&lt;p&gt;Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease Among Agriculturists in a Rural Community, Central Thailand&lt;/p&gt;

P, Kitjakrancharoensin; K, Yasan; Hongyantarachai, Kwanjira; Ratanachokthorani, Kanoot; Thammasarn, Jutinun; Kuwuttiwai, Dantham; T, Ekanaprach; R, Nuntapravechpun; S, Hotarapavanon; Kulrattanarak, Spain; Tongkaew, Sarisa; S, Deemeechai; Mungthin, Mathirut; Rangsin, Ram; Wongsrichanalai, Virissorn; Sakboonyarat, Boonsub

doi:10.2147/copd.s262050

Cited by 11 publications

(11 citation statements)

References 55 publications

(75 reference statements)

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“…A similar study in Thailand reported a similar prevalence of COPD (5.5%) among adult farmers. (21) The prevalence of COPD is generally low (4.5% to 9.4%) in South East Asians, perhaps reflecting the low smoking prevalence in these populations. (22) Moreover, farming in Nan province is mainly crop farming conducted in open fields.…”

Section: Discussionmentioning

confidence: 99%

Farming, pesticide exposure and respiratory health: a cross-sectional study in Thailand

et al. 2021

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ObjectiveTo assess the association of lung function and respiratory symptoms with farming, particularly pesticide use, in an agricultural province in Thailand.MethodsWe undertook a cross-sectional survey of adults aged 40–65 in Nan province, Thailand, between May and August 2019. We randomly recruited 345 villagers and enriched the sample with 82 government employees. All participants performed post-bronchodilator spirometry and completed a questionnaire covering information on respiratory symptoms, farming activities, pesticide use and known risk factors for respiratory disease. Associations of respiratory outcomes with farming and pesticide exposures were examined by multivariable regression analysis.ResultsThe response rate was 94%. The prevalence of chronic airflow obstruction among villagers was 5.5%. Villagers had, on average, a lower percent predicted post-bronchodilator forced expiratory volume in one second/forced vital capacity (FEV1/FVC) than government employees (98.3% vs 100.3%; p=0.04). There was no evidence of association of lung function with farming activities, the use of specific herbicides (glyphosate and paraquat), insecticides (organophosphates and pyrethroids) or fungicides. The exceptions were poultry farming, associated with chronic cough and an increase of FEV1/FVC, and atrazine, for which duration (p-trend <0.01), intensity (p-trend <0.01) and cumulative hours (p-trend=0.01) of use were all associated with higher FEV1/FVC in an exposure–response manner. Cumulative hours (−280 mL/hour), low duration (−270 mL/year) and intensity (−270 mL/hour/year) of atrazine use were associated with lower FVC.ConclusionsChronic airflow obstruction is uncommon among villagers of an agricultural province in Nan, Thailand. Farming and pesticide use are unlikely to be major causes of respiratory problems there.

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Section: Discussionmentioning

confidence: 99%

Farming, pesticide exposure and respiratory health: a cross-sectional study in Thailand

et al. 2021

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“…For instance, the Thai population is considered one of the world’s promptly aged societies [ 6 ]. Furthermore, the magnitude of noncommunicable diseases (NCDs) in Thailand continuously increases and affects the health of people in urban and rural areas [ 2 , 3 , 7 – 9 ]. Obesity is an important risk factor causing NCDs encompassing type 2 diabetes (T2D), cancer, and cardiovascular diseases [ 10 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of the weight-loss program using daily self-weighing combined with personalized counseling led by village health volunteers in adults with obesity in a rural community, Thailand: a randomized controlled trial

