Ontology highlight
ABSTRACT: Objectives
Lifestyle may affect observed associations between glucocorticoid use and adverse events. This study aimed to investigate whether lifestyle differ according to use of systemic glucocorticoids.Design
Population-based cross-sectional study.Setting
The Central Denmark Region.Participants
30?245 adults (?25 years of age) who participated in a questionnaire-based public health survey in 2010.Outcome measures
Systemic glucocorticoid use was categorised as never use, current use (prescription redemption ?90 days before completing the questionnaire), recent use (prescription redemption 91-365 days before completing the questionnaire), former use (prescription redemption >365 days before completing the questionnaire) and according to cumulative dose expressed in prednisolone equivalents (<100, 100-499, 500-999, 1000-1999, 2000-4999, ?5000?mg). We computed the prevalence of lifestyle factors (body mass index, smoking, alcohol intake, physical activity and dietary habits) according to glucocorticoid use. We then estimated age-adjusted prevalence ratios (aPRs) and 95% CIs, comparing the categories of glucocorticoid users versus never users. All analyses were stratified by sex.Results
Of the 30?245 participants (53% women, median age 53 years), 563 (1.9%) were current users, 885 (2.9%) were recent users, 3054 (10%) were former users and 25?743 (85%) were never users. Ever users of glucocorticoids had a slightly higher prevalence of obesity than never users (18% vs 14%, aPR=1.4, 95%?CI 1.2 to 1.5 in women and 17% vs 15%, aPR=1.2, 95%?CI 1.1 to 1.4 in men). In women, ever users of glucocorticoids had a slightly lower prevalence of high-risk alcohol consumption compared with never users (17% vs 20%, aPR=0.8, 95%?CI 0.7 to 1.0). Smoking, diet and physical activity did not differ substantially according to use of glucocorticoids.Conclusion
Our study provides a framework for quantifying potential uncontrolled confounding by lifestyle factors in studies of systemic glucocorticoids.
SUBMITTER: Laugesen K
PROVIDER: S-EPMC6830647 | biostudies-literature | 2019 Oct
REPOSITORIES: biostudies-literature
Laugesen Kristina K Petersen Irene I Pedersen Lars L Breinholt Larsen Finn F Jørgensen Jens Otto Lunde JOL Sørensen Henrik Toft HT
BMJ open 20191028 10
<h4>Objectives</h4>Lifestyle may affect observed associations between glucocorticoid use and adverse events. This study aimed to investigate whether lifestyle differ according to use of systemic glucocorticoids.<h4>Design</h4>Population-based cross-sectional study.<h4>Setting</h4>The Central Denmark Region.<h4>Participants</h4>30 245 adults (≥25 years of age) who participated in a questionnaire-based public health survey in 2010.<h4>Outcome measures</h4>Systemic glucocorticoid use was categorise ...[more]