Vücut yağsız kitlesi ile astım kontrolü arasındaki ilişki

Year 2020, Volume: 9 Issue: 1, 41 - 44, 08.04.2020

Aylin Pıhtılı , Nuran Gökbulut Züleyha Bingöl Feyza Erkan

https://doi.org/10.5505/abantmedj.2020.39205

Abstract

GİRİŞ ve AMAÇ: Vücut kompozisyonu KOAH hastaları için önemli bir parametredir. Ancak astım ve obezite arasındaki ilişki tam olarak anlaşılamamıştır. Astım şiddetinin vücut yağsız kitlesi (VYK) üzerine etkisi ise araştırılmamıştır. Biz bu çalışmada, VYK ve astım kontrolü arasındaki ilişkiyi araştırmayı amaçladık.
YÖNTEM ve GEREÇLER: Polikliniğe başvuran stabil astım hastaları değerlendirildi. Hastaların demografik bilgileri kaydedildi ve her hasta astım kontrol testi (AKT) ile değerlendirildi. AKT’ye göre hastalar AKT>19 (kontrol altında) ve AKT ≤ 19 (kontrol altında olmayan) şeklinde iki gruba ayrıldı. Vücut kompozisyon değerlendirmesi (biyoelektrik impedans analizi kullanarak) yapıldı.
BULGULAR: Çalışmaya 172 astım hastası (K / E: 140/32, yaş: 53.7 ± 12.6 yıl, VKİ: 29.1 ± 5.4 kg / m2) dahil edildi.VYK, control altındaki astım grubunda control altında olmayan gruba gore anlamlı olarak yüksekti (sırasıyla; 49.8±8.2 vs. 46.7±4.9 p¬=0.002). Ortalama VKİ her iki grupta benzerdi (sırasıyla; 28.6±5.6 vs. 30.2±4.8 p=0.07). Kontrol altında olan ve olmayan astım hastaları arasında obezite (VKİ>30 kg / m2) sıklığı açısından farklılık saptanmadı.
TARTIŞMA ve SONUÇ: VYK, astım kontrolünü değerlendirmede VKİ ve obezite ile karşılaştırıldığında daha değerli bir bulgu olabilir. Bu nedenle VYK ile astım kontrolü arasındaki ilişkiyi araştıran daha fazla çalışma yapılmasına ihtiyaç vardır.

Keywords

astım, astım kontrol testi, yağsız vücut kitlesi

The relationship between fat free mass and asthma control

Abstract

INTRODUCTION: Body composition is an important parameter for patients with chronic obstructive pulmonary disease (COPD) whereas the association between asthma and obesity is not fully understood. The impact of diseases severity of asthma on fat free mass (FFM) has not been investigated. We aim to investigate the relationship between fat free mass and asthma control.
METHODS: Patients with stable asthma referred to our outpatient clinic were evaluated. Demographics were noted. Asthma control test (ACT) was performed. Patients were divided into two groups according to ACT; ACT >19 (undercontrol) and ACT ≤19 (uncontrolled). Body composition assessment (using bioelectrical impendance analysis) was performed.
RESULTS: One hundred- seventy two patients (F/M: 140/32, age: 53.7±12.6 years, BMI: 29.1±5.4kg/m2 with asthma were included the study. FMM was significantly higher in group under control than uncontrolled group (respectively; 49.8±8.2 vs. 46.7±4.9 p¬=0.002).Mean BMI wassimiliar in twogroups (respectively; 28.6±5.6 vs. 30.2±4.8 p=0.07).There was no difference in the frequency of obesity (BMI>30 kg / m2) between control and non-control patients.
DISCUSSION AND CONCLUSION: FMM may be a more valuable finding in assesing asthma control than BMI and obesity. Further studies should be performed to beter understand the relationship between FFM and asthma control.

Keywords

asthma, asthma control test, fat free mass

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