The hidden impact of H. pylori infection on lung health :- Medznat
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Systemic effects of H. pylori: New insights into COPD and asthma development

Chronic obstructive pulmonary disease, Asthma Chronic obstructive pulmonary disease, Asthma
Chronic obstructive pulmonary disease, Asthma Chronic obstructive pulmonary disease, Asthma

Helicobacter pylori (H. pylori), a well-known cause of peptic ulcers, triggers long-term systemic inflammation.

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Key take away

H. pylori infection increases the risk of developing COPD and asthma, independent of smoking status.

Background

Helicobacter pylori (H. pylori), a well-known cause of peptic ulcers, triggers long-term systemic inflammation. Chronic obstructive pulmonary disease (COPD) and asthma are also driven by inflammatory mechanisms in the airways. This study evaluated whether H. pylori infection elevates the risk of developing COPD or asthma in a nationwide Korean cohort.

Method

The researchers retrieved data from the Korean National Health Insurance Database for adults ≥40 years who received H. pylori elimination therapy.

  • A cohort of 33,017 infected individuals was identified and matched with 1,68,524 controls.
  • Participants were monitored until December 2019. Utilizing multivariate Cox proportional hazards models, adjusted hazard ratios (aHR) for COPD and asthma were examined after accounting for smoking and other confounding factors.
  • Subgroup assessments were performed by age and smoking status to evaluate differential risk patterns.

Result

Among those with H. pylori infection, COPD and asthma incidence rates were 10.92 and 15.99 per 1,000 person-years, respectively. H. pylori infection was linked to a significantly increased risk of COPD and asthma (aHR 1.17, 95% CI 1.12–1.22), independent of smoking status (Table 1).

COPD risk surged most prominently among adults ≥65 years and current smokers, whereas asthma risk remained uniformly elevated across demographic and smoking subgroups.

Conclusion

People infected with H. pylori were more likely to develop COPD and asthma. While asthma risk was stable across demographic and lifestyle factors, COPD risk varied by age and smoking. These results highlight a potential inflammatory link between gastric H. pylori infection and respiratory diseases.

Source:

Gut Pathogens

Article:

Helicobacter pylori infection is associated with an increased risk of chronic obstructive pulmonary disease and asthma

Authors:

Chiwook Chung et al.

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