Overweight and obesity in patients with cystic fibrosis: a center-based analysis.
Identifieur interne : 000A94 ( PubMed/Curation ); précédent : 000A93; suivant : 000A95Overweight and obesity in patients with cystic fibrosis: a center-based analysis.
Auteurs : Reem M. Hanna [États-Unis] ; Daniel J. WeinerSource :
- Pediatric pulmonology [ 1099-0496 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- complications : Cystic Fibrosis, Exocrine Pancreatic Insufficiency, Obesity, Overweight.
- etiology : Diabetes Mellitus.
- Adolescent, Child, Female, Glucose Intolerance, Humans, Infant, Male, Nutritional Status, Registries.
Abstract
Cystic fibrosis (CF) has long been associated with malnutrition. However, due to early diagnosis, nutritional supplements, and increased prevalence of obesity in the general population, overweight, and obesity in the CF patient population is becoming a concern. The aim of this study was to determine the prevalence of obesity and overweight in patients with CF seen at our center, to analyze factors associated with nutritional status, to evaluate the relation between nutritional status and lung function, and to document any adverse health outcomes.
DOI: 10.1002/ppul.23033
PubMed: 24757043
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<author><name sortKey="Hanna, Reem M" sort="Hanna, Reem M" uniqKey="Hanna R" first="Reem M" last="Hanna">Reem M. Hanna</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Pulmonary Medicine, Allergy, and Immunology, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Pennsylvanie</region>
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<wicri:cityArea>Division of Pulmonary Medicine, Allergy, and Immunology, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, Pittsburgh</wicri:cityArea>
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<author><name sortKey="Weiner, Daniel J" sort="Weiner, Daniel J" uniqKey="Weiner D" first="Daniel J" last="Weiner">Daniel J. Weiner</name>
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<author><name sortKey="Hanna, Reem M" sort="Hanna, Reem M" uniqKey="Hanna R" first="Reem M" last="Hanna">Reem M. Hanna</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Pulmonary Medicine, Allergy, and Immunology, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania.</nlm:affiliation>
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<series><title level="j">Pediatric pulmonology</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Child</term>
<term>Cystic Fibrosis (complications)</term>
<term>Diabetes Mellitus (etiology)</term>
<term>Exocrine Pancreatic Insufficiency (complications)</term>
<term>Female</term>
<term>Glucose Intolerance</term>
<term>Humans</term>
<term>Infant</term>
<term>Male</term>
<term>Nutritional Status</term>
<term>Obesity (complications)</term>
<term>Overweight (complications)</term>
<term>Registries</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Diabète (étiologie)</term>
<term>Enfant</term>
<term>Enregistrements</term>
<term>Femelle</term>
<term>Humains</term>
<term>Insuffisance pancréatique exocrine ()</term>
<term>Intolérance au glucose</term>
<term>Mucoviscidose ()</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Obésité ()</term>
<term>Surpoids ()</term>
<term>État nutritionnel</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cystic Fibrosis</term>
<term>Exocrine Pancreatic Insufficiency</term>
<term>Obesity</term>
<term>Overweight</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Diabetes Mellitus</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Diabète</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Child</term>
<term>Female</term>
<term>Glucose Intolerance</term>
<term>Humans</term>
<term>Infant</term>
<term>Male</term>
<term>Nutritional Status</term>
<term>Registries</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Enfant</term>
<term>Enregistrements</term>
<term>Femelle</term>
<term>Humains</term>
<term>Insuffisance pancréatique exocrine</term>
<term>Intolérance au glucose</term>
<term>Mucoviscidose</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Obésité</term>
<term>Surpoids</term>
<term>État nutritionnel</term>
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<front><div type="abstract" xml:lang="en">Cystic fibrosis (CF) has long been associated with malnutrition. However, due to early diagnosis, nutritional supplements, and increased prevalence of obesity in the general population, overweight, and obesity in the CF patient population is becoming a concern. The aim of this study was to determine the prevalence of obesity and overweight in patients with CF seen at our center, to analyze factors associated with nutritional status, to evaluate the relation between nutritional status and lung function, and to document any adverse health outcomes.</div>
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<DateCreated><Year>2014</Year>
<Month>12</Month>
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<DateCompleted><Year>2016</Year>
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<Issue>1</Issue>
<PubDate><Year>2015</Year>
<Month>Jan</Month>
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<Title>Pediatric pulmonology</Title>
<ISOAbbreviation>Pediatr. Pulmonol.</ISOAbbreviation>
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<ArticleTitle>Overweight and obesity in patients with cystic fibrosis: a center-based analysis.</ArticleTitle>
<Pagination><MedlinePgn>35-41</MedlinePgn>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Cystic fibrosis (CF) has long been associated with malnutrition. However, due to early diagnosis, nutritional supplements, and increased prevalence of obesity in the general population, overweight, and obesity in the CF patient population is becoming a concern. The aim of this study was to determine the prevalence of obesity and overweight in patients with CF seen at our center, to analyze factors associated with nutritional status, to evaluate the relation between nutritional status and lung function, and to document any adverse health outcomes.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The CF Patient Registry was queried for patients aged 2-18 who were seen at our center between June 2011 and June 2012. Nutritional statuses of patients were classified in accordance with the CF Foundation guidelines. Analysis of variance was utilized to analyze the differences in lung function between the five weight status groups.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 226 patients with CF aged 2-18 years, 129 (57%) had a BMI percentile consistent with a healthy weight status, 16 (7%) were in nutritional failure, 28 (12%) were at risk of nutritional failure, 35 (15%) were overweight, and 18 (8%) were obese. Based on fecal elastase levels, 50% of the overweight patients and 20% of the obese patients were pancreatic insufficient. FEV1 % predicted was lowest in patients with nutritional failure (P = 0.005). No significant differences were noted between the other four weight groups. In our obese and overweight population, three patients have impaired glucose tolerance, one has CF-related diabetes (CFRD) with fasting hyperglycemia, three have hypertension, and one has obstructive sleep apnea (OSA).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The prevalence of overweight and obesity in our CF center is noteworthy, and a significant number of the patients were pancreatic insufficient. In our patient population, overweight, and obesity were not associated with further improvement of lung function. Nutritional approaches need to address the adverse outcomes of overweight and obesity.</AbstractText>
<CopyrightInformation>© 2014 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hanna</LastName>
<ForeName>Reem M</ForeName>
<Initials>RM</Initials>
<AffiliationInfo><Affiliation>Division of Pulmonary Medicine, Allergy, and Immunology, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania.</Affiliation>
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<Author ValidYN="Y"><LastName>Weiner</LastName>
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<Language>eng</Language>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
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<MeshHeading><DescriptorName UI="D003550" MajorTopicYN="N">Cystic Fibrosis</DescriptorName>
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<MeshHeading><DescriptorName UI="D050177" MajorTopicYN="N">Overweight</DescriptorName>
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<MeshHeading><DescriptorName UI="D012042" MajorTopicYN="N">Registries</DescriptorName>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">cystic fibrosis</Keyword>
<Keyword MajorTopicYN="N">lung function</Keyword>
<Keyword MajorTopicYN="N">nutritional status</Keyword>
<Keyword MajorTopicYN="N">pancreatic insufficiency</Keyword>
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