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The Joint Effects of Some Beverages Intake and Smoking on Chronic Obstructive Pulmonary Disease in Korean Adults: Data Analysis of the Korea National Health and Nutrition Examination Survey (KNHANES), 2008–2015

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  • Ji Eun Min

    (School of Health and Environmental Science, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Korea)

  • Da-An Huh

    (Department of Health Science, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Korea)

  • Kyong Whan Moon

    (Department of Health Science, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Korea)

Abstract

Some beverages and smoking cause an inflammatory response in the lungs and airways in a similar way, ultimately affecting chronic obstructive pulmonary disease (COPD) occurrence. Using a nationally representative health survey database, this study investigates the individual and joint effects of consumption of different beverages and smoking on COPD. This study is a cross-sectional analysis of 15,961 Korean adults in the Korea National Health and Nutritional Examination Survey of 2008–2015. COPD was defined as forced expiratory volume in 1 s (FEV 1 ) divided by forced vital capacity (FVC) <0.70. We used multiple linear and logistic regression models to examine the association of beverage consumption and smoking with an FEV 1 /FVC ratio and odds ratio (OR) for COPD. The mean FEV 1 /FVC ratio decreased with increasing soda intake ( p = 0.016), coffee intake ( p = 0.031), and smoking status; however, the mean FEV 1 /FVC ratio increased with increasing green tea intake frequency ( p = 0.029). When soda intake increased to 10 times/month, the OR of having COPD increased to 1.04 times (95% CI: 1.01, 1.07). The positive joint effect of soda intake and smoking on COPD was marginally significant ( p = 0.058). We found that soda intake, coffee intake, and smoking increased airflow limitation while green tea intake decreased it. In addition, soda intake and smoking had a positive joint effect on COPD in the Korean population.

Suggested Citation

  • Ji Eun Min & Da-An Huh & Kyong Whan Moon, 2020. "The Joint Effects of Some Beverages Intake and Smoking on Chronic Obstructive Pulmonary Disease in Korean Adults: Data Analysis of the Korea National Health and Nutrition Examination Survey (KNHANES),," IJERPH, MDPI, vol. 17(7), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2611-:d:343983
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    References listed on IDEAS

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    1. Chao Cao & Ran Wang & Jianmiao Wang & Hansvin Bunjhoo & Yongjian Xu & Weining Xiong, 2012. "Body Mass Index and Mortality in Chronic Obstructive Pulmonary Disease: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-8, August.
    2. Rafael Laniado-Laborín, 2009. "Smoking and Chronic Obstructive Pulmonary Disease (COPD). Parallel Epidemics of the 21 st Century," IJERPH, MDPI, vol. 6(1), pages 1-16, January.
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