Risk factors for idiopathic pulmonary fibrosis in a Mexican population. A case-control study

Summary The etiology of idiopathic pulmonary fibrosis (IPF) remains poorly understood, but some studies have suggested that cigarette smoking or other occupational or environmental exposures, diabetes mellitus, or gastroesophageal reflux may play a role. In this study we evaluated the clinical recor...

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Veröffentlicht in:Respiratory medicine 2010-02, Vol.104 (2), p.305-309
Hauptverfasser: García-Sancho Figueroa, Ma. Cecilia, Carrillo, Guillermo, Pérez-Padilla, Rogelio, Fernández-Plata, Ma. Rosario, Buendía-Roldán, Ivette, Vargas, Mario H, Selman, Moisés
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container_end_page 309
container_issue 2
container_start_page 305
container_title Respiratory medicine
container_volume 104
creator García-Sancho Figueroa, Ma. Cecilia
Carrillo, Guillermo
Pérez-Padilla, Rogelio
Fernández-Plata, Ma. Rosario
Buendía-Roldán, Ivette
Vargas, Mario H
Selman, Moisés
description Summary The etiology of idiopathic pulmonary fibrosis (IPF) remains poorly understood, but some studies have suggested that cigarette smoking or other occupational or environmental exposures, diabetes mellitus, or gastroesophageal reflux may play a role. In this study we evaluated the clinical records of a group of 97 consecutive patients with IPF, and 560 patients suffering 5 different respiratory disorders that were examined as controls: asthma ( n = 111), chronic obstructive pulmonary disease ( n = 132), squamous cell lung carcinoma ( n = 118), lung adenocarcinoma ( n = 101) and patients with otorhinolaryngology problems but without lung disease ( n = 98). In bivariate analyses male sex, diabetes mellitus and being former cigarette smoker were associated with IPF. After adjusting by these variables, multivariate analysis revealed that type 2 diabetes mellitus [11.3% in IPF patients vs 2.9% in controls, OR = 4.3 (95% CI: 1.9–9.8), p < 0.0001] was an independent risk factor associated to IPF. Our results provide additional evidence of a putative relationship between DM2 and idiopathic pulmonary fibrosis. Experimental research is necessary for thorough assessment of the pathogenic mechanisms involved in this association.
doi_str_mv 10.1016/j.rmed.2009.08.013
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source MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals
subjects Asthma
Biological and medical sciences
Carcinoma, Squamous Cell - complications
Case-Control Studies
Confidence intervals
Diabetes mellitus
Diabetes Mellitus, Type 2 - complications
Diabetes. Impaired glucose tolerance
Disease
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Gender
Humans
Idiopathic Pulmonary Fibrosis - etiology
Infections
Lung diseases
Lung Neoplasms - complications
Male
Medical sciences
Mexico
Middle Aged
Pneumology
Prognosis
Pulmonary fibrosis
Pulmonary/Respiratory
Questionnaires
Respiratory system : syndromes and miscellaneous diseases
Retrospective Studies
Risk Factors
Smoking - adverse effects
Smoking cigarette
Studies
Tobacco smoke
Tobacco, tobacco smoking
Toxicology
title Risk factors for idiopathic pulmonary fibrosis in a Mexican population. A case-control study
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