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Metabolic syndrome in hospitalized patients with chronic obstructive pulmonary disease.

Mekov E, Slavova Y, Tsakova A, Genova M, Kostadinov D, Minchev D, Marinova D - PeerJ (2015)

Bottom Line: The prevalence of MS in this study is significantly lower when compared to a national representative study (44.6% in subjects over 45 years). 69.1% of all patients and 97.4% from MS patients have arterial hypertension.The presence of MS is associated with significantly worse cough and sleep (1st and 7th CAT questions; p = 0.002 and p = 0.001 respectively) and higher total CAT score (p = 0.017).Conclusion.

View Article: PubMed Central - HTML - PubMed

Affiliation: Clinical Center for Pulmonary Diseases, Medical University-Sofia , Sofia , Bulgaria.

ABSTRACT
Introduction. The metabolic syndrome (MS) affects 21-53% of patients with chronic obstructive pulmonary disease (COPD) with a higher prevalence in the early stages of COPD, with results being highly variable between studies. MS may also affect natural course of COPD-number of exacerbations, quality of life and lung function. Aim. To examine the prevalence of MS and its correlation with comorbidities and COPD characteristics in patients with COPD admitted for exacerbation. Material and methods. 152 patients with COPD admitted for exacerbation were studied for presence of MS. All of them were also assessed for vitamin D status and diabetes mellitus type 2 (DM). Data were gathered for smoking status and exacerbations during the last year. All patients completed CAT (COPD assessment test) and mMRC (Modified Medical Research Council Dyspnea scale) questionnaires and underwent spirometry. Duration of current hospital stay was recorded. Results. 25% of patients have MS. 23.1% of the male and 29.5% of the female patients have MS (p > 0.05). The prevalence of MS in this study is significantly lower when compared to a national representative study (44.6% in subjects over 45 years). 69.1% of all patients and 97.4% from MS patients have arterial hypertension. The presence of MS is associated with significantly worse cough and sleep (1st and 7th CAT questions; p = 0.002 and p = 0.001 respectively) and higher total CAT score (p = 0.017). Average BMI is 27.31. None of the patients have MS and BMI <25. There is a correlation between the presence of MS and DM (p = 0.008) and with the number of exacerbations in the last year (p = 0.015). There is no correlation between the presence of MS and the pulmonary function. Conclusion. This study among hospitalized COPD patients finds comparable but relatively low prevalence of MS (25%) compared to previously published data (21-53%) and lower prevalence compared to general population (44.6%). MS may impact quality of life and the number of exacerbations of COPD. Having in mind that MS is more common in the early stages and decreases with COPD progression, the COPD patients admitted for exacerbation may be considered as having advanced COPD.

No MeSH data available.


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Prevalence of MS in COPD patients.
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fig-1: Prevalence of MS in COPD patients.

Mentions: This study found comparable but relatively low prevalence of MS compared to previous studies (Table 7) (Fig. 1). The prevalence of MS in our study is significantly lower when compared to the general Bulgarian population (44.6% in subjects over 45 years) (Borissova et al., 2007). The odds ratio for COPD patients admitted for exacerbation of having MS is 0.41 compared to general population (95% CI [0.28–0.61], p < 0.0005).


Metabolic syndrome in hospitalized patients with chronic obstructive pulmonary disease.

Mekov E, Slavova Y, Tsakova A, Genova M, Kostadinov D, Minchev D, Marinova D - PeerJ (2015)

Prevalence of MS in COPD patients.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4493698&req=5

fig-1: Prevalence of MS in COPD patients.
Mentions: This study found comparable but relatively low prevalence of MS compared to previous studies (Table 7) (Fig. 1). The prevalence of MS in our study is significantly lower when compared to the general Bulgarian population (44.6% in subjects over 45 years) (Borissova et al., 2007). The odds ratio for COPD patients admitted for exacerbation of having MS is 0.41 compared to general population (95% CI [0.28–0.61], p < 0.0005).

Bottom Line: The prevalence of MS in this study is significantly lower when compared to a national representative study (44.6% in subjects over 45 years). 69.1% of all patients and 97.4% from MS patients have arterial hypertension.The presence of MS is associated with significantly worse cough and sleep (1st and 7th CAT questions; p = 0.002 and p = 0.001 respectively) and higher total CAT score (p = 0.017).Conclusion.

View Article: PubMed Central - HTML - PubMed

Affiliation: Clinical Center for Pulmonary Diseases, Medical University-Sofia , Sofia , Bulgaria.

ABSTRACT
Introduction. The metabolic syndrome (MS) affects 21-53% of patients with chronic obstructive pulmonary disease (COPD) with a higher prevalence in the early stages of COPD, with results being highly variable between studies. MS may also affect natural course of COPD-number of exacerbations, quality of life and lung function. Aim. To examine the prevalence of MS and its correlation with comorbidities and COPD characteristics in patients with COPD admitted for exacerbation. Material and methods. 152 patients with COPD admitted for exacerbation were studied for presence of MS. All of them were also assessed for vitamin D status and diabetes mellitus type 2 (DM). Data were gathered for smoking status and exacerbations during the last year. All patients completed CAT (COPD assessment test) and mMRC (Modified Medical Research Council Dyspnea scale) questionnaires and underwent spirometry. Duration of current hospital stay was recorded. Results. 25% of patients have MS. 23.1% of the male and 29.5% of the female patients have MS (p > 0.05). The prevalence of MS in this study is significantly lower when compared to a national representative study (44.6% in subjects over 45 years). 69.1% of all patients and 97.4% from MS patients have arterial hypertension. The presence of MS is associated with significantly worse cough and sleep (1st and 7th CAT questions; p = 0.002 and p = 0.001 respectively) and higher total CAT score (p = 0.017). Average BMI is 27.31. None of the patients have MS and BMI <25. There is a correlation between the presence of MS and DM (p = 0.008) and with the number of exacerbations in the last year (p = 0.015). There is no correlation between the presence of MS and the pulmonary function. Conclusion. This study among hospitalized COPD patients finds comparable but relatively low prevalence of MS (25%) compared to previously published data (21-53%) and lower prevalence compared to general population (44.6%). MS may impact quality of life and the number of exacerbations of COPD. Having in mind that MS is more common in the early stages and decreases with COPD progression, the COPD patients admitted for exacerbation may be considered as having advanced COPD.

No MeSH data available.


Related in: MedlinePlus