Prevalence of COPD and tobacco smoking in Tunisia - Results from the BOLD study

Hager Daldoul, Meriam Denguezli, Anamika Jithoo, Louisa Gnatiuc, Sonia Buist, Peter Burney, Zouhair Tabka, Imed Harrabi

Research output: Contribution to journalArticlepeer-review

36 Scopus citations


In Tunisia, there is a paucity of population-based data on Chronic Obstructive Pulmonary Disease (COPD) prevalence. To address this problem, we estimated the prevalence of COPD following the Burden of Lung Disease Initiative. We surveyed 807 adults aged 40+ years and have collected information on respiratory history and symptoms, risk factors for COPD and quality of life. Post-bronchodilator spirometry was performed and COPD and its stages were defined according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines. Six hundred and sixty one (661) subjects were included in the final analysis. The prevalence of GOLD Stage I and II or higher COPD were 7.8% and 4.2%, respectively (Lower Limit of Normal modified stage I and II or higher COPD prevalence were 5.3% and 3.8%, respectively). COPD was more common in subjects aged 70+ years and in those with a BMI < 20 kg/m2. Prevalence of stage I+ COPD was 2.3% in <10 pack years smoked and 16.1% in 20+ pack years smoked. Only 3.5% of participants reported doctor-diagnosed COPD. In this Tunisian population, the prevalence of COPD is higher than reported before and higher than self-reported doctor-diagnosed COPD. In subjects with COPD, age is a much more powerful predictor of lung function than smoking.

Original languageEnglish (US)
Pages (from-to)7257-7271
Number of pages15
JournalInternational journal of environmental research and public health
Issue number12
StatePublished - Dec 17 2013


  • BOLD
  • COPD
  • Prevalence
  • Smoking
  • Tunisia

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


Dive into the research topics of 'Prevalence of COPD and tobacco smoking in Tunisia - Results from the BOLD study'. Together they form a unique fingerprint.

Cite this