Risk Factors

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Predisposing Factors

Age (>40 years old)


Sex (Male)
Alpha-1 Antitrypsin Deficiency (AATD). Alpha-1 antitrypsin (AAT) deficiency is a
condition that raises your risk for lung and other diseases. AAT is a protein made in the
liver to help protect the lungs. If the body does not make enough AAT, the lungs are more
easily damaged from smoking, pollution, or dust from the environment. This can lead to
COPD. AAT deficiency runs in families. Many people do not know that they have it, but
early diagnosis can help prevent COPD and other serious lung diseases.

Allergies. Allergies can cause inflammation in the lungs. This inflammation can
result in coughing, wheezing, shortness of breath, and other symptoms. Allergies and
exposure to environmental pollutants can make COPD symptoms worse.

Childhood Asthma. Asthma triggers often include allergens such as pollen, dust
mites, cockroaches, molds, and animal dander. Allergens can make COPD symptoms
worse. And if left untreated, allergies and asthma can increase the chances of COPD in
certain individuals. While many children outgrow the symptoms of asthma, lasting
damage to their lung function could be an early marker of later respiratory diseases such
as chronic obstructive pulmonary disorder (COPD).

Precipitating Factors
Bronchopulmonary dysplasia (BPD). Babies aren't born with the condition. It
happens when a baby has been on oxygen or on a breathing machine for a long time.
This can damage the lungs, causing inflammation (swelling and irritation) and scarring.
As a result, the lungs do not develop as they should. It’s more common in premature
babies.
Cigarette smoking/ Exposure to second hand smoke.
Occupational Exposures (dusts, fumes, silica and chemicals). Chronic
obstructive pulmonary disease (COPD) is caused by exposure to noxious particles and
gases. Occupational exposure to vapours, gases, dusts and fumes contributes to the
development and progression of COPD, accounting for a population attributable fraction
of 14%. The lungs react to irritating substances by developing inflammation that makes
the airways narrow from muscle tightness, swelling, and mucus. These changes in the
airways cause exacerbations of the COPD.
Air pollution (biomass fuel/ coal)
Socioeconomic status.
Infectious (HIV/ TB).

Alpha-1 Antitrypsin Deficiency | NHLBI, NIH. (2022, March 24). NHLBI, NIH.
https://www.nhlbi.nih.gov/health/alpha-1-antitrypsin-deficiency#:~:text=Alpha
%2D1%20antitrypsin%20(AAT),This%20can%20lead%20to%20COPD.

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