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spelling Quality of life associated with breathlessness in the multinational Burden of Obstructive Lung Disease (BOLD) studyA cross-sectional analysisbreathlessnessDyspnoeaquality of lifePulmonary and Respiratory MedicinePublisher Copyright: © 2025 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.Introduction: Evidence of an association between breathlessness and quality of life from population-based studies is limited. We aimed to investigate the association of both physical and mental quality of life with breathlessness across several low-, middle- and high-income countries. Methods: We analysed data from 19 714 adults (31 sites, 25 countries) from the Burden of Obstructive Lung Disease (BOLD) study. We measured both mental and physical quality of life components using the SF-12 questionnaire, and defined breathlessness as grade ≥2 on the modified Medical Research Council scale. We used multivariable linear regression to assess the association of each quality-of-life component with breathlessness. We pooled site-specific estimates using random-effects meta-analysis. Results: Both physical and mental component scores were lower in participants with breathlessness compared to those without. This association was stronger for the physical component (coefficient = −7.59; 95%CI −8.60, −6.58; I2 = 78.5%) than for the mental component (coefficient = −3.50; 95%CI −4.36, −2.63; I2 = 71.4%). The association between physical component and breathlessness was stronger in high-income countries (coefficient = −8.82; 95%CI −10.15, −7.50). Heterogeneity across sites was partly explained by sex and tobacco smoking. Conclusion: Quality of life is worse in people with breathlessness, but this association varies widely across the world.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNMüller, AlexanderWouters, Emiel F.M.Burney, PeterPotts, JamesCardoso, JoaoAl Ghobain, MohammedStudnicka, MichaelObaseki, DanielElsony, AsmaMortimer, KevinMannino, DavidJõgi, RainAhmed, RanaNafees, AsaadRodrigues, Maria FatimaBárbara, CristinaNielsen, RuneGíslason, ThorarinnCherkaski, Hamid HaceneEl Rhazi, KarimaJanson, ChristerAnand, Mahesh PadukudruJuvekar, SanjayDias, Herminia BritesFranssen, Frits M.E.Agarwal, DhirajHartl, SylviaSeemungal, TerenceParaguas, Stefanni NonnaHarrabi, ImedDenguezli, MeriamRashid, AbdulErhabor, GregoryBiaze, Mohammed ElKoul, ParvaizJanssen, Daisy J.A.Amaral, André F.S.2025-04-26T21:26:29Z2025-042025-04-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/182630eng2531-0429PURE: 115354713https://doi.org/10.1080/25310429.2025.2470566info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-05-19T01:39:19Zoai:run.unl.pt:10362/182630Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T06:33:32.692290Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Quality of life associated with breathlessness in the multinational Burden of Obstructive Lung Disease (BOLD) study
A cross-sectional analysis
title Quality of life associated with breathlessness in the multinational Burden of Obstructive Lung Disease (BOLD) study
spellingShingle Quality of life associated with breathlessness in the multinational Burden of Obstructive Lung Disease (BOLD) study
Müller, Alexander
breathlessness
Dyspnoea
quality of life
Pulmonary and Respiratory Medicine
title_short Quality of life associated with breathlessness in the multinational Burden of Obstructive Lung Disease (BOLD) study
title_full Quality of life associated with breathlessness in the multinational Burden of Obstructive Lung Disease (BOLD) study
title_fullStr Quality of life associated with breathlessness in the multinational Burden of Obstructive Lung Disease (BOLD) study
title_full_unstemmed Quality of life associated with breathlessness in the multinational Burden of Obstructive Lung Disease (BOLD) study
title_sort Quality of life associated with breathlessness in the multinational Burden of Obstructive Lung Disease (BOLD) study
author Müller, Alexander
author_facet Müller, Alexander
Wouters, Emiel F.M.
Burney, Peter
Potts, James
Cardoso, Joao
Al Ghobain, Mohammed
Studnicka, Michael
Obaseki, Daniel
Elsony, Asma
Mortimer, Kevin
Mannino, David
Jõgi, Rain
Ahmed, Rana
Nafees, Asaad
Rodrigues, Maria Fatima
Bárbara, Cristina
Nielsen, Rune
Gíslason, Thorarinn
Cherkaski, Hamid Hacene
El Rhazi, Karima
Janson, Christer
Anand, Mahesh Padukudru
Juvekar, Sanjay
Dias, Herminia Brites
Franssen, Frits M.E.
Agarwal, Dhiraj
Hartl, Sylvia
Seemungal, Terence
Paraguas, Stefanni Nonna
Harrabi, Imed
Denguezli, Meriam
Rashid, Abdul
Erhabor, Gregory
Biaze, Mohammed El
Koul, Parvaiz
Janssen, Daisy J.A.
Amaral, André F.S.
author_role author
author2 Wouters, Emiel F.M.
Burney, Peter
Potts, James
Cardoso, Joao
Al Ghobain, Mohammed
Studnicka, Michael
Obaseki, Daniel
Elsony, Asma
Mortimer, Kevin
Mannino, David
Jõgi, Rain
Ahmed, Rana
Nafees, Asaad
Rodrigues, Maria Fatima
Bárbara, Cristina
Nielsen, Rune
Gíslason, Thorarinn
Cherkaski, Hamid Hacene
El Rhazi, Karima
Janson, Christer
Anand, Mahesh Padukudru
Juvekar, Sanjay
Dias, Herminia Brites
Franssen, Frits M.E.
Agarwal, Dhiraj
Hartl, Sylvia
Seemungal, Terence
Paraguas, Stefanni Nonna
Harrabi, Imed
Denguezli, Meriam
Rashid, Abdul
Erhabor, Gregory
Biaze, Mohammed El
Koul, Parvaiz
Janssen, Daisy J.A.
Amaral, André F.S.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Müller, Alexander
Wouters, Emiel F.M.
Burney, Peter
Potts, James
Cardoso, Joao
Al Ghobain, Mohammed
Studnicka, Michael
Obaseki, Daniel
Elsony, Asma
Mortimer, Kevin
Mannino, David
Jõgi, Rain
Ahmed, Rana
Nafees, Asaad
Rodrigues, Maria Fatima
Bárbara, Cristina
Nielsen, Rune
Gíslason, Thorarinn
Cherkaski, Hamid Hacene
El Rhazi, Karima
Janson, Christer
Anand, Mahesh Padukudru
Juvekar, Sanjay
Dias, Herminia Brites
Franssen, Frits M.E.
Agarwal, Dhiraj
Hartl, Sylvia
Seemungal, Terence
Paraguas, Stefanni Nonna
Harrabi, Imed
Denguezli, Meriam
Rashid, Abdul
Erhabor, Gregory
Biaze, Mohammed El
Koul, Parvaiz
Janssen, Daisy J.A.
Amaral, André F.S.
dc.subject.por.fl_str_mv breathlessness
Dyspnoea
quality of life
Pulmonary and Respiratory Medicine
topic breathlessness
Dyspnoea
quality of life
Pulmonary and Respiratory Medicine
description Publisher Copyright: © 2025 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
publishDate 2025
dc.date.none.fl_str_mv 2025-04-26T21:26:29Z
2025-04
2025-04-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/182630
url http://hdl.handle.net/10362/182630
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2531-0429
PURE: 115354713
https://doi.org/10.1080/25310429.2025.2470566
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