Mahato Binod, Nigoskar Shreya, Lakshmi Lingidi Jhansi, Zephy Doddigarla
Department of Biochemistry, Index Medical College & Research Center, Malwanchal University, Indore, IND.
Department of Biochemistry, Hi-Tech Medical College & Hospital, Bhubaneswar, IND.
Cureus. 2024 Apr 24;16(4):e58921. doi: 10.7759/cureus.58921. eCollection 2024 Apr.
There is a lack of Indian data regarding the frequency of metabolic syndrome (MetS) or its components in chronic obstructive pulmonary disease (COPD). As a result, the present study aimed to determine the prevalence of MetS in COPD cases and investigate its association with COPD severity.
After receiving ethical approval from Index Medical College and Hospital, we conducted this cross-sectional study in Indore. We recruited 100 participants with a history of COPD and divided them into two groups: those with MetS and those without. Researchers examined the subjects' fasting blood glucose, serum high-density lipoprotein, triglyceride (TG), systolic and diastolic blood pressure (SBP/DBP), waist circumference, and fasting blood glucose levels.
We discovered that 59% of patients with COPD and 52% of individuals with impaired fasting glucose (IFG) had MetS (mean ± SD = 110.8 ± 32.8). In comparison, 48% (mean ± SD = 98.2 ± 24.8) of individuals with normal fasting glucose do not experience this. The incidence of MetS was higher in both groups, those with IFG and those without, but the difference was not statistically significant (t = 1.7088, df = 98; p = 0.0907). We observed X2 = 1.336, df = 1, and p = 0.2476 when we tested the association between IFG and COPD with the Chi-square test.
Individuals with MetS were more likely to have high BP, raised TG levels, low HDL cholesterol, abdominal obesity, and other risk factors.
缺乏关于慢性阻塞性肺疾病(COPD)中代谢综合征(MetS)及其组成成分发生率的印度数据。因此,本研究旨在确定COPD病例中MetS的患病率,并调查其与COPD严重程度的关联。
在获得Index医学院和医院的伦理批准后,我们在印多尔进行了这项横断面研究。我们招募了100名有COPD病史的参与者,并将他们分为两组:患有MetS的和未患MetS的。研究人员检查了受试者的空腹血糖、血清高密度脂蛋白、甘油三酯(TG)、收缩压和舒张压(SBP/DBP)、腰围以及空腹血糖水平。
我们发现,59%的COPD患者和52%的空腹血糖受损(IFG)个体患有MetS(均值±标准差=110.8±32.8)。相比之下,48%(均值±标准差=98.2±24.8)空腹血糖正常的个体未患MetS。MetS的发生率在IFG组和非IFG组中均较高,但差异无统计学意义(t=1.7088,自由度=98;p=0.0907)。当我们用卡方检验检测IFG与COPD之间的关联时,观察到X2=1.336,自由度=1,p=0.2476。
患有MetS的个体更有可能出现高血压、TG水平升高、高密度脂蛋白胆固醇降低、腹部肥胖及其他危险因素。