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Table 3 Risk factors for SAO

From: Spirometry parameters used to define small airways obstruction in population-based studies: systematic review

Study

Parameter used and definition of abnormal result

Prevalence of SAO

Covariates adjusted for

Risk factors for SAO (odds ratio and 95% confidence interval)

Chen et al. 2013 [38]

FEF50 < 70% predicted

7.5%

white cell count, diabetes, Total cholesterol, waist circumference, smoking index, second-hand smoke exposure, snoring, exercise

Diabetes: OR = 2.258 (1.042–4.890), p = 0.0039

High waist circumference: OR = 1.537 (1.023–2.310) p = 0.0039

Smoking Index > 600: OR = 4.044 (2.136–7.7656) p < 0.001

Second-hand smoke exposure: OR = 1.535 (1.060–2.224) p = 0.0023

Exercise for > 30 min per day: OR = 0.310 (0.200–0.482) p < 0.001

Xiao et al. 2020 [13]

2/3 of FEF25–75, FEF50 or FEF75 < 65% predicted

With otherwise normal lung function:

FEV1 > 80% and FEV1/FVC > 0.7

28.5%

male sex, age, rural residency, smoking exposure, smokers living in the home, biomass use, PM2·5 exposure, education level, history of tuberculosis, history of pneumonia or bronchitis during childhood, chronic cough during childhood, parental history of respiratory diseases, and BMI

Pre-BD Age: (reference 20–29): 30–39 OR 1.64 (1.48–1.82), 40–49 OR 2.22 (2.01–2.05), 50–59 OR 2.55 (2.31–2.81), 60–69 OR 2.54 (2.29–2.82), > 70 OR 2.41 (2.13–2.72), p < 0.0001

Post-BD: All associations with age remain significant (p < 0.0001)

Pre-BD Gender: Female OR 1.56 (1.48–1.54) p < 0.0001

Post-BD Gender: Female OR 1.54 (1.43–1.64) p < 0.0001

Pre-BD Urban residence: Urban OR 1.07 (1.02–1.13) p = 0.0062

Post-BD Urban residence: Urban OR 1.13 (1.06–1.21) p = 0.0003

Pre-BD Education level: Primary school or less OR 1.11 (1.03–1.20) p = 0.0081

Post-BD Education level: Primary school or less OR 1.24 (1.11–1.28) p < 0.0001

Pre-BD Smoking: Ever OR 1.13 (1.04–1.22) p = 0.0040

Post-BD Smoking: Ever OR 1.18 (1.05–1.32) p = 0.0041

Pre-BD Biomass use: Yes OR 1.08 (1.02–1.03) p = 0.0060

Pre-BD: Annual mean PM2.5 exposure (per 25 mg/m2): 75 and above OR 1.14 (1.04–1.24) p = 0.0049. Post-BD: OR 1.27 (1.13–1.44) p = 0.0001

Pre-BD Chronic childhood cough (age < 14 years): Frequent OR 0.87 (0.77–1.0) p = 0.044

Pre-BD Parental history of respiratory diseases: Yes OR 1.08 (1.01–1.15) p = 0.024

Pre-BD BMI: Each 5 kg/m2 difference in BMI OR 1.29 (1.22–1.37) p < 0.0001

Post-BD BMI: Each 5 kg/m2 difference in BMI OR 1.37 (1.27–1.48) p < 0.0001

  1. OR: odds ratio, FEF50 and FEF75: forced expiratory flow at 50% and 75% of the forced vital capacity (FVC), FEF25–75: Mean expiratory flow rate between 25 and 75% of the FVC, FEV1: forced expiratory volume in one second. BMI: body mass index. Statistically significant risk factors only extracted. Pre/post-BD: pre and post bronchodilator (200 mcg salbutamol)