Risk factors for deterioration of nodular bronchiectatic Mycobacterium avium complex lung disease

SETTINGThe long-term natural course of Mycobacterium avium complex (MAC) disease with nodular bronchiectasis, the most common pulmonary non-tuberculous mycobacterial disease, is not well described. OBJECTIVE:To identify risk factors for the deterioration of nodular bronchiectatic MAC lung disease ov...

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Veröffentlicht in:The international journal of tuberculosis and lung disease 2014-06, Vol.18 (6), p.730-736
Hauptverfasser: Kim, S. J., Park, J., Lee, H., Lee, Y. J., Park, J. S., Cho, Y-J., Yoon, H. I., Lee, C-T., Lee, J. H.
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container_end_page 736
container_issue 6
container_start_page 730
container_title The international journal of tuberculosis and lung disease
container_volume 18
creator Kim, S. J.
Park, J.
Lee, H.
Lee, Y. J.
Park, J. S.
Cho, Y-J.
Yoon, H. I.
Lee, C-T.
Lee, J. H.
description SETTINGThe long-term natural course of Mycobacterium avium complex (MAC) disease with nodular bronchiectasis, the most common pulmonary non-tuberculous mycobacterial disease, is not well described. OBJECTIVE:To identify risk factors for the deterioration of nodular bronchiectatic MAC lung disease over a 5-year follow-up period. DESIGN:Clinical and laboratory data of 67 patients with nodular bronchiectatic MAC lung disease were collected. Chest computerised tomographic images were used to count the number of lung segments involved at diagnosis and measure subcutaneous fat thickness during follow-up. RESULTS: The 34 patients who showed deterioration had significantly lower body mass index (BMI) (P = 0.004) and % predicted forced vital capacity (P = 0.032), higher numbers of lung segments involved (P < 0.001) and MAC-positive sputum cultures (P = 0.028), and thinner chest subcutaneous fat during follow-up (P < 0.001) than patients without deterioration. In particular, patients with both BMI
doi_str_mv 10.5588/ijtld.13.0792
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J. ; Park, J. ; Lee, H. ; Lee, Y. J. ; Park, J. S. ; Cho, Y-J. ; Yoon, H. I. ; Lee, C-T. ; Lee, J. H.</creator><creatorcontrib>Kim, S. J. ; Park, J. ; Lee, H. ; Lee, Y. J. ; Park, J. S. ; Cho, Y-J. ; Yoon, H. I. ; Lee, C-T. ; Lee, J. H.</creatorcontrib><description>SETTINGThe long-term natural course of Mycobacterium avium complex (MAC) disease with nodular bronchiectasis, the most common pulmonary non-tuberculous mycobacterial disease, is not well described. OBJECTIVE:To identify risk factors for the deterioration of nodular bronchiectatic MAC lung disease over a 5-year follow-up period. DESIGN:Clinical and laboratory data of 67 patients with nodular bronchiectatic MAC lung disease were collected. Chest computerised tomographic images were used to count the number of lung segments involved at diagnosis and measure subcutaneous fat thickness during follow-up. RESULTS: The 34 patients who showed deterioration had significantly lower body mass index (BMI) (P = 0.004) and % predicted forced vital capacity (P = 0.032), higher numbers of lung segments involved (P &lt; 0.001) and MAC-positive sputum cultures (P = 0.028), and thinner chest subcutaneous fat during follow-up (P &lt; 0.001) than patients without deterioration. In particular, patients with both BMI &lt;21.0 kg/m2 and more than four lung segments involved had a 240-fold increased risk of deterioration (P &lt; 0.001). CONCLUSION:Patients with poor nutritional status and extensive lung involvement tend to experience deterioration of nodular bronchiectatic MAC lung disease.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>DOI: 10.5588/ijtld.13.0792</identifier><identifier>PMID: 24903946</identifier><language>eng</language><publisher>Paris: International Union Against Tuberculosis and Lung Disease</publisher><subject>Aged ; Bacterial diseases ; Bacteriological Techniques ; Biological and medical sciences ; Body Mass Index ; Bronchiectasis ; Bronchiectasis - diagnosis ; Bronchiectasis - microbiology ; Bronchiectasis - physiopathology ; Disease Progression ; Female ; Forced Expiratory Volume ; Human bacterial diseases ; Humans ; Infectious diseases ; Lung - diagnostic imaging ; Lung - microbiology ; Lung - physiopathology ; M. Avium Complex ; Male ; Medical sciences ; Middle Aged ; Mycobacterium avium ; Mycobacterium avium Complex - isolation &amp; purification ; Mycobacterium avium-intracellulare Infection - complications ; Mycobacterium avium-intracellulare Infection - diagnosis ; Mycobacterium avium-intracellulare Infection - microbiology ; Mycobacterium avium-intracellulare Infection - physiopathology ; Nutrition ; Nutritional Status ; Pneumology ; Predictive Value of Tests ; Registries ; Respiratory system : syndromes and miscellaneous diseases ; Risk Factors ; Spirometry ; Sputum - microbiology ; Subcutaneous Fat ; Subcutaneous Fat - diagnostic imaging ; Time Factors ; Tomography, X-Ray Computed ; Tuberculosis and atypical mycobacterial infections ; Vital Capacity</subject><ispartof>The international journal of tuberculosis and lung disease, 2014-06, Vol.18 (6), p.730-736</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c557t-c150598a68b5e6056d774695640829efbf53edc9ac508d05d2cdb779bb5ec9cf3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=28483666$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24903946$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, S. J.