生化效应与肥胖患者肺功能障碍和并发症的相关性

B. Çeltikçi, Esen Sayın Gülensoy
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摘要

目的:肥胖是一种流行性代谢紊乱,与各种生化、炎症、氧化和免疫途径有关。我们旨在研究超重和肥胖患者的生化指标对肺功能障碍和并发症的影响:我们的目的是对 79 名超重和肥胖患者的生化指标对肺功能障碍和并发症的影响进行回顾性评估。我们评估了包括 CRP 在内的生化值与肺活量测量(如用力肺活量(FVC)和 1 秒用力呼气容积(FEV1))对门诊 79 名超重和肥胖患者的肺功能障碍和并发症的相关影响。结果显示,体重指数(BMI)、FEV1 和 FVC 以及总生化值(包括肌酐、谷草转氨酶、谷丙转氨酶和 CRP 值)之间存在相互关联:结果:通过单变量分析,这些患者的低 FVC 水平、白细胞增多、高 AST 和 ALT 水平以及肥胖合并症与高 BMI 值显著相关。较高的 AST 水平与较高的白细胞计数明显相关,AST 和 ALT 水平与血小板计数明显相关:我们研究了生化指标对肥胖患者肺功能障碍和并发症的影响。肥胖有助于将 FVC 水平低的呼吸系统疾病高危患者和 AST 和 ALT 水平高的其他合并症(如脂肪性肝炎、糖尿病和冠心病)高危患者进行分类。由于肥胖患者的生化指标与肺功能障碍和并发症相关,这项研究为今后研究肥胖患者预后提供了启示。
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The biochemical effect correlated with pulmonary dysfunction and complications in obese patients
Objective: Obesity, an epidemic metabolic disorder, is associated with various biochemical, inflammatory, oxidative and immunological pathways. We aimed to investigate the biochemical effect correlated with pulmonary dysfunction and complications in overweight and obese patients. Material and Methods: We aimed to evaluate retrospectively the effect of biochemical parameters on pulmonary dysfunction and complications in 79 overweight and obese patients. The correlative effect of biochemical values, including CRP, and spirometric measurements, such as forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1), on pulmonary dysfunction and complications in 79 overweight and obese patients seen in the outpatient clinic were evaluated. Body mass index (BMI), FEV1 and FVC, and total biochemistry values, including creatinine, AST, ALT and CRP values were correlated among each other. Results: Low FVC levels, leukocytosis, high AST and ALT levels, and comorbidities of obesity are significantly associated with high BMI values by univariate analysis in these patients. Higher AST levels are significantly correlated with higher leucocyte counts, and both AST and ALT levels are significantly correlated with platelet counts. Conclusion: We investigated the effect of biochemical parameters on pulmonary dysfunction and complications in obese patients. Obesity can be helpful to categorize high-risk patients with low FVC levels in the context of respiratory diseases and high AST and ALT levels for other comorbidities as steatohepatitis, diabetes mellitus and coronary artery disease. This study sheds light on future research on obese patients for prognosis of these diseases, because of their biochemical profile correlation with pulmonary dysfunction and complications.
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