Study of Severity of Syndrome-X on Lung Function Impairment in Indian Population

P. Choudhary, M. Jaipal
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Abstract

Background and Aim: Syndrome-X and impaired lung functions both have been associated with an increased jeopardy of coronary heart disease (CHD) in the middle aged Indian population. The aim of present study was to investigate the Severity of Syndrome-X on Lung Function Impairment in Indian Population. Methods: This cross sectional study was done among 200 syndrome-X patients at C. U. Shah Medical College, Gujarat, India for the period of three years from July 2012 to June 2015. They were divided into three groups on basis of presence of numbers of components of Syndrome-X. Syndrome-X was defined, National cholesterol Education Program’s-Adult Treatment Panel III Criteria. Anthropometric measurements, blood pressure and lung functions were measured. Fasting blood samples were analyzed to measured glucose, triglyceride and high-density lipoprotein (HDL-c) cholesterol. Statistical analysis was done by SPSS windows version 20.0 software. Results: The prevalence of components in syndrome-X patients was 48.5% with 3, 33.5% with 4 and 18% with 5 components of syndrome-X. The lung functions variables (FVC; P<0.05, FEV1; P<0.001, FEV3; P<0.05, FEFR; P<0.001 and FEF25-75%; P<0.0001) were significantly decreases in patients having 4 or 5 components of syndrome-X as compared to patients having 3 components. Conclusion: It is concluded from present study that the frequency of components of syndrome-X was significantly associated with lung functions impairment. Therefore, this study suggests that lung function test may be useful as an additional evaluation for the syndrome–X in a clinical practice.
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印度人群肺功能损害X综合征严重程度的研究
背景和目的:在印度中年人群中,x综合征和肺功能受损都与冠心病(CHD)的危险增加有关。本研究的目的是调查x综合征对印度人群肺功能损害的严重程度。方法:本横断面研究于2012年7月至2015年6月在印度古吉拉特邦c.u. Shah医学院对200例x综合征患者进行了为期三年的研究。他们被分为三组的基础上存在的成分的数量综合症- x。根据国家胆固醇教育计划成人治疗小组III标准定义了x综合征。测量了人体测量、血压和肺功能。分析空腹血液样本,测量葡萄糖、甘油三酯和高密度脂蛋白(HDL-c)胆固醇。采用SPSS windows 20.0软件进行统计分析。结果:x综合征患者中3组成分的患病率为48.5%,4组成分的患病率为33.5%,5组成分的患病率为18%。肺功能变量(FVC;P < 0.05,残;FEV3 P < 0.001;FEFR P < 0.05;P<0.001, fef25 ~ 75%;P<0.0001),与具有3个成分的患者相比,具有4个或5个成分的患者显著降低。结论:本研究得出x综合征各成分出现频率与肺功能损害显著相关。因此,本研究提示肺功能测试可能在临床实践中作为x综合征的附加评估有用。
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