Chronic obstructive pulmonary disease in five Latin American cities (the PLATINO study): a prevalence study
Chronic obstructive pulmonary disease in five Latin American cities (the PLATINO study): a prevalence study
Ana Maria B Menezes , Rogelio Perez-Padilla, JoséRoberto B Jardim, Adriana Muiño, Maria Victorina Lopez, Gonzalo Valdivia, Maria Montes de Oca, Carlos Talamo, Pedro C Hallal and Cesar G Victora, for the PLATINO Team
Summary
Background
Both the prevalence and mortality attributable to chronic obstructive pulmonary disease (COPD) seem to be increasing in low-income and middle-income countries, but few data are available. The aim of the PLATINO study, launched in 2002, was to describe the epidemiology of COPD in five major Latin American cities: São Paulo (Brazil), Santiago (Chile), Mexico City (Mexico), Montevideo (Uruguay), and Caracas (Venezuela).
Methods
A two-stage sampling strategy was used in the five areas to obtain probability samples of adults aged 40 years or older. These individuals were invited to answer a questionnaire and undergo anthropometry, followed by prebronchodilator and postbronchodilator spirometry. We defined COPD as a ratio less than 0·7 of postbronchodilator forced expiratory volume in the first second over forced vital capacity.
Findings
Complete information, including spirometry, was obtained from 963 people in São Paulo, 1173 in Santiago, 1000 in Mexico City, 885 in Montevideo, and 1294 in Caracas. Crude rates of COPD ranged from 7·8% (78 of 1000; 95% CI 5·9–9·7) in Mexico City to 19·7% (174 of 885; 17·2–22·2) in Montevideo. After adjustment for key risk factors, the prevalence of COPD in Mexico City remained significantly lower than that in other cities.
Interpretation
These results suggest that COPD is a greater health problem in Latin America than previously realised. Altitude may explain part of the difference in prevalence. Given the high rates of tobacco use in the region, increasing public awareness of the burden of COPD is important.
Affiliations
Correspondence to: Prof Ana Maria Menezes, Faculdade de Medicina, Universidade Federal de Pelotas, Duque de Caxias, 250 – 3° piso - 96030-002 - Pelotas, RS, Brazil
Ana Maria B Menezes , Rogelio Perez-Padilla, JoséRoberto B Jardim, Adriana Muiño, Maria Victorina Lopez, Gonzalo Valdivia, Maria Montes de Oca, Carlos Talamo, Pedro C Hallal and Cesar G Victora, for the PLATINO Team
Ao menos dois dos autores são membros da lista AMICOR e Ana Maria B. Menezes certamente proverá por uma copia do artigo a quem solicitar.
Summary
Background
Both the prevalence and mortality attributable to chronic obstructive pulmonary disease (COPD) seem to be increasing in low-income and middle-income countries, but few data are available. The aim of the PLATINO study, launched in 2002, was to describe the epidemiology of COPD in five major Latin American cities: São Paulo (Brazil), Santiago (Chile), Mexico City (Mexico), Montevideo (Uruguay), and Caracas (Venezuela).
Methods
A two-stage sampling strategy was used in the five areas to obtain probability samples of adults aged 40 years or older. These individuals were invited to answer a questionnaire and undergo anthropometry, followed by prebronchodilator and postbronchodilator spirometry. We defined COPD as a ratio less than 0·7 of postbronchodilator forced expiratory volume in the first second over forced vital capacity.
Findings
Complete information, including spirometry, was obtained from 963 people in São Paulo, 1173 in Santiago, 1000 in Mexico City, 885 in Montevideo, and 1294 in Caracas. Crude rates of COPD ranged from 7·8% (78 of 1000; 95% CI 5·9–9·7) in Mexico City to 19·7% (174 of 885; 17·2–22·2) in Montevideo. After adjustment for key risk factors, the prevalence of COPD in Mexico City remained significantly lower than that in other cities.
Interpretation
These results suggest that COPD is a greater health problem in Latin America than previously realised. Altitude may explain part of the difference in prevalence. Given the high rates of tobacco use in the region, increasing public awareness of the burden of COPD is important.
Affiliations
Correspondence to: Prof Ana Maria Menezes, Faculdade de Medicina, Universidade Federal de Pelotas, Duque de Caxias, 250 – 3° piso - 96030-002 - Pelotas, RS, Brazil
posted by Aloyzio Achutti at 4:09 PM
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