Abstract
Background:Recent studies have reported the epidemiological link between Metabolic Syndrome (MS) and asthma, but it has rarely been studied in Egypt. The study aimed to investigate the prevalence of MS and its predictors among asthma patients in Egypt.Methods:In total, 320 patients with bronchial asthma were included. The following were assessed: spirometric evaluation, anthropometric indices, blood pressure, fasting blood sugar and serum lipid profile. We analyzed the correlation between metabolic scores and patient characteristics. Predictors of MS were identified using logistic regression analysis.Results:The prevalence of MS was 57.5% in asthma patients. For asthma patients, low High-Density Lipoprotein (HDL) and abdominal obesity were the commonest metabolic abnormality. Waist circumference, Fasting Blood Sugar (FBS) and triglyceride correlated significantly with asthma (P ‹ 0.05). FBS and DBP were the best predictors of MS.Conclusion:MS is frequent in asthma patients in Egypt. Obesity and lipid abnormalities were the commonest metabolic abnormality. Screening of these patients for components of metabolic syndrome should be a part of routine workup.
Highlights
Bronchial asthma and metabolic syndrome are major health problems that have increased rapidly worldwide [1]
Reversible airway obstruction with hyper-responsiveness is the main criteria of bronchial asthma, while essential hypertension, obesity, dyslipidemia, and type-2 diabetes mellitus are the main criteria of Metabolic Syndrome (MS) [2 - 4]
The percent of each component of the MS was estimated in asthma patients
Summary
Bronchial asthma and metabolic syndrome are major health problems that have increased rapidly worldwide [1]. Reversible airway obstruction with hyper-responsiveness is the main criteria of bronchial asthma, while essential hypertension, obesity, dyslipidemia, and type-2 diabetes mellitus are the main criteria of MS [2 - 4]. Diabetes mellitus is 5-fold greater in people with MS [6]. The prevalence of metabolic syndrome in asthma subjects has not been studied before in Upper Egypt. We aimed to investigate the prevalence and predictors of metabolic syndrome in asthma patients. Recent studies have reported the epidemiological link between Metabolic Syndrome (MS) and asthma, but it has rarely been studied in Egypt.
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