Abdominal aortic stiffness as a marker of atherosclerosis in childhood-onset asthma: a case-control study

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dc.contributor.authorUlger, Zulal
dc.contributor.authorGulen, Figen
dc.contributor.authorOzyurek, Arif Ruhi
dc.date.accessioned2019-10-27T22:30:10Z
dc.date.available2019-10-27T22:30:10Z
dc.date.issued2015
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: Asthma is one of the chronic inflammatory diseases. It is known that chronic inflammation accelerates atherosclerosis. Abdominal aortic stiffness parameters can be used to detect the early development of atherosclerosis. Aim: In this study, we aimed to evaluate abdominal aortic stiffness parameters in childhood-onset asthma compared with a control group. Methods: In this cross-sectional, case-control study, we evaluated 50 patients with childhood-onset asthma, and 57 healthy children as controls. Patