ArticleInternational journal of chronic obstructive pulmonary disease2025
Increased Incidence of Chronic Obstructive Pulmonary Disease in Women Due to Long-Term Passive Smoking.
Article in International journal of chronic obstructive pulmonary disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Risk Factors and Prediction of Chronic Obstructive Pulmonary Disease After Pulmonary Tuberculosis: A Prospective Cohort Study.International journal of chronic obstructive pulmonary disease · 2026Article
- Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease in Kazakhstan in a Nationwide Population-Based Epidemiological Study.International journal of chronic obstructive pulmonary disease · 2026Article
- SLC40A1 (iron transporter): mechanistic regulation, role in disease pathogenesis, and prospects for targeted therapy.Frontiers in cell and developmental biology · 2026Review
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Authors and funding
4 authors.
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Abstract
Objective: To investigate the impact of long-term passive smoking on the pathogenesis of chronic obstructive pulmonary disease (COPD) in women. Methods: We conducted a community-based cross-sectional study involving 2,360 women aged ≥40 years in Jinan, China (October 1, 2022-April 30, 2023). Participants underwent comprehensive assessments including pulmonary function tests (spirometry), hematological analyses, and structured questionnaires evaluating COPD symptoms and passive smoking exposure. Based on exposure history, subjects were stratified into long-term passive smoking (LPS, n = 610) and non-passive smoking (NPS, n = 1,750) cohorts. Results: Comparative analysis revealed significant pulmonary function impairment in the LPS group versus NPS controls: lower FEV1 (2.97±0.61 vs 3.25±0.37 L, p < 0.05), reduced FEV1% predicted (78.20±10.18 vs 81.47±14.69, p < 0.05), decreased FEV1/FVC ratio (83.32±11.20 vs 87.23±10.32%, p < 0.05). Small airway dysfunction was more pronounced in LPS participants, evidenced by: diminished MEF75% (77.58±11.95 vs 86.08±14.02 L/s, p < 0.05), reduced MEF50% (62.76±19.79 vs 89.36±16.78 L/s, p < 0.05), lower MMEF (80.87±12.80 vs 87.46±11.26 L/s, p < 0.05). The LPS group demonstrated: higher prevalence of preserved ratio impaired spirometry (PRISm, 5.74% vs 2.91%); increased annual exacerbation frequency (p < 0.05), elevated systemic inflammatory markers (p < 0.05), greater symptom severity (p < 0.05). Conclusion: Our findings demonstrate that chronic passive smoke exposure constitutes an independent risk factor for COPD development in women, associated with higher disease prevalence, accelerated pulmonary function decline, increased exacerbation frequency and enhanced systemic inflammation.
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