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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1 - 12 (12page)
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Background: Although vitamin D deficiency is prevalent in patients with chronic obstructive pulmonary disease (COPD), the influence of vitamin D deficiency on COPD has not been fully established. Moreover, the inflammation process is associated with vitamin D deficiency in the general population. Therefore, this study aimed to determine whether clinical phenotypes, comorbidities, and exacerbation rates are affected by the level of plasma fibrinogen, well studied by an inflammatory marker in COPD patients, and 25-hydroxy (25- OH) vitamin D. Methods: This retrospective study analyzed patients with COPD whose inflammatory marker levels, especially plasma fibrinogen and 25-OH vitamin D levels, had been examined. A correlation analysis was conducted for inflammatory markers and 25-OH vitamin D. Clinical characteristics, comorbidities and exacerbation rates were compared among four groups based on plasma fibrinogen concentrations (threshold, 350 mg/dL) and 25-OH vitamin D levels (threshold, 20 ng/mL). Results: Among 611 patients with COPD, 236 were included in the study. The levels of inflammatory markers had no statistical correlation with the serum 25-OH vitamin D levels. The four groups showed no statistically significant differences in age, sex, smoking history, inhaler use, and severity of comorbidities. Patients with high plasma fibrinogen concentrations and low 25-OH vitamin D levels had lower lung function, higher severity index, and higher annual rate of severe exacerbations 12 months before (0.23/year) and after (0.41/year) the measurement of 25-OH vitamin D levels than did the other patients. Conclusion: Our findings suggested an interaction between vitamin D deficiency and COPD. The measurement of plasma fibrinogen concentrations could help identify a severe phenotypic group among patients with vitamin D deficiency.
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참고문헌 (33)
참고문헌 신청
Mannino DM / 2007 / Global burden of COPD : risk factors, prevalence, and future trends / Lancet 370(9589):765~773
Chatila WM / 2008 / Comorbidities in chronic obstructive pulmonary disease / Proc Am Thorac Soc 5(4):549~555
Mantoani LC / 2017 / Physical activity in patients with COPD : the impact of comorbidities / Expert Rev Respir Med 11(9):685~698
Zosky GR / 2011 / Vitamin D deficiency causes deficits in lung function and alters lung structure / Am J Respir Crit Care Med 183(10):1336~1343
Huang YL / 2018 / The associations between comorbidity and exacerbation risk in patients with chronic obstructive pulmonary disease / Zhonghua Jie He He Hu Xi Za Zhi 41(5):349~354
Chatila WM / 2008 / Comorbidities in chronic obstructive pulmonary disease / Proc Am Thorac Soc 5(4):549~555
Mantoani LC / 2017 / Physical activity in patients with COPD : the impact of comorbidities / Expert Rev Respir Med 11(9):685~698
Zosky GR / 2011 / Vitamin D deficiency causes deficits in lung function and alters lung structure / Am J Respir Crit Care Med 183(10):1336~1343
Huang YL / 2018 / The associations between comorbidity and exacerbation risk in patients with chronic obstructive pulmonary disease / Zhonghua Jie He He Hu Xi Za Zhi 41(5):349~354
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