Prevalence and factors associated with overweight and obesity in adults with cystic fibrosis: A single-center analysis.
Prevalence and factors associated with overweight and obesity in adults with cystic fibrosis: A single-center analysis.
复制标题
患有囊性纤维化的成年人超重和肥胖相关的患病率和因素：单中心分析。
DOI：
10.1016/j.jcf.2019.10.004
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发表时间：
2020-01
期刊：
影响因子：
--
通讯作者：
Moheet A
中科院分区：
文献类型：
--
作者：
Harindhanavudhi T;Wang Q;Dunitz J;Moran A;Moheet A
The relation between malnutrition and pulmonary death in patients with cystic fibrosis (CF) has resulted in intensive nutritional intervention over the last few decades, leading to a significant decline in underweight and the emergence of overweight/obesity as a potential new problem. We performed a cross-sectional database analysis of 484 adults with CF seen at the University of Minnesota CF Center between January 2015-January 2017, to determine the prevalence and pulmonary/cardiovascular risk factors associated with overweight and obesity in this population. Mean age was 35.2 ± 11.6 years. 5.2% were underweight (BMI<18.5 kg/m2), 62.6% normal weight (BMI ≥ 18.5–24.9 kg/m2), 25.6% overweight (BMI ≥ 25–29.9 kg/m2) and 6.6% obese (BMI ≥ 30 kg/m2). In the subgroup with severe genotypes, 25% had BMI ≥ 25 kg/m2. In the entire cohort, overweight/obese were likely to be older (OR = 1.04, p < 0.0001) and to have a mild CFTR genotype (OR = 3.33, p = 0.0003) and modestly elevated triglyceride levels (OR = 1.008, p < 0.0001). The prevalence of hypertension was higher in overweight (25%) and obese (31%) than normal (17%) or underweight (16%), p = 0.01. Total cholesterol levels were higher in overweight/obese versus normal/underweight (144–147 vs 123– 131 mg/dL, p = 0.04) as were LDL levels (70–71 vs 53–60 mg/dL, p = 0.02), but all were within the normal range. Percent predicted FEV1 was higher in overweight/obese (78–81%) versus underweight (59%) and normal (70%), p < 0.0001, and overweight/obese experienced significantly fewer acute pulmonary exacerbations. Overweight/obesity is common in adults with CF including those with severe genotypes. Lung function is better in the overweight/obese and lipid levels are within the normal range, albeit higher than in normal/underweight.
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DOI：
10.1590/1984-0462/;2018;36;1;00006
发表时间：
2018-01
期刊：
Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo
影响因子：
--
作者：
Hauschild DB;Rosa AF;Ventura JC;Barbosa E;Moreira EAM;Ludwig Neto N;Moreno YMF
通讯作者：
Moreno YMF
影响因子：
3.1
作者：
Borowitz, Drucy;Lubarsky, Barry;Schwarzenberg, Sarah Jane
通讯作者：
Schwarzenberg, Sarah Jane
影响因子：
5.1
作者：
Kastner-Cole, D;Palmer, CNA;Mukhopadhyay, S
通讯作者：
Mukhopadhyay, S
影响因子：
5.2
作者：
Coderre, Lise;Fadainia, Christophe;Rabasa-Lhoret, Remi
通讯作者：
Rabasa-Lhoret, Remi
影响因子：
6.3
作者：
Turck, Dominique;Braegger, Christian P.;Wilschanski, Michael
通讯作者：
Wilschanski, Michael