Presence of cystic fibrosis-related diabetes mellitus is tightly linked to poor lung function in patients with cystic fibrosis: Data from the European Epidemiologic Registry of Cystic Fibrosis

Data derived from a cross‐sectional analysis of 7,566 patients stratified into six age groups were used to compare lung function, body mass index (BMI), and weight for age in patients with and without cystic fibrosis‐related diabetes mellitus (CFDM). The presence of CFDM was tightly linked to poor l...

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Veröffentlicht in:Pediatric pulmonology 2001-11, Vol.32 (5), p.343-350
Hauptverfasser: Koch, C., Rainisio, M., Madessani, U., Harms, H.K., Hodson, M.E., Mastella, G., McKenzie, S.G., Navarro, J., Strandvik, B.
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container_end_page 350
container_issue 5
container_start_page 343
container_title Pediatric pulmonology
container_volume 32
creator Koch, C.
Rainisio, M.
Madessani, U.
Harms, H.K.
Hodson, M.E.
Mastella, G.
McKenzie, S.G.
Navarro, J.
Strandvik, B.
description Data derived from a cross‐sectional analysis of 7,566 patients stratified into six age groups were used to compare lung function, body mass index (BMI), and weight for age in patients with and without cystic fibrosis‐related diabetes mellitus (CFDM). The presence of CFDM was tightly linked to poor lung function, regardless of age. The mean value of FEV1 % predicted in the age groups 
doi_str_mv 10.1002/ppul.1142
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The presence of CFDM was tightly linked to poor lung function, regardless of age. The mean value of FEV1 % predicted in the age groups &lt; 10, 10–&lt; 15, 15–&lt; 20, 20–&lt; 25, 25–&lt; 30, and 30 years or older were 87%, 77%, 69%, 58%, 55%, and 53% in the nondiabetic cystic fibrosis (CF) patients as compared to 79%, 66%, 55%, 49%, 46%, and 44% in the diabetic CF patients. BMI and weight for age were also lower in diabetic than nondiabetic CF patients in all age groups, except for BMI in the youngest patients. The difference in lung function and in nutritional parameters between diabetic and nondiabetic CF patients was not linked to presence or absence of any specific pathogen in the lower respiratory tract. These results confirm and extend those of earlier studies in smaller numbers of patients, and they clearly identify CFDM as a powerful determinant of severe lung disease and reduced survival in patients with CF and diabetis mellitus. Pediatr Pulmonol. 2001; 32:343–350. © 2001 Wiley‐Liss, Inc.</description><identifier>ISSN: 8755-6863</identifier><identifier>EISSN: 1099-0496</identifier><identifier>DOI: 10.1002/ppul.1142</identifier><identifier>PMID: 11596158</identifier><identifier>CODEN: PEPUES</identifier><language>eng</language><publisher>New York: John Wiley &amp; Sons, Inc</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Body Mass Index ; Child ; cystic fibrosis ; Cystic Fibrosis - complications ; Cystic Fibrosis - physiopathology ; Diabetes Complications ; diabetes mellitus ; Diabetes Mellitus - physiopathology ; Forced Expiratory Volume ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Medical sciences ; Other diseases. 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Pulmonol</addtitle><description>Data derived from a cross‐sectional analysis of 7,566 patients stratified into six age groups were used to compare lung function, body mass index (BMI), and weight for age in patients with and without cystic fibrosis‐related diabetes mellitus (CFDM). The presence of CFDM was tightly linked to poor lung function, regardless of age. The mean value of FEV1 % predicted in the age groups &lt; 10, 10–&lt; 15, 15–&lt; 20, 20–&lt; 25, 25–&lt; 30, and 30 years or older were 87%, 77%, 69%, 58%, 55%, and 53% in the nondiabetic cystic fibrosis (CF) patients as compared to 79%, 66%, 55%, 49%, 46%, and 44% in the diabetic CF patients. BMI and weight for age were also lower in diabetic than nondiabetic CF patients in all age groups, except for BMI in the youngest patients. The difference in lung function and in nutritional parameters between diabetic and nondiabetic CF patients was not linked to presence or absence of any specific pathogen in the lower respiratory tract. These results confirm and extend those of earlier studies in smaller numbers of patients, and they clearly identify CFDM as a powerful determinant of severe lung disease and reduced survival in patients with CF and diabetis mellitus. 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BMI and weight for age were also lower in diabetic than nondiabetic CF patients in all age groups, except for BMI in the youngest patients. The difference in lung function and in nutritional parameters between diabetic and nondiabetic CF patients was not linked to presence or absence of any specific pathogen in the lower respiratory tract. These results confirm and extend those of earlier studies in smaller numbers of patients, and they clearly identify CFDM as a powerful determinant of severe lung disease and reduced survival in patients with CF and diabetis mellitus. Pediatr Pulmonol. 2001; 32:343–350. © 2001 Wiley‐Liss, Inc.</abstract><cop>New York</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>11596158</pmid><doi>10.1002/ppul.1142</doi><tpages>8</tpages></addata></record>
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subjects Adolescent
Adult
Biological and medical sciences
Body Mass Index
Child
cystic fibrosis
Cystic Fibrosis - complications
Cystic Fibrosis - physiopathology
Diabetes Complications
diabetes mellitus
Diabetes Mellitus - physiopathology
Forced Expiratory Volume
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Medical sciences
Other diseases. Semiology
pulmonary function
registry
Vital Capacity
title Presence of cystic fibrosis-related diabetes mellitus is tightly linked to poor lung function in patients with cystic fibrosis: Data from the European Epidemiologic Registry of Cystic Fibrosis
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