Overweight and obesity in adults with cystic fibrosis: An Italian multicenter cohort study
•The prevalence of overweight in adults with CF in Italy is common.•Overweight in CF is correlated with better lung function.•Overweight patients with CF are more likely to have less severe pulmonary exacerbations.•Overweight patients with CF are more likely to have high cholesterol blood levels and...
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| Veröffentlicht in: | Journal of cystic fibrosis 2022-01, Vol.21 (1), p.111-114 |
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| creator | Gramegna, Andrea Aliberti, Stefano Contarini, Martina Savi, Daniela Sotgiu, Giovanni Majo, Fabio Saderi, Laura Lucidi, Vincenzina Amati, Francesco Pappalettera, Maria Palange, Paolo Blasi, Francesco |
| description | •The prevalence of overweight in adults with CF in Italy is common.•Overweight in CF is correlated with better lung function.•Overweight patients with CF are more likely to have less severe pulmonary exacerbations.•Overweight patients with CF are more likely to have high cholesterol blood levels and systemic hypertension.
Over the last decades aggressive interventions have been successful to improve nutritional outcomes in people with cystic fibrosis (CF). As a result, with improvement of life expectancy and new CFTR modulators, overweight and obesity are progressively becoming a source of concern for adult population and in developed countries.
This was a multicenter, observational, cross-sectional study of 321 adults with CF at three large CF centers in Italy. Patients were divided into three groups according to BMI classes, overweight and obesity (OW) group including patients with BMI ≥25 kg/m2, normal weight (NW) group with BMI 18.6–24.9 kg/m2 and underweight (UW) group with BMI ≤18.5 kg/m2.
We demonstrated that prevalence of OW in adults with CF in Italy is 22%. OW status is independently associated with male sex (OR 3.520, P = 0.001), pancreatic sufficiency (OR 2.873, P = 0.014) and older age at diagnosis (1.015, P = 0.042). BMI correlated with ppFEV1 (r = 0.337; P |
| doi_str_mv | 10.1016/j.jcf.2021.05.002 |
| format | Article |
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Over the last decades aggressive interventions have been successful to improve nutritional outcomes in people with cystic fibrosis (CF). As a result, with improvement of life expectancy and new CFTR modulators, overweight and obesity are progressively becoming a source of concern for adult population and in developed countries.
This was a multicenter, observational, cross-sectional study of 321 adults with CF at three large CF centers in Italy. Patients were divided into three groups according to BMI classes, overweight and obesity (OW) group including patients with BMI ≥25 kg/m2, normal weight (NW) group with BMI 18.6–24.9 kg/m2 and underweight (UW) group with BMI ≤18.5 kg/m2.
We demonstrated that prevalence of OW in adults with CF in Italy is 22%. OW status is independently associated with male sex (OR 3.520, P = 0.001), pancreatic sufficiency (OR 2.873, P = 0.014) and older age at diagnosis (1.015, P = 0.042). BMI correlated with ppFEV1 (r = 0.337; P<0.0001) with median ppFEV1 significantly higher in patients with OW than comparisons. We also reported preliminary data on unfavorable cardiovascular risk factors in a subgroup of patients, where median blood levels [IQR] of cholesterol and systemic hypertension [%] were significantly higher in the OW group than in the NW and UW.
People with CF and OW is a relevant patient group that might deserve better definition and proper clinical management.</description><identifier>ISSN: 1569-1993</identifier><identifier>EISSN: 1873-5010</identifier><identifier>DOI: 10.1016/j.jcf.2021.05.002</identifier><identifier>PMID: 34053868</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Adults ; Body Mass Index ; Cohort Studies ; Cross-Sectional Studies ; Cystic fibrosis ; Cystic Fibrosis - complications ; Female ; Humans ; Italy - epidemiology ; Male ; Middle Aged ; Overweight ; Overweight - complications ; Overweight - epidemiology ; Prevalence ; Young Adult</subject><ispartof>Journal of cystic fibrosis, 2022-01, Vol.21 (1), p.111-114</ispartof><rights>2021</rights><rights>Copyright © 2021. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-16cd2d4b08b7e9620335d1ce88c2582a7d768c059242a6dbd46308e7d4a35e073</citedby><cites>FETCH-LOGICAL-c396t-16cd2d4b08b7e9620335d1ce88c2582a7d768c059242a6dbd46308e7d4a35e073</cites><orcidid>0000-0002-8248-7785 ; 0000-0002-0090-4531 ; 0000-0002-2285-9970 ; 0000-0002-4981-7076 ; 0000-0003-2315-5737</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1569199321001296$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34053868$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gramegna, Andrea</creatorcontrib><creatorcontrib>Aliberti, Stefano</creatorcontrib><creatorcontrib>Contarini, Martina</creatorcontrib><creatorcontrib>Savi, Daniela</creatorcontrib><creatorcontrib>Sotgiu, Giovanni</creatorcontrib><creatorcontrib>Majo, Fabio</creatorcontrib><creatorcontrib>Saderi, Laura</creatorcontrib><creatorcontrib>Lucidi, Vincenzina</creatorcontrib><creatorcontrib>Amati, Francesco</creatorcontrib><creatorcontrib>Pappalettera, Maria</creatorcontrib><creatorcontrib>Palange, Paolo</creatorcontrib><creatorcontrib>Blasi, Francesco</creatorcontrib><title>Overweight and obesity in adults with cystic fibrosis: An Italian multicenter cohort study</title><title>Journal of cystic fibrosis</title><addtitle>J Cyst Fibros</addtitle><description>•The prevalence of overweight in adults with CF in Italy is common.•Overweight in CF is correlated with better lung function.•Overweight patients with CF are more likely to have less severe pulmonary exacerbations.•Overweight patients with CF are more likely to have high cholesterol blood levels and systemic hypertension.
