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轻中度 COPD 患者氧化应激、有氧能力、日常体力活动和身体成分参数的关联分析。

Association analyses of oxidative stress, aerobic capacity, daily physical activity, and body composition parameters in patients with mild to moderate COPD.

机构信息

Department of Physiology, Afyon Kocatepe University, Afyonkarahisar, Turkey.

出版信息

Turk J Med Sci. 2014;44(6):972-9. doi: 10.3906/sag-1308-65.

Abstract

BACKGROUND/AIM: To investigate total oxidant and antioxidant status, maximal aerobic capacity, daily physical activity, pulmonary functions, and body composition changes, as well as the associations among these parameters, in patients with mild to moderate chronic obstructive pulmonary disease (COPD) versus healthy controls.

MATERIALS AND METHODS

The study included 30 male patients newly diagnosed with COPD and 30 body mass index-matched, nonsmoker male controls. Maximal aerobic capacity, daily physical activity, total oxidant and antioxidant status, pulmonary function tests, body composition, and anthropometric parameters were measured.

RESULTS

Maximal aerobic capacity and total antioxidant values were lower in patients with COPD compared to the controls. The total oxidant value, body fat percentage, and waist/hip ratio were higher in patients with COPD than in the healthy controls. There was a moderately negative correlation between the total oxidant value and the maximal aerobic capacity, while there was a moderately positive correlation between the total antioxidant values and maximal aerobic capacity in patients with COPD.

CONCLUSION

Low aerobic capacity, increased oxidative stress, and adiposity are related to impaired pulmonary functions in patients with mild to moderate COPD and might have a role in the pathogenesis of COPD.

摘要

背景/目的:研究轻度至中度慢性阻塞性肺疾病(COPD)患者与健康对照组之间总氧化剂和抗氧化剂状态、最大有氧能力、日常体力活动、肺功能和身体成分变化以及这些参数之间的关联。

材料和方法

该研究纳入了 30 名新诊断为 COPD 的男性患者和 30 名体重指数匹配的非吸烟男性对照者。测量了最大有氧能力、日常体力活动、总氧化剂和抗氧化剂状态、肺功能测试、身体成分和人体测量参数。

结果

与对照组相比,COPD 患者的最大有氧能力和总抗氧化值较低。COPD 患者的总氧化剂值、体脂百分比和腰臀比高于健康对照组。COPD 患者的总氧化剂值与最大有氧能力呈中度负相关,而总抗氧化值与最大有氧能力呈中度正相关。

结论

低有氧能力、氧化应激增加和肥胖与轻度至中度 COPD 患者的肺功能受损有关,可能在 COPD 的发病机制中起作用。

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