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KMID : 0928320150150040161
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Korean Journal of Health Promotion and Disease Prevention
2015 Volume.15 No. 4 p.161 ~ p.167
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Association between Respiratory Function and Albuminuria among Korean Male according to Smoking Status: The 2011 Korea National Health and Nutrition Examination Survey (KNHANES)
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정하지:Jung Ha-Ji
최창진:Choi Chang-Jin/최한나:Choi Han-Na/윤현수:Yoon Hyun-Soo/여의향:Yeo Ui-Hyang/은영미:Uen Young-Mi/최창진:Choi Chang-Jin
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Abstract
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Background: Several studies have found an association between decreased respiratory function and renal impairment
in those with chronic kidney disease. The relationship has not been investigated for healthy smokers.
The aim of this study was to examine the association between respiratory function and renal function according
to smoking status in Korean male population.
Methods: From the 5th Korean National Health and Nutrition Examination Survey (KNHANES), we enrolled
1246 male participants who were 40 years or older. As a cross?sectional study, the association between respiratory
function and renal function were analysed depending on the ’ smoking status. Pearson correlation analysis
was used to find the association between respiratory function and renal impairment. Covariance Analysis allowed
to compare renal function (albuminuria, eGFR) with respiratory function (FEV1, FVC) according to smoking
status.
Results: Regardless of smoking status, there was a negative correlation between respiratory function (FEV1
and FVC) and urinary albumin to creatinine ratio (LogUACR), and positive correlation between respiratory function
(FEV1 and FVC) and estimated glomerular filtration rate (eGFR). Smokers have lower FEV1 and FVC in
case they have albuminuria, after adjusting for covariant (P＝0.012, P＝0.010, respectively).
Conclusions: Respiratory function was significantly lower in male smokers with albuminuria. Primary care
physicians need to recognize that albuminuria may accompany with decreased respiratory function and to detect
renal function impairment earlier in male smokers.
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KEYWORD
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Smoking, Respiratory function, Renal function, NHANES
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