Over the last decades aggressive interventions have been successful to improve nutritional outcomes in people with cystic fibrosis (CF). As a result, with improvement of life expectancy and new CFTR modulators, overweight and obesity are progressively becoming a source of concern for adult population and in developed countries.
This was a multicenter, observational, cross-sectional study of 321 adults with CF at three large CF centers in Italy. Patients were divided into three groups according to BMI classes, overweight and obesity (OW) group including patients with BMI ≥25 kg/m2, normal weight (NW) group with BMI 18.6–24.9 kg/m2 and underweight (UW) group with BMI ≤18.5 kg/m2.
We demonstrated that prevalence of OW in adults with CF in Italy is 22%. OW status is independently associated with male sex (OR 3.520, P = 0.001), pancreatic sufficiency (OR 2.873, P = 0.014) and older age at diagnosis (1.015, P = 0.042). BMI correlated with ppFEV1 (r = 0.337; P<0.0001) with median ppFEV1 significantly higher in patients with OW than comparisons. We also reported preliminary data on unfavorable cardiovascular risk factors in a subgroup of patients, where median blood levels [IQR] of cholesterol and systemic hypertension [%] were significantly higher in the OW group than in the NW and UW.
People with CF and OW is a relevant patient group that might deserve better definition and proper clinical management.</description><subject>Adult</subject><subject>Adults</subject><subject>Body Mass Index</subject><subject>Cohort Studies</subject><subject>Cross-Sectional Studies</subject><subject>Cystic fibrosis</subject><subject>Cystic Fibrosis - complications</subject><subject>Female</subject><subject>Humans</subject><subject>Italy - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Overweight</subject><subject>Overweight - complications</subject><subject>Overweight - epidemiology</subject><subject>Prevalence</subject><subject>Young Adult</subject><issn>1569-1993</issn><issn>1873-5010</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kLFu2zAURYmgReKk_YAuBccuUh5JkaKayTCaxECALO3ShaDI55qGLLkklcB_XwZOM2Z6bzj3AvcQ8oVBzYCp6129c5uaA2c1yBqAn5EF062oJDD4UH6puop1nbgglyntAFgLrT4nF6IBKbTSC_L78QnjM4Y_20zt6OnUYwr5SMNIrZ-HnOhzyFvqjikHRzehj1MK6TtdjnSd7RDsSPcFCw7HjJG6aTvFTFOe_fET-bixQ8LPr_eK_Lr98XN1Xz083q1Xy4fKiU7liinnuW960H2LneIghPTModaOS81t61ulHciON9wq3_tGCdDY-sYKidCKK_Lt1HuI098ZUzb7kBwOgx1xmpPhUkjGpOhYQdkJdWVGirgxhxj2Nh4NA_Oi1OxMUWpelBqQpigtma-v9XO_R_-W-O-wADcnAMvIp4DRJBdwdOhDRJeNn8I79f8Aq5iGww</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Gramegna, Andrea</creator><creator>Aliberti, Stefano</creator><creator>Contarini, Martina</creator><creator>Savi, Daniela</creator><creator>Sotgiu, Giovanni</creator><creator>Majo, Fabio</creator><creator>Saderi, Laura</creator><creator>Lucidi, Vincenzina</creator><creator>Amati, Francesco</creator><creator>Pappalettera, Maria</creator><creator>Palange, Paolo</creator><creator>Blasi, Francesco</creator><general>Elsevier B.V</general><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><orcidid>https://orcid.org/0000-0002-8248-7785</orcidid><orcidid>https://orcid.org/0000-0002-0090-4531</orcidid><orcidid>https://orcid.org/0000-0002-2285-9970</orcidid><orcidid>https://orcid.org/0000-0002-4981-7076</orcidid><orcidid>https://orcid.org/0000-0003-2315-5737</orcidid></search><sort><creationdate>202201</creationdate><title>Overweight and obesity in adults with cystic fibrosis: An Italian multicenter cohort study</title><author>Gramegna, Andrea ; Aliberti, Stefano ; Contarini, Martina ; Savi, Daniela ; Sotgiu, Giovanni ; Majo, Fabio ; Saderi, Laura ; Lucidi, Vincenzina ; Amati, Francesco ; Pappalettera, Maria ; Palange, Paolo ; Blasi, Francesco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-16cd2d4b08b7e9620335d1ce88c2582a7d768c059242a6dbd46308e7d4a35e073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Body Mass Index</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Cystic fibrosis</topic><topic>Cystic Fibrosis - complications</topic><topic>Female</topic><topic>Humans</topic><topic>Italy - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Overweight</topic><topic>Overweight - complications</topic><topic>Overweight - epidemiology</topic><topic>Prevalence</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gramegna, Andrea</creatorcontrib><creatorcontrib>Aliberti, Stefano</creatorcontrib><creatorcontrib>Contarini, Martina</creatorcontrib><creatorcontrib>Savi, Daniela</creatorcontrib><creatorcontrib>Sotgiu, Giovanni</creatorcontrib><creatorcontrib>Majo, Fabio</creatorcontrib><creatorcontrib>Saderi, Laura</creatorcontrib><creatorcontrib>Lucidi, Vincenzina</creatorcontrib><creatorcontrib>Amati, Francesco</creatorcontrib><creatorcontrib>Pappalettera, Maria</creatorcontrib><creatorcontrib>Palange, Paolo</creatorcontrib><creatorcontrib>Blasi, Francesco</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cystic fibrosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gramegna, Andrea</au><au>Aliberti, Stefano</au><au>Contarini, Martina</au><au>Savi, Daniela</au><au>Sotgiu, Giovanni</au><au>Majo, Fabio</au><au>Saderi, Laura</au><au>Lucidi, Vincenzina</au><au>Amati, Francesco</au><au>Pappalettera, Maria</au><au>Palange, Paolo</au><au>Blasi, Francesco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Overweight and obesity in adults with cystic fibrosis: An Italian multicenter cohort study</atitle><jtitle>Journal of cystic fibrosis</jtitle><addtitle>J Cyst Fibros</addtitle><date>2022-01</date><risdate>2022</risdate><volume>21</volume><issue>1</issue><spage>111</spage><epage>114</epage><pages>111-114</pages><issn>1569-1993</issn><eissn>1873-5010</eissn><abstract>•The prevalence of overweight in adults with CF in Italy is common.•Overweight in CF is correlated with better lung function.•Overweight patients with CF are more likely to have less severe pulmonary exacerbations.•Overweight patients with CF are more likely to have high cholesterol blood levels and systemic hypertension.
Over the last decades aggressive interventions have been successful to improve nutritional outcomes in people with cystic fibrosis (CF). As a result, with improvement of life expectancy and new CFTR modulators, overweight and obesity are progressively becoming a source of concern for adult population and in developed countries.
This was a multicenter, observational, cross-sectional study of 321 adults with CF at three large CF centers in Italy. Patients were divided into three groups according to BMI classes, overweight and obesity (OW) group including patients with BMI ≥25 kg/m2, normal weight (NW) group with BMI 18.6–24.9 kg/m2 and underweight (UW) group with BMI ≤18.5 kg/m2.
We demonstrated that prevalence of OW in adults with CF in Italy is 22%. OW status is independently associated with male sex (OR 3.520, P = 0.001), pancreatic sufficiency (OR 2.873, P = 0.014) and older age at diagnosis (1.015, P = 0.042). BMI correlated with ppFEV1 (r = 0.337; P<0.0001) with median ppFEV1 significantly higher in patients with OW than comparisons. We also reported preliminary data on unfavorable cardiovascular risk factors in a subgroup of patients, where median blood levels [IQR] of cholesterol and systemic hypertension [%] were significantly higher in the OW group than in the NW and UW.
People with CF and OW is a relevant patient group that might deserve better definition and proper clinical management.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>34053868</pmid><doi>10.1016/j.jcf.2021.05.002</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-8248-7785</orcidid><orcidid>https://orcid.org/0000-0002-0090-4531</orcidid><orcidid>https://orcid.org/0000-0002-2285-9970</orcidid><orcidid>https://orcid.org/0000-0002-4981-7076</orcidid><orcidid>https://orcid.org/0000-0003-2315-5737</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1569-1993 |
| ispartof | Journal of cystic fibrosis, 2022-01, Vol.21 (1), p.111-114 |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Adults Body Mass Index Cohort Studies Cross-Sectional Studies Cystic fibrosis Cystic Fibrosis - complications Female Humans Italy - epidemiology Male Middle Aged Overweight Overweight - complications Overweight - epidemiology Prevalence Young Adult |
| title | Overweight and obesity in adults with cystic fibrosis: An Italian multicenter cohort study |
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