Clin Exp Med. 2023;23(6):2159-2165.
Chronic viral hepatitis accelerates lung function decline in smokers.
제1저자 이서영,김선신 · 교신저자 박흥우
소속 (5)
- Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
- Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Republic of Korea.
- Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea. guinea71@snu.ac.kr.
- Institute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Seoul, Republic of Korea. guinea71@snu.ac.kr.
- 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
- 32편