</creatorcontrib><creatorcontrib>Park, J.</creatorcontrib><creatorcontrib>Lee, H.</creatorcontrib><creatorcontrib>Lee, Y. J.</creatorcontrib><creatorcontrib>Park, J. S.</creatorcontrib><creatorcontrib>Cho, Y-J.</creatorcontrib><creatorcontrib>Yoon, H. I.</creatorcontrib><creatorcontrib>Lee, C-T.</creatorcontrib><creatorcontrib>Lee, J. H.</creatorcontrib><title>Risk factors for deterioration of nodular bronchiectatic Mycobacterium avium complex lung disease</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>SETTINGThe long-term natural course of Mycobacterium avium complex (MAC) disease with nodular bronchiectasis, the most common pulmonary non-tuberculous mycobacterial disease, is not well described. OBJECTIVE:To identify risk factors for the deterioration of nodular bronchiectatic MAC lung disease over a 5-year follow-up period. DESIGN:Clinical and laboratory data of 67 patients with nodular bronchiectatic MAC lung disease were collected. Chest computerised tomographic images were used to count the number of lung segments involved at diagnosis and measure subcutaneous fat thickness during follow-up. RESULTS: The 34 patients who showed deterioration had significantly lower body mass index (BMI) (P = 0.004) and % predicted forced vital capacity (P = 0.032), higher numbers of lung segments involved (P &lt; 0.001) and MAC-positive sputum cultures (P = 0.028), and thinner chest subcutaneous fat during follow-up (P &lt; 0.001) than patients without deterioration. In particular, patients with both BMI &lt;21.0 kg/m2 and more than four lung segments involved had a 240-fold increased risk of deterioration (P &lt; 0.001). CONCLUSION:Patients with poor nutritional status and extensive lung involvement tend to experience deterioration of nodular bronchiectatic MAC lung disease.</description><subject>Aged</subject><subject>Bacterial diseases</subject><subject>Bacteriological Techniques</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Bronchiectasis</subject><subject>Bronchiectasis - diagnosis</subject><subject>Bronchiectasis - microbiology</subject><subject>Bronchiectasis - physiopathology</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Forced Expiratory Volume</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Lung - diagnostic imaging</subject><subject>Lung - microbiology</subject><subject>Lung - physiopathology</subject><subject>M. Avium Complex</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mycobacterium avium</subject><subject>Mycobacterium avium Complex - isolation &amp; purification</subject><subject>Mycobacterium avium-intracellulare Infection - complications</subject><subject>Mycobacterium avium-intracellulare Infection - diagnosis</subject><subject>Mycobacterium avium-intracellulare Infection - microbiology</subject><subject>Mycobacterium avium-intracellulare Infection - physiopathology</subject><subject>Nutrition</subject><subject>Nutritional Status</subject><subject>Pneumology</subject><subject>Predictive Value of Tests</subject><subject>Registries</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Risk Factors</subject><subject>Spirometry</subject><subject>Sputum - microbiology</subject><subject>Subcutaneous Fat</subject><subject>Subcutaneous Fat - diagnostic imaging</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Vital Capacity</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkktv1DAQgCMEoqVw5Ip8QeKSxXbi1xG1UJCKEAjOluPH4iWxFz8qyq-v093CCQkfxiP78zfSjLvuOYIbQjh_7XdlNhs0bCAT-EF3ijgifUvhw5ZDzPqBIXHSPcl5ByFGCLHH3QkeBRzESE879cXnH8ApXWLKwMUEjC02-ZhU8TGA6ECIps4qgSnFoL97q0u70uDjjY5Te9fgugB1vUYdl_1sf4G5hi0wPluV7dPukVNzts-O-1n37d3br-fv-6tPlx_O31z1mhBWeo0IJIIryidiKSTUMDZSQegIORbWTY4M1mihNIHcQGKwNhNjYmq4FtoNZ92rg3ef4s9qc5GLz9rOswo21iwRIYhiwjD-D3QYoeAtNrQ_oDrFnJN1cp_8otKNRFCuA5B3A5BokOsAGv_iqK7TYs0f-r7jDXh5BFTWanZJBe3zX46PfKB05S4OnA9bG4qSu1hTaA2Uvqq14qEuhmiU8G4hfkwglSqV9UQ0zed_afS9af0m6y-R14gH2pQYtZ4TiUbCpbFO1bnIopLc_pa5OW8BuQHBYQ</recordid><startdate>20140601</startdate><enddate>20140601</enddate><creator>Kim, S. J.</creator><creator>Park, J.</creator><creator>Lee, H.</creator><creator>Lee, Y. J.</creator><creator>Park, J. S.</creator><creator>Cho, Y-J.</creator><creator>Yoon, H. I.