{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T05:45:17Z","timestamp":1782711917266,"version":"3.54.5"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic obstructive pulmonary disease (COPD) and heart failure (HF) are two major chronic conditions that frequently coexist, compounding clinical complications and disability. However, the global burden of COPD attributable to HF remains insufficiently characterized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comprehensive global analysis was conducted to evaluate trends in COPD prevalence and years lived with disability (YLDs) attributable to HF across 204 countries and territories. Standardized epidemiological estimates were derived through harmonized data sources and modeling frameworks. The results were stratified by sex, age group, region, and sociodemographic index (SDI). Temporal trends were quantified using the estimated annual percentage change (EAPC), and the association between national prevalence and SDI was examined using Spearman's rank correlation analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Globally, COPD cases attributable to HF rose from 1\u2009504\u2009707 to 3\u2009613\u2009136, and the prevalence rate increased from 28.21 to 45.79 per 100\u2009000 population (EAPC: +1.33). YLDs grew from 134\u2009013 to 321\u2009753, with the rate increasing from 2.51 to 4.08 per 100\u2009000. Males experienced slightly greater increases than females, suggesting a somewhat heavier burden. Although the EAPCs across all age groups remained relatively stable, adults aged 75\u2009years and older exhibited the highest prevalence and YLDs. In 2021, the highest prevalence rates were observed in East Asia (104.9 per 100\u2009000), Australasia (90.69 per 100\u2009000), and North America (78.56 per 100\u2009000). At the national level, Canada (115.9 per 100\u2009000), Denmark (112.08 per 100\u2009000), and France (98.16 per 100\u2009000) reported the highest rates, reflecting substantial burden in high\u2010SDI countries. A moderate positive correlation was identified between COPD prevalence and national SDI (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u20090.383,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The global burden of COPD attributable to HF is increasing and exhibits marked geographic disparities, with rising trends in both low\u2010income regions and aging, industrialized countries. These findings emphasize the need for integrated comorbidity management and region\u2010specific health strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70324","type":"journal-article","created":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T10:51:18Z","timestamp":1767610278000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Declining Prevalence and Disability Burden of Chronic Obstructive Pulmonary Disease Associated With Heart Failure"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6121-5744","authenticated-orcid":false,"given":"Shengjie","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine The Affiliated Hospital of Yangzhou University  Yangzhou Jiangsu 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