Clinical and laboratory features in young patients with bronchial asthma and obesity



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Abstract

Background. To study the clinical and functional features in interrelationship between the level of proinflammatory and antiinflammatory cytokines in young patients with bronchial asthma and alimentary obesity for optimization of therapy. Methods. 133 persons were examined: 93 patients with bronchial asthma were divided into 2 groups depending on body weight index (BWI): the 1st group included patients with bronchial asthma with BWI less than 25 kg/m2, the 2nd group included patients with bronchial asthma with BWI 30 kg/m2 and more. The group of control included 40 almost healthy persons. We studied external respiration function, cellular structure of the induced sputum, the level of TNFα, IL-2, IL-4, IL-6, IL-15, Creactive protein in blood. Results. The results of cytokines at patients with bronchial asthma depending on BWI out of an exacerbation of the disease within the last 2 months. We found the signs of more significant systemic inflammation in the group with obesity the increasing of the level of IL2, IL6, TNFa and Creactive protein in plasma was found. Conclusion. We found that there was more sever course of bronchial asthma in young patients with obesity, decreased external respiration functions, increased level of proinflammatory cytokines and proteins of acute phase in peripheral blood.

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About the authors

I V Demko

Krasnoyarsk budgetary state medical university named after prof. V.F. Voino-Yasenetsky, ministry of public health service of the Russian Federation; Krasnoyarsk State Budget Institution of Health «Krasnoyarsk Regional Hospital»

E A Sobko

Krasnoyarsk budgetary state medical university named after prof. V.F. Voino-Yasenetsky, ministry of public health service of the Russian Federation; Krasnoyarsk State Budget Institution of Health «Krasnoyarsk Regional Hospital»

Email: sobko29@mail.ru

I A Soloveva

Krasnoyarsk budgetary state medical university named after prof. V.F. Voino-Yasenetsky, ministry of public health service of the Russian Federation; Krasnoyarsk State Budget Institution of Health «Krasnoyarsk Regional Hospital»

A Yu Kraposhina

Krasnoyarsk budgetary state medical university named after prof. V.F. Voino-Yasenetsky, ministry of public health service of the Russian Federation

O P Ishenko

Krasnoyarsk budgetary state medical university named after prof. V.F. Voino-Yasenetsky, ministry of public health service of the Russian Federation; Krasnoyarsk State Budget Institution of Health «Krasnoyarsk Regional Hospital»

N V Gordeeva

Krasnoyarsk budgetary state medical university named after prof. V.F. Voino-Yasenetsky, ministry of public health service of the Russian Federation; Krasnoyarsk State Budget Institution of Health «Krasnoyarsk Regional Hospital»

S A Egorov

Krasnoyarsk budgetary state medical university named after prof. V.F. Voino-Yasenetsky, ministry of public health service of the Russian Federation

S S Vturina

Krasnoyarsk budgetary state medical university named after prof. V.F. Voino-Yasenetsky, ministry of public health service of the Russian Federation

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