Prevalence of pulmonary hypertension and its association with respiratory disturbances in obese patients living at moderately high altitude

OBJECTIVE: To determine the point prevalence of pulmonary hypertension (PH) and its relationship with respiratory disturbances in obese patients living at moderate altitude. SUBJECTS: A total of 57 obese patients comprised the final sample and consisted of 34 women and 23 men, with a mean age of 42....

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Veröffentlicht in:International Journal of Obesity 2004-09, Vol.28 (9), p.1174-1180
Hauptverfasser: Valencia-Flores, M, Rebollar, V, Santiago, V, Orea, A, Rodríguez, C, Resendiz, M, Castaño, A, Roblero, J, Campos, R M, Oseguera, J, García-Ramos, G, Bliwise, D L
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container_end_page 1180
container_issue 9
container_start_page 1174
container_title International Journal of Obesity
container_volume 28
creator Valencia-Flores, M
Rebollar, V
Santiago, V
Orea, A
Rodríguez, C
Resendiz, M
Castaño, A
Roblero, J
Campos, R M
Oseguera, J
García-Ramos, G
Bliwise, D L
description OBJECTIVE: To determine the point prevalence of pulmonary hypertension (PH) and its relationship with respiratory disturbances in obese patients living at moderate altitude. SUBJECTS: A total of 57 obese patients comprised the final sample and consisted of 34 women and 23 men, with a mean age of 42.7±12.1 ys and a mean body mass index (BMI) 47.1±10.6 kg/m 2 (range from 30.1 to 76.1). The mean living altitude was 2248.7 m, range 2100–2400 m above sea level. MEASUREMENTS: Doppler echocardiography, pulmonary function tests, arterial blood gas analysis, and polysomnography were performed. RESULTS: Data showed that 96.5% of the studied sample had daytime PH defined as calculated systolic pulmonary artery pressure (PSAP) >30 mmHg (mean PSAP=50, s.d.=13 mmHg). The severity of diurnal PH was found to be related to the presence of alveolar hypoventilation and BMI. The main risk factor for severity of diurnal PH was hypoventilation with a significant odds ratio (OR) 7.96, 95% CI 1.35–46.84, BMI was (OR 1.12, 95% CI 1.02–1.25) and apnea/hypopnea index was not a predictor of pulmonary hypertension severity (OR 0.99, 95% CI 0.97–1.02). CONCLUSION: We concluded that prevalence of diurnal PH is high in obese patients living at moderate altitude, and that hypoventilation is the main risk factor associated with the severity of pulmonary hypertension.
doi_str_mv 10.1038/sj.ijo.0802726
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Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases ; Respiratory function ; Respiratory system : syndromes and miscellaneous diseases ; Risk Factors ; Sea level ; Sleep apnea ; Sleep Apnea Syndromes - complications ; Veins &amp; arteries</subject><ispartof>International Journal of Obesity, 2004-09, Vol.28 (9), p.1174-1180</ispartof><rights>Springer Nature Limited 2004</rights><rights>2005 INIST-CNRS</rights><rights>COPYRIGHT 2004 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Sep 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-f4cfb096d253a2a5f025d5c2191847c02f81c4fb3771bf9f010601c472be7fa3</citedby><cites>FETCH-LOGICAL-c455t-f4cfb096d253a2a5f025d5c2191847c02f81c4fb3771bf9f010601c472be7fa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sj.ijo.0802726$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sj.ijo.0802726$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=16039990$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15224125$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Valencia-Flores, M</creatorcontrib><creatorcontrib>Rebollar, V</creatorcontrib><creatorcontrib>Santiago, V</creatorcontrib><creatorcontrib>Orea, A</creatorcontrib><creatorcontrib>Rodríguez, C</creatorcontrib><creatorcontrib>Resendiz, M</creatorcontrib><creatorcontrib>Castaño, A</creatorcontrib><creatorcontrib>Roblero, J</creatorcontrib><creatorcontrib>Campos, R M</creatorcontrib><creatorcontrib>Oseguera, J</creatorcontrib><creatorcontrib>García-Ramos, G</creatorcontrib><creatorcontrib>Bliwise, D L</creatorcontrib><title>Prevalence of pulmonary hypertension and its association with respiratory disturbances in obese patients living at moderately high altitude</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes Relat Metab Disord</addtitle><description>OBJECTIVE: To determine the point prevalence of pulmonary hypertension (PH) and its relationship with respiratory disturbances in obese patients living at moderate altitude. 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SUBJECTS: A total of 57 obese patients comprised the final sample and consisted of 34 women and 23 men, with a mean age of 42.7±12.1 ys and a mean body mass index (BMI) 47.1±10.6 kg/m 2 (range from 30.1 to 76.1). The mean living altitude was 2248.7 m, range 2100–2400 m above sea level. MEASUREMENTS: Doppler echocardiography, pulmonary function tests, arterial blood gas analysis, and polysomnography were performed. RESULTS: Data showed that 96.5% of the studied sample had daytime PH defined as calculated systolic pulmonary artery pressure (PSAP) &gt;30 mmHg (mean PSAP=50, s.d.=13 mmHg). The severity of diurnal PH was found to be related to the presence of alveolar hypoventilation and BMI. The main risk factor for severity of diurnal PH was hypoventilation with a significant odds ratio (OR) 7.96, 95% CI 1.35–46.84, BMI was (OR 1.12, 95% CI 1.02–1.25) and apnea/hypopnea index was not a predictor of pulmonary hypertension severity (OR 0.99, 95% CI 0.97–1.02). CONCLUSION: We concluded that prevalence of diurnal PH is high in obese patients living at moderate altitude, and that hypoventilation is the main risk factor associated with the severity of pulmonary hypertension.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>15224125</pmid><doi>10.1038/sj.ijo.0802726</doi><tpages>7</tpages></addata></record>
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subjects Adult
Altitude
Anthropometry
Biological and medical sciences
Body mass index
Circadian Rhythm
Diabetes
Doppler effect
Echocardiography, Doppler
Endocrinology
Epidemiology
Female
Health Promotion and Disease Prevention
Humans
Hypertension
Hypertension, Pulmonary - diagnostic imaging
Hypertension, Pulmonary - etiology
Hypoventilation
Hypoventilation - complications
Internal Medicine
Male
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Middle Aged
Obesity
Obesity - complications
Pneumology
Polysomnography
Public Health
Pulmonary arteries
Pulmonary hypertension
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
Respiratory function
Respiratory system : syndromes and miscellaneous diseases
Risk Factors
Sea level
Sleep apnea
Sleep Apnea Syndromes - complications
Veins & arteries
title Prevalence of pulmonary hypertension and its association with respiratory disturbances in obese patients living at moderately high altitude
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