Prevalence of Vitamin E deficiency and its correlation with symptoms, spirometry, and serum eosinophil in patients of asthma: A pilot study

Anand Patel, Bhamini Ashara, R. Udhwani, Lalithambigai Arumugasamy, M. Adalja
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Abstract

BACKGROUND: Asthma is one of the most prevalent chronic respiratory diseases. Immunomodulatory effects of Vitamin E have been recognized in human and animal models under disease and normal conditions. OBJECTIVE: To observe the serum level of Vitamin E of patients suffering from asthma and to study the relation of serum Vitamin E levels with serum eosinophil, pulmonary function test, and asthma control. MATERIALS AND METHODS: This cross-sectional study was carried out in the Department of Pulmonary Medicine of GMERS Medical College and Hospital, Gotri, Vadodara, Gujarat, on adult patients of asthma. After obtaining a detailed history and performing thorough physical examination of the patient, blood sample was collected for measurement of serum vitamin E and serum eosinophils. Then, patients were subjected to spirometry. Serum Vitamin E levels were measured by the calorimetric method. RESULTS: The serum Vitamin E is lower in asthma patients. The level of serum Vitamin E was significantly lower in patients with severe asthma as compared to mild and moderate asthma as well as it was also significantly lower in patients with uncontrolled asthma as compared to controlled asthma. CONCLUSION: The serum Vitamin E is lower in asthma patients and its level correlated well with spirometry and asthma control test (ACT) scores. Hence, Vitamin E supplementation may be beneficial for patients with poor ACT scores and severe disease in spirometry along with other treatments.
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哮喘患者维生素E缺乏症的患病率及其与症状、肺活量测定和血清嗜酸性粒细胞的相关性:一项初步研究
背景:哮喘是最常见的慢性呼吸系统疾病之一。维生素E的免疫调节作用已在疾病和正常条件下的人类和动物模型中得到确认。目的:观察哮喘患者血清维生素E水平,探讨血清维生素E水平与血清嗜酸性粒细胞、肺功能检查及哮喘控制的关系。材料与方法:本横断面研究在古吉拉特邦Vadodara Gotri GMERS医学院及医院肺内科进行,对象为成年哮喘患者。在获得详细的病史并对患者进行彻底的体格检查后,采集血样用于测定血清维生素E和血清嗜酸性粒细胞。然后对患者进行肺活量测定。用量热法测定血清维生素E水平。结果:哮喘患者血清维生素E水平较低。严重哮喘患者的血清维生素E水平明显低于轻度和中度哮喘患者,未控制哮喘患者的血清维生素E水平也明显低于控制哮喘患者。结论:哮喘患者血清维生素E水平较低,且与肺活量测定和哮喘控制试验(ACT)评分有较好的相关性。因此,补充维生素E可能对ACT评分较低和肺活量测定中疾病严重的患者有益。
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