Obstructive Lung Diseases |

Unhealthy Behavior Lifestyle and Nonadherence to Recommended Clinical Preventive Recommendation in COPD Patients FREE TO VIEW

Alicia Oliva Ramos, MD; Javier de Miguel Díez, PhD; Rodrigo Jimenez García, PhD; Milagros Llanos Flores, MD; Irene María Jarana Aparicio, MD; Julio César Vargas Espinal, MD; Valentín Hernández Barrera, PhD; Pilar Carrasco Garrido, PhD
Author and Funding Information

Servicio de Neumología, Hospital General Universitario Gregorio Marañón, Madrid, Spain

Chest. 2014;145(3_MeetingAbstracts):397A. doi:10.1378/chest.1831710
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SESSION TITLE: COPD Comorbidity Posters

SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PM

PURPOSE: To analyze clustering of unhealthy lifestyle behavior and its relationship with non-adherence to recommended clinical preventive care services among Spanish COPD patients.

METHODS: Cross-sectional study including 2,575 COPD patients from the 2006 Spanish National Health Survey and 2009 European Health Survey for Spain. Subjects were asked about the following recommended preventive practices: uptake of blood pressure (BP) measurement, lipid profile, influenza vaccination and dental examination. Lifestyle behaviors included smoking status, physical activity, alcohol consumption and obesity. Logistic regression models were built to assess the association between clustering of unhealthy lifestyle and the uptake of preventive activities.

RESULTS: Blood pressure measurement in the previous 6 months and blood lipid test in the last year had not been taken by 11.74% and 23.26% of the subjects respectively in 2006 NHS and by 11.16% and 16.33% of the subjects respectively in EHISS 2009. 36.36% percent had not been vaccinated and 70.61% had not received dental examination in 2006 NHS and these percentages changed to 27.33% and 66.22% respectively in 2009 EHISS. Higher number of unhealthy lifestyle behaviors increased the probability of not being vaccinated and not having a dental problem. Clustering of unhealthy lifestyle behaviors is linearly associated with a greater number of preventive measures unfulfilled.

CONCLUSIONS: Compliance with healthy lifestyles and adherence to recommended clinical preventive services is under desirable levels among Spanish COPD patients. Patients with worse lifestyles are those who also have lower uptake of recommended preventive activities. Interventions are required to identify and modify the behaviors and adherence among those who are at greatest risk for comorbid complications.

CLINICAL IMPLICATIONS: Patients with worse lifestyles are those who also have lower uptake of recommended preventive activities.

DISCLOSURE: The following authors have nothing to disclose: Alicia Oliva Ramos, Javier de Miguel Díez, Rodrigo Jimenez García, Milagros Llanos Flores, Irene María Jarana Aparicio, Julio César Vargas Espinal, Valentín Hernández Barrera, Pilar Carrasco Garrido

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