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Patients with respiratory disease suffer high rates of co-morbidities, new research shows.

COPD patients were at a three-fold risk of osteoporosis, a doubled risk of respiratory infection and 70 per cent increased risk of angina.

The study of 10,000 UK patients, published in Chest this month, also found increased risks with asthma, although overall occurrence was lower.

Study researcher Dr Anna Hansell, senior lecturer in the department of epidemiology and public health at Imperial College London, said: 'GPs need to have an increased awareness and threshold of suspicion, particularly for heart disease.'

She added: 'We were rather surprised 90 per cent of COPD cases didn't have a record of smoking history. That may impact on their future treatment.'

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