 | 0.192 | ||||||
Current | 52 (14.8) | 6 (7.8) | 13 (14.0) | 9 (8.6) | 24 (31.2) | 12 (13.3) | ||
Former | 221 (62.8) | 52 (67.5) | 57 (61.3) | 66 (62.9) | 46 (59.7) | 65 (72.2) | ||
Never | 79 (22.4) | 19 (24.7) | 23 (24.7) | 30 (28.6) | 7 (9.1) | 13 (14.4) | ||
Pack-years | 32.3 (2.9–60) | 48 (0.1–87.5) | 28 (2–52) | 30 (0–52.5) | 30 (15–45) | 0.112 | 50.0 (30.0–90.0) | < 0.001 |
BPAAT, score | 1 (0–4) | 0 (0–4)d | 0 (0–4) | 1 (0–4) | 2 (0–4)a | 0.003 | 1 (0.5–4) | < 0.001 |
Insufficiently active, n (%) | 242 (69.1) | 54 (70.1) | 68 (73.9) | 74 (71.2) | 46 (59.7) | 0.221 | 61 (68.5) | 0.912 |
Sufficiently active, n (%) | 108 (30.9) | 23 (29.9) | 24 (26.1) | 30 (28.8) | 31 (40.3) | 28 (31.5) |