RT期刊文章SR电子T1肥胖患者新成人哮喘的长期预后JF欧洲呼吸杂志188bet官网地址Adrienn A1 Tuomisto,Leena E. A1Vähätalo,Iida a1niemelä,onni a1 nieminen,pentti a1 kankaanranta,hannu yr yr yr 2021 ul //www.qdcxjkg.com/erjournals.com/content.com/content/content/57/4/4/4/4/4/2001209.absbackter与横断面研究中哮喘的不良结局有关,但肥胖对哮喘的长期影响仍然未知。研究肥胖的影响,在诊断成人哮喘的诊断时发现,对12年的预后进行了研究。专注于口服皮质类固醇(OCS)的使用和呼吸道相关的医院入院。用诊断性体重指数(BMI)(<25 kg·M-2 kg·M-2,25–29.9 kg·M -2,≥30kg·M − 2),然后持续12年作为Seinäjoki成人哮喘研究的一部分。在12年期间评估了自我报告和分配的OC。根据病历分析了医院入院的数据。诊断12年后,有86%的肥胖患者(BMI≥30kg·M -2)在诊断时仍然肥胖。在随访期间,BMI类别之间的体重增加没有差异。在为期12年的随访期间,肥胖的患者报告说,OCS课程的使用量更高(46.9%对23.1%,P = 0.028),更频繁地分配OCS(81.6%对56.9%,P = 0.014),在AT与正常重量患者相比,较高剂量(中位数1350(四分位数280–3180)毫克与600(0-1650)毫克泼尼松龙,P = 0.010)。 Furthermore, patients who were obese had more often one or more respiratory-related hospitalisations compared to normal-weight patients (38.8% versus 16.9%, p=0.033). In multivariate logistic regression analyses, obesity predicted OCS use and hospital admissions.Conclusions In adult-onset asthma, patients obese at diagnosis mostly remained obese at long-term and had more exacerbations and respiratory-related hospital admissions compared to normal-weight patients during 12-year follow-up. Weight loss should be a priority in their treatment to prevent this outcome.Obese patients with new adult-onset asthma often remain obese in the long-term and have more exacerbations and respiratory-related hospital admissions during follow-up. High priority should be given to weight loss during treatment to prevent this outcome. https://bit.ly/2G5HtRZ