期刊文献+

哮喘对吸入性糖皮质激素治疗反应性与肥胖的关系 被引量:4

Body mass and glucocorticoid response in asthma
下载PDF
导出
摘要 目的研究体重与肺功能的关系,及哮喘对糖皮质激素的反应性。方法将纳入患者根据BM I分组,给予吸入性糖皮质激素(GCs),定期随访并监测肺功能变化情况。结果①超重及肥胖组的肺功能测量值明显低于消瘦及体重正常组,差异有统计学意义(P<0.05);②超重及肥胖组治疗2周及1个月检测肺功能好转情况均低于消瘦及体重正常组,差异有统计学意义(P<0.05);③超重及肥胖组在各治疗阶段未控制率均高于消瘦及体重正常组,差异有统计学意义(P<0.05)。结论肥胖和超重者的哮喘症状比体重正常者重,其对GCs的反应性也比体重正常者低。 Objective To investigate the relationship between obesity and asthma,and the relationship between obesity and glucocorticoid response in asthma.MethedsA total of 121 petients were divided into three groups,All of them were given Inhaled Corticosteroids,regular followed-up and monitoring their pulmonary function.Results Overweight/obese asthmatic subjects demonstrated small differences in FEV1 and FEV1/FVC% 1evels(P0.05).Overweight/obese asthmatic subjects demonstrated a smaller improvement in FEV1,and FEV1/FVC% levels with inhaled corticosteroid(ICS)treatment(P0.05).Conclusion The symptoms of the overweight/obese asthmatic subjects were worse than others,and the overweight/obese asthmatic subjects were insensitive of inhaled corticosteroid.
出处 《四川医学》 CAS 2010年第5期622-624,共3页 Sichuan Medical Journal
关键词 哮喘 肥胖 糖皮质激素 asthma obesity glucocorticosteroid
  • 相关文献

参考文献9

  • 1WHO.Appropriate body-mass index for asian populations and its implications for policy and intervention strategies[J].Public health,2004,363(9403):157-163.
  • 2Kroegel C.Global initiative for asthma management and preventio-GINA 2006[J].Pneumologie,2007,61(5):295 -304.
  • 3Schachter LM,Salome CM,Pest JK,et al.Obesity is fl risk for asthma and wheeze but not airway byperresponsiveness[J].Thorax,2001,56 (1):4-8.
  • 4Castm-Rodriguez JA,Holberg CJ,Morgan WJ,et al.Increased incidence of asthmalike symptoms in girls who become overweight or obese during the school years[J].Am J Respir Crlt Care Med,2001,163 (6):1344-1349.
  • 5Belamarich PF,Luder E,Kalian M,et al.Do obese innercity children with asthma have more symptoms than nonobese children with asthma[J].Pediatrics,2000,106(6):1436-1441.
  • 6Konig SM.Pulmonary complications of obsity[J].Am J Med Sci,2001,321(4):249-279.
  • 7Fantuzzi C.Adipose tissue,adipokines,and inflammation[J].J Allergy Clin Immunol,2005,115(5):911-919.
  • 8Webster JC,Oakley RH,Jewell CM.et al.Proinnammatory cytokines regulate human glucocorticoid receptor gene expression and lead to the accumulation of the dominant negative bisoform:a mechanism for the generation of glucocorticoid resistance[J].Proc Natl Acad Sci USA,2001,98(12):6865-6870.
  • 9E Rand S,Elena G,Matthew S,et al.Body mass and glucocorticoid response in asthma[J].Am J Respir Crit Care Med,2008,178(7):682-687.

同被引文献32

  • 1Van Veen IH, Ten Brinke A, Sterk PJ,et al. Airway inflammation in obese andnonobese patients with diflicult-to-treatasthma[J]. Allergy,2008,63(5):570-574.
  • 2Lang JE, Hossain J, Smith K, et al. As-thma severity, exacerbation risk, and con-troller treatment burden in underweightand obese children[J]. J Asthma,2012,49(5):456-463.
  • 3Jaijour NN, Erzurum SC, Bleecker ER, etal. Severe asthma: lessons learned fromthe National Heart, Lung, and Blood Insti-tute Severe Asthma Research Program [J].Am J Respir Crit Care Med,2012,185(4):356-362.
  • 4Jaijour NN, Erzurum SC, Bleecker ER, etal. Severe asthma: lessons learned fromthe National Heart, Lung, and Blood Insti-tute Severe Asthma Research Program [J].Am J Respir Crit Care Med,2012,185(4):356-362..
  • 5Huang F, del-Rio-Navarro BE, AlcantaraST, et al. Plasminogen activator inhibitor-1,fibrinogen, and lung fimction in adolescentswith asthma and obesity [J]. Endocr Res,2012,37(3):135-144.
  • 6Lavoie KL, Bacon SL, Labrecque M, et al.Higher BMI is associated with worse as-thma control and quality of life but not as-thma severity [J]. Respir Med, 2006,100(4):648-657.
  • 7Saint-Pierre P, Bourdin A, Chanez P, et al.Are overweight asthmatics more difficultto control [J]. Allergy,2006,61(1):79-84.
  • 8Ford ES. The epidemiology of obesity and asthma[J].J Allergy Clin Immunol, 2005, 115(5): 897-909.
  • 9Beuther DA, Sutherland ER. Overweight, obesity, and incident asthma: a meta-analysis of prospective epidemiologic studiesJ J]. AmJ Respir Crit Care Med, 2007,175(7): 661-666.
  • 10Boulet LP, Franssen E. Influence of obesity on response to f1uticasone with or without salmeterol in moderate asthma]] I. Respir Med, 2007,101(11): 2240-2247.

引证文献4

二级引证文献27

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部