Evidence map›Paper›PMID 40171577›Full record

ArticlePulmonology2025

Quality of life associated with breathlessness in the multinational Burden of Obstructive Lung Disease (BOLD) study: A cross-sectional analysis.

Alexander Müller, Emiel F M Wouters, Peter Burney, James Potts, Joao Cardoso, Mohammed Al Ghobain, Michael Studnicka, Daniel Obaseki, Asma Elsony, Kevin Mortimer and 28 more

Abstract readMulticenter Study
In one paragraph

Article in Pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

38 authors.

Alexander MüllerLudwig Boltzmann Institute for Lung Health, Vienna, Austria.ORCID 0009-0004-2559-7760
Emiel F M WoutersLudwig Boltzmann Institute for Lung Health, Vienna, Austria.
Peter BurneyNational Heart and Lung Institute, Imperial College London, London, UK.
James PottsNational Heart and Lung Institute, Imperial College London, London, UK.
Joao CardosoPulmonology Department, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal.
Mohammed Al GhobainKing Abdullah International Medical Research Center, King Saud ben Abdulaziz University for Health Science, Riyadh, Saudi Arabia.
Michael StudnickaDepartment of Respiratory Medicine, University Hospital, Paracelsus Medical University, Salzburg, Austria.
Daniel ObasekiDepartment of Medicine, Obafemi Awolowo University, Ile-Ife, Nigeria.
Asma ElsonyThe Epidemiological Laboratory, Khartoum, Sudan.
Kevin MortimerUniversity of Cambridge, Cambridge, UK.
David ManninoUniversity of Kentucky, Lexington, KY, USA.
Rain JõgiLung Clinic, Tartu University Hospital, Tartu, Estonia.
Rana AhmedThe Epidemiological Laboratory, Khartoum, Sudan.
Asaad NafeesAga Khan University, Karachi, Pakistan.
Maria Fatima RodriguesPulmonology Department, Santa Maria Local Health Unit, Lisbon, Portugal.
Cristina BárbaraInstituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
Rune NielsenDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Thorarinn GíslasonFaculty of Medicine, University of Iceland, Reykjavik, Iceland.
Hamid Hacene CherkaskiDepartment of Pneumology, Faculty of Medicine, University Badji Mokhtar of Annaba, Annaba, Algeria.
Karima El RhaziDepartment of Epidemiology and Public Health, Epidemiology and Research in Health Sciences Laboratory, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdillah University, Hassan II University Hospital Center of Fes, Fes, Morocco.
Christer JansonDepartment of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.
Mahesh Padukudru AnandDepartment of Respiratory Medicine, JSS Medical College, JSSAHER, Mysore, India.
Sanjay JuvekarVadu Rural Health Program, KEM Hospital Research Centre, Pune, India.
Herminia Brites DiasLisbon School of Health Technology, Polytechnic of Lisbon, Lisbon, Portugal.
Frits M E FranssenDepartment of Respiratory Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
Dhiraj AgarwalVadu Rural Health Program, KEM Hospital Research Centre, Pune, India.
Sylvia HartlLudwig Boltzmann Institute for Lung Health, Vienna, Austria.
Terence SeemungalFaculty of Medical Sciences, University of West Indies, St Augustine, Trinidad and Tobago.
Stefanni Nonna ParaguasPhilippine College of Chest Physicians, Manila, Philippines.
Imed HarrabiIbn El Jazzar Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
Meriam DenguezliFaculté de Médecine de Sousse, Université de Sousse, Sousse, Tunisia.
Abdul RashidRoyal College of Surgeons in Ireland and University College Dublin Malaysia Campus, Penang, Malaysia.
Gregory ErhaborDepartment of Medicine, Obafemi Awolowo University, Ile-Ife, Nigeria.
Mohammed El BiazeDepartment of Respiratory Medicine, Faculty of Medicine, Mohammed Ben Abdellah University, Fes, Morocco.
Parvaiz KoulDepartment of Pulmonary Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India.
Daisy J A JanssenDepartment of Health Services Research, Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-1827-9869
André F S AmaralNational Heart and Lung Institute, Imperial College London, London, UK.ORCID 0000-0002-0369-9449
BOLD Collaborative Research Group

Funding

Wellcome Trust
6 · The paper itself

Abstract

introductionEvidence of an association between breathlessness and quality of life from population-based studies is limited. We aimed to investigate the association of both physical and mental quality of life with breathlessness across several low-, middle- and high-income countries.

methodsWe analysed data from 19 714 adults (31 sites, 25 countries) from the Burden of Obstructive Lung Disease (BOLD) study. We measured both mental and physical quality of life components using the SF-12 questionnaire, and defined breathlessness as grade ≥2 on the modified Medical Research Council scale. We used multivariable linear regression to assess the association of each quality-of-life component with breathlessness. We pooled site-specific estimates using random-effects meta-analysis.

resultsBoth physical and mental component scores were lower in participants with breathlessness compared to those without. This association was stronger for the physical component (coefficient = -7.59; 95%CI -8.60, -6.58; I

conclusionQuality of life is worse in people with breathlessness, but this association varies widely across the world.

Indexed as

DyspneaLung Diseases, ObstructivePulmonary Disease, Chronic ObstructiveQuality of LifeAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesbreathlessnessDyspnoeaquality of life

Identifiers

PMID40171577
PMCPMC11974890

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.