Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Particularities of asthma in obese patients (2021) |
Type de document : | Article |
Dans : | Nutrition clinique et métabolisme (Vol. 35, n° 3, Septembre 2021) |
Article en page(s) : | p.207-211 |
Note générale : | https://doi.org/10.1016/j.nupar.2020.11.005 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Asthme ; Obésité |
Mots-clés: | Indice de gravité de la maladie ; sévérité de la maladie |
Résumé : |
Aim
To evaluate the impact of obesity on the control and the severity of asthma in a Tunisian population. Methods It was a retrospective, descriptive and analytic study, including asthmatic patients regularly followed up in the pulmonology department of Charles Nicolle's hospital of Tunis, during 18 months (January 2016 to June 2017). Data were collected from medical records, including characteristics of asthma and nutritional status based on body mass index. Results Out of the 170 included patients, 126 (74%) were women. They had an average BMI of 28.6 kg/m2 ± 5.8 (17 to 54.5 kg/m2). Obesity was present in 32.9% of patients. Asthma was well controlled in 56% of cases and no controlled in 37%. It was classified as moderate in 48.8% and severe in 15.9%. Compared to normal weight asthmatics, obese asthmatics were more advanced (P = 0.002), mostly women (P = 0.002) and had more co-morbidities (P = 0.049). They were more symptomatic (P = 0.037) and had lower Forced Vital Capacity (P Multivariate analysis, after adjustment for age, smoking and GERD, revealed that obesity tripled the risk of uncontrolled asthma (OR = 3; 95% CI [1.2-7.6]; P = 0.019). However, asthma severity was not impacted by obesity. Conclusions Despite the discrepancy of our results with those reported in the literature regarding the relationship between obesity and asthma severity, our study was able to confirm the deleterious effect of obesity on asthma control. We, therefore, emphasize the importance of taking account of obesity and its management, especially in patients with poorly controlled asthma. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0985056221001400 |