Liampeng,

Wongkliawrian,

Junlawakkananon

et al. 2023

BMC Prim. Care

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Background In a remote rural community in central Thailand, obesity prevalence among adults significantly rose from 33.9% in 2012 to 44.8% in 2018. Limited information on weight reduction studies in Thai rural communities was available. The present study aims to evaluate the effect of daily self-weighing combined with personalized counseling in order to reduce body weight (BW) and body mass index (BMI) as well as blood pressure (BP). Methods A randomized controlled trial was carried out in a rural community in central Thailand. One-hundred and seven adults were randomly allocated (1:2) to intervention and control groups. For 20 weeks, participants in the weight-loss program performed self-weighing twice daily and recorded their weight on the calendar. The program also offers weekly counseling visits by village health volunteers (VHV) who make home visits to participants. The primary outcomes were differences in mean change in BW at 20 weeks from baseline between the intervention and control groups. Results A total of 107 participants were initially recruited. Of these, 36 participants were allocated to the intervention group and 57 participants to the control group. Significant differences in mean change in BW and BMI at the twelve-, sixteen-, and twenty-week follow-up from baseline between the two groups were observed. At twenty weeks, the mean change in BW was -1.2 kg (95% CI: -2.2, -0.3) and 0.3 kg (95% CI: -0.3, 0.8) in the intervention and control groups, respectively, with p-value = 0.007. Over 20 weeks of the study period, the estimated mean change in BW among the intervention group was 1.0 kg (95% CI -1.7, -0.2) lower than in the control group, with p-value = 0.015. Furthermore, changes in mean BMI and BP over the 20-week follow-up period in intervention participants were recognized. Conclusions Our study demonstrates that daily self-weighing combined with personalized counseling led by VHV is feasible and can induce weight loss among adults with obesity in a rural community. In addition, the weight-loss program may be a promising additional tool for reducing BP. Trial registration Trial identification number was TCTR20201020004; first submitted date: 20/10/2020.

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“…The prevalence of COPD in the Thai population is about 5% [12,13]. Because both conditions are closely interrelated and COPD temporal effect on long-term stroke outcomes had a few studies, this study aims to investigate the effect of COPD on hospital outcomes and long-term survival among stroke patients using propensity score matching.…”

Section: Introductionmentioning

confidence: 99%

Propensity Score Analysis of the Association between Chronic Obstructive Lung Disease and Stroke Outcome: Thailand’s National Database

et al. 2022

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Introduction: The impact of coexisting chronic obstructive lung disease (COPD) in patients with stroke remains unclear. This study aims to investigate the effect of COPD on survival and hospital outcomes among stroke patients. Methods: The outcomes of patients with stroke between fiscal years 2005 and 2017 from Thailand’s Universal Coverage Scheme database were compared between COPD and non-COPD patients using propensity score matching and flexible parametric survival model. Results: A total of 805,561 patients were admitted with stroke during the study period, 12,650 (1.92%) of whom had been diagnosed with COPD. Participants with COPD were significantly older, were more likely to be male, and had higher prevalences of pre-existing atrial fibrillation, ischemic heart disease, and heart failure and a higher incidence of ischemic stroke (p < 0.001). The propensity score-matched groups were well balanced in terms of all observed covariates. Participants with COPD had higher incidences of pneumonia (odds ratio [OR] 1.98, 95% confidence interval [CI]: 1.83–2.15), urinary tract infection (OR 1.27, 95% CI: 1.14–1.42), sepsis (OR 1.50, 95% CI: 1.32–1.70), cardiac arrest (OR 1.50, 95% CI: 1.19–1.88), respiratory failure (OR 1.82, 95% CI: 1.69–1.96), acute kidney injury (OR 1.29, 95% CI: 1.14–1.46), and in-hospital death (OR 1.21, 95% CI: 1.13–1.30) than those without. The impact of COPD on mortality was highest at day 93 (hazard ratio [HR] 1.73, 95% CI: 1.60–1.87) and nonsignificant at day 965 of follow-up (HR 1.08, 95% CI: 1.00–1.16). Conclusions: COPD was associated with respiratory, cardiac, renal, and infectious complications and significantly impacted survival for up to 2.6 years.

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<p>Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease Among Agriculturists in a Rural Community, Central Thailand</p>

Cited by 11 publications

References 55 publications

Farming, pesticide exposure and respiratory health: a cross-sectional study in Thailand

Farming, pesticide exposure and respiratory health: a cross-sectional study in Thailand

Effect of the weight-loss program using daily self-weighing combined with personalized counseling led by village health volunteers in adults with obesity in a rural community, Thailand: a randomized controlled trial

Propensity Score Analysis of the Association between Chronic Obstructive Lung Disease and Stroke Outcome: Thailand’s National Database

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