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Clin Exp Med. 2023;23(6):2159-2165.

Chronic viral hepatitis accelerates lung function decline in smokers.

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제1저자 이서영,김선신 · 교신저자 박흥우

PMID 36449120 DOI 10.1007/s10238-022-00963-5 IF 4.5 알레르기내과
소속 (5)
  1. Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
  2. Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Republic of Korea.
  3. Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea. guinea71@snu.ac.kr.
  4. Institute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Seoul, Republic of Korea. guinea71@snu.ac.kr.
  5. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea. guinea71@snu.ac.kr.

Abstract

Although hepatitis B virus (HBV) and hepatitis C virus (HCV) are hepatotrophic viruses, they may affect pulmonary diseases. The purpose of this study was to assess whether chronic viral hepatitis (CVH) infection was associated with a rapid decline in lung function. Repeated measurements of lung function were obtained from a well-curated health check-up database. A case was defined as an individual positive for HBsAg or anti-HCV antibody. A control was randomly selected (from the same dataset) after 1:1 matching in terms of age, sex, height, the body mass index, and smoking status. Separate analyses of non-smokers and smokers were performed. A total of 701 cases were enrolled (586 with HBV and 115 with HCV). In cross-sectional analysis, both forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) decreased significantly only in smokers (smoking cases vs. smoking controls) (adjusted p = 6.6 × 10-5 and adjusted p = 2.2 × 10-3, respectively). In longitudinal analysis, smoking cases showed significantly greater FEV1 and FVC decline rates than did smoking controls (adjusted p = 8.5 × 10-3 and adjusted p = 1.2 × 10-5, respectively). Such associations were particularly high in smoking cases at intermediate-to-high risk of hepatic fibrosis, as evaluated by the non-invasive Fibrosis-4 index. In summary, CVH was associated with both decreased lung function and accelerated lung function decline in smokers. A non-invasive measurement of hepatic fibrosis may be useful in predicting rapid lung function decline in smokers with CVH.

© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.

Keywords

Chronic hepatitis BChronic hepatitis CForced expiratory volumeRespiratory function testsSmokingTrajectory

그 밖의 정보
출판 형태
Journal Article
저널
Clinical and experimental medicine · eISSN 1591-9528
전자 출판
2022-11-30
MeSH
Humans · Lung · Smokers · Cross-Sectional Studies · Hepatitis C* · Hepatitis, Viral, Human* · Liver Cirrhosis / diagnosis · Pulmonary Disease, Chronic Obstructive*
참고문헌
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