Astım Hastalarında Obezitenin Solunum Fonksiyonu Üzerine Etkisi

Year 2023, Volume: 20 Issue: 3, 662 - 666, 31.12.2023

Zeliha Demir Giden , Elif Demir

https://doi.org/10.35440/hutfd.1380020

Abstract

Amaç: Astım, hastaların yaşam kalitesinde ve mental durumunda bozulmaya neden olabilen, tekrarlayan hava yolu obstrüksiyonu ile karakterize bir hastalıktır. Obezite ise besinlerden vücuda alınan enerji miktarının harcanan enerjiden fazla olması sonucu ortaya çıkan kronik bir hastalıktır. Son yıllarda yapılan çalışmalarda astımın sıklıkla obezite ile ilişkilendirildiği görülmektedir. Bu ilişkinin gerekçelerinden biri de her iki hastalığın görülme sıklığındaki paralel artıştır. Bu çalışmanın amacı astım hastalarında obezitenin solunum fonksiyon testleri üzerine etkisini değerlendirmektir.
Materyal ve Metod: Çalışmaya 18 yaş üstü 80 astım hastası dahil edildi. Çalışmaya dahil edilen hastalar vücut kitle indeksi ve demografik özelliklerine göre normal ve obez olmak üzere iki gruba ayrıldı, solunum fonksiyon testlerinde FEV1, FVC, PEF, FEV1/FVC, FEF25-75 değerleri analiz edildi.
Bulgular: Çalışmaya dahil edilen 80 hastanın vücut kitle indeksine göre 30'u normal, 50'si ise obezdi. Her iki grup arasında karşılaştırma yapıldığında obez grupta FVC, FEV1, PEF, FEF2575, FEV1/FVC değerleri normal gruba göre daha düşük bulundu ancak istatistiksel olarak anlamlı fark bulunamadı (p<0,05).
Sonuç: Çalışmamızda obez ve obez olmayan astım hastalarında solunum fonksiyon testlerindeki değerlerin benzer olduğu belirlendi. Çalışmamıza dahil edilen hastaların çoğunluğunun obez olduğu ve çoğunluğunun kadın olduğu görüldü.

Keywords

Astım, Obezite, Solunum Fonksiyon Testleri

The Effect of Obesity on Respiratory Function in Asthma Patients

Abstract

Background: Obesity is a chronic disease that occurs when the amount of energy taken into the body from food exceeds the energy spent. Asthma is a disease characterized by recurrent airway obstruction that can cause deterioration in patients' quality of life and mental status. In recent studies, asthma has been frequently associated with obesity. One of the reasons given for this association is the parallel increase in the prevalence of both diseases. The aim of this study is to evaluate the effect of obesity on respiratory function tests in asthma patients.
Materials and Methods: The study included 80 asthma patients over the age of 18 years. The patients included in our study were divided into two groups, normal weight and overweight, according to their body mass index, FEV1, FVC, PEF, FEV1/FVC, FEF25-75 values in pulmonary function tests were analyzed.
Results: Of the 80 patients included in the study, 30 were in normal weight and 50 were in overweight group according to body mass index. When a comparison was made between both groups, FVC, FEV1, PEF, FEF25-75, FEV1/FVC values were found to be lower in the overweight group compared to the normal weight group, but no statistically significant difference was found (p<0.05).
Conclusions: It was observed that most of the patients included in our study were overweight and the majority were female. In our study, it was found that the values in pulmonary function tests were similar between normal weight and overweight patients with asthma.

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