Nasiri Kalmarzi R, Ataee P, Mansori M, Moradi G, Ahmadi S, Kaviani Z, Khalafi B, Kooti W
Cellular & Molecular Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Department of Pediatrics of Beast Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Allergol Immunopathol (Madr). 2017 May-Jun;45(3):258-264. doi: 10.1016/j.aller.2016.09.004.
Asthma is one of the diseases which has a high prevalence in developed and developing countries. The relationship between asthma and obesity has always been focused by researchers. In this field, adipokines, especially adiponectin and leptin have highly attended by the scientist. The aim of this study was to determine the serum level of adiponectin, leptin and the leptin/adiponectin ratio in asthmatic patients and its relationship with disease severity, lung function and BMI (body mass index).
In this cross-sectional study, 90 asthmatic women admitted to the tertiary referral hospital in Kurdistan province - Iran, were examined. First, BMI was measured and then pulmonary function tests were performed in all asthmatics patient. Forced expiratory volume in 1s (FEV1), forced vital capacity (FVC), and FEV1/FVC, were measured. At the end, blood samples were collected and serum level of adiponectin and leptin were measured by ELISA method.
Serum leptin and leptin/adiponectin levels correlated positively with asthma severity and BMI (p=0.0001), but there was no correlation between adiponectin level with asthma severity and BMI (p>0.05), also serum leptin and leptin/adiponectin levels inversely correlated with FEV1 and FVC in patient (p=0.0001).
Asthma is linked with obesity, and there is an association between asthma severity and BMI with serum leptin and leptin/adiponectin levels, but our results do not support a significant role of adiponectin in obesity or asthma.
哮喘是一种在发达国家和发展中国家都有很高患病率的疾病。哮喘与肥胖之间的关系一直是研究人员关注的焦点。在这个领域,脂肪因子,尤其是脂联素和瘦素受到了科学家们的高度关注。本研究的目的是测定哮喘患者血清脂联素、瘦素水平以及瘦素/脂联素比值,并探讨其与疾病严重程度、肺功能和体重指数(BMI)的关系。
在这项横断面研究中,对90名入住伊朗库尔德斯坦省三级转诊医院的哮喘女性患者进行了检查。首先测量BMI,然后对所有哮喘患者进行肺功能测试。测量第1秒用力呼气容积(FEV1)、用力肺活量(FVC)以及FEV1/FVC。最后采集血样,采用酶联免疫吸附测定(ELISA)法测定血清脂联素和瘦素水平。
血清瘦素和瘦素/脂联素水平与哮喘严重程度和BMI呈正相关(p = 0.0001),但脂联素水平与哮喘严重程度和BMI之间无相关性(p>0.05)。此外,患者血清瘦素和瘦素/脂联素水平与FEV1和FVC呈负相关(p = 0.0001)。
哮喘与肥胖有关,哮喘严重程度和BMI与血清瘦素和瘦素/脂联素水平之间存在关联,但我们的结果不支持脂联素在肥胖或哮喘中起重要作用。