</creator><creator>Lee, C-T.</creator><creator>Lee, J. H.</creator><general>International Union Against Tuberculosis and Lung Disease</general><general>International Union against Tuberculosis and Lung Disease</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QL</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>20140601</creationdate><title>Risk factors for deterioration of nodular bronchiectatic Mycobacterium avium complex lung disease</title><author>Kim, S. J. ; Park, J. ; Lee, H. ; Lee, Y. J. ; Park, J. S. ; Cho, Y-J. ; Yoon, H. I. ; Lee, C-T. ; Lee, J. 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Avium Complex</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mycobacterium avium</topic><topic>Mycobacterium avium Complex - isolation &amp; purification</topic><topic>Mycobacterium avium-intracellulare Infection - complications</topic><topic>Mycobacterium avium-intracellulare Infection - diagnosis</topic><topic>Mycobacterium avium-intracellulare Infection - microbiology</topic><topic>Mycobacterium avium-intracellulare Infection - physiopathology</topic><topic>Nutrition</topic><topic>Nutritional Status</topic><topic>Pneumology</topic><topic>Predictive Value of Tests</topic><topic>Registries</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Risk Factors</topic><topic>Spirometry</topic><topic>Sputum - microbiology</topic><topic>Subcutaneous Fat</topic><topic>Subcutaneous Fat - diagnostic imaging</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Tuberculosis and atypical mycobacterial infections</topic><topic>Vital Capacity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, S. 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H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for deterioration of nodular bronchiectatic Mycobacterium avium complex lung disease</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2014-06-01</date><risdate>2014</risdate><volume>18</volume><issue>6</issue><spage>730</spage><epage>736</epage><pages>730-736</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>SETTINGThe long-term natural course of Mycobacterium avium complex (MAC) disease with nodular bronchiectasis, the most common pulmonary non-tuberculous mycobacterial disease, is not well described. OBJECTIVE:To identify risk factors for the deterioration of nodular bronchiectatic MAC lung disease over a 5-year follow-up period. DESIGN:Clinical and laboratory data of 67 patients with nodular bronchiectatic MAC lung disease were collected. Chest computerised tomographic images were used to count the number of lung segments involved at diagnosis and measure subcutaneous fat thickness during follow-up. RESULTS: The 34 patients who showed deterioration had significantly lower body mass index (BMI) (P = 0.004) and % predicted forced vital capacity (P = 0.032), higher numbers of lung segments involved (P &lt; 0.001) and MAC-positive sputum cultures (P = 0.028), and thinner chest subcutaneous fat during follow-up (P &lt; 0.001) than patients without deterioration. In particular, patients with both BMI &lt;21.0 kg/m2 and more than four lung segments involved had a 240-fold increased risk of deterioration (P &lt; 0.001). CONCLUSION:Patients with poor nutritional status and extensive lung involvement tend to experience deterioration of nodular bronchiectatic MAC lung disease.</abstract><cop>Paris</cop><pub>International Union Against Tuberculosis and Lung Disease</pub><pmid>24903946</pmid><doi>10.5588/ijtld.13.0792</doi><tpages>7</tpages></addata></record>
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subjects Aged
Bacterial diseases
Bacteriological Techniques
Biological and medical sciences
Body Mass Index
Bronchiectasis
Bronchiectasis - diagnosis
Bronchiectasis - microbiology
Bronchiectasis - physiopathology
Disease Progression
Female
Forced Expiratory Volume
Human bacterial diseases
Humans
Infectious diseases
Lung - diagnostic imaging
Lung - microbiology
Lung - physiopathology
M. Avium Complex
Male
Medical sciences
Middle Aged
Mycobacterium avium
Mycobacterium avium Complex - isolation & purification
Mycobacterium avium-intracellulare Infection - complications
Mycobacterium avium-intracellulare Infection - diagnosis
Mycobacterium avium-intracellulare Infection - microbiology
Mycobacterium avium-intracellulare Infection - physiopathology
Nutrition
Nutritional Status
Pneumology
Predictive Value of Tests
Registries
Respiratory system : syndromes and miscellaneous diseases
Risk Factors
Spirometry
Sputum - microbiology
Subcutaneous Fat
Subcutaneous Fat - diagnostic imaging
Time Factors
Tomography, X-Ray Computed
Tuberculosis and atypical mycobacterial infections
Vital Capacity
title Risk factors for deterioration of nodular bronchiectatic Mycobacterium avium complex lung disease
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