Yılmaz Hatice Eylül Bozkurt, Yılmaz Mustafa, Şen Nazan, Ünsal Zuhal Ekici, Eyüboğlu Füsun Öner, Akçay Şule
Department of Pulmonary Medicine, Başkent University School of Medicine, Adana, Turkey.
Department of Cardiology, Başkent University School of Medicine, Adana, Turkey.
Turk Thorac J. 2019 Jan 1;20(1):1-5. doi: 10.5152/TurkThoracJ.2018.18028.
Obesity is a risk factor defined in recent years for asthma. It is associated not only with asthma but also with many cardiovascular diseases. Visceral obesity is a more significant risk factor than general obesity in cardiovascular diseases. Although the association of visceral obesity with cardiovascular diseases is well known, the relationship in patients with asthma is not fully understood. The aim of the present study was to investigate whether there is a relationship between asthma and visceral fat by using epicardial fat thickness (EFT) measurement.
A total of 401 subjects (229 patients with persistent asthma and 172 controls) were enrolled in the study. In our study, EFT was measured, recorded by echocardiography, and was evaluated whether there was a statistical significant difference between the two groups.
The mean EFT was 5.84±0.79 mm in the patient group and 5.71±0.93 mm in the control group. There was no statistically significant difference between the groups (p=0.145). Similarly, when we compared control and asthma severity subgroups, we did not find statistically significant differences (control group mean 5.71±0.93 mm, mild group mean 5.86±0.81 mm, moderate group mean 5.8±0.84 mm, and severe group mean 5.83±0.67 mm, p=0.505).
In the present study, we observed that the EFT did not increase in patients with asthma compared with the normal population. Based on our results, we suggest that visceral obesity may not be a significant risk factor for asthma.
肥胖是近年来确定的哮喘危险因素。它不仅与哮喘有关,还与许多心血管疾病有关。在心血管疾病中,内脏肥胖比一般肥胖是更重要的危险因素。虽然内脏肥胖与心血管疾病的关联已为人所知,但哮喘患者中的关系尚未完全了解。本研究的目的是通过测量心外膜脂肪厚度(EFT)来调查哮喘与内脏脂肪之间是否存在关系。
共纳入401名受试者(229例持续性哮喘患者和172例对照)。在我们的研究中,通过超声心动图测量并记录EFT,并评估两组之间是否存在统计学显著差异。
患者组的平均EFT为5.84±0.79mm,对照组为5.71±0.93mm。两组之间无统计学显著差异(p = 0.145)。同样,当我们比较对照组和哮喘严重程度亚组时,未发现统计学显著差异(对照组平均5.71±0.93mm,轻度组平均5.86±0.81mm,中度组平均5.8±0.84mm,重度组平均5.83±0.67mm,p = 0.505)。
在本研究中,我们观察到与正常人群相比,哮喘患者的EFT没有增加。根据我们的结果,我们认为内脏肥胖可能不是哮喘的重要危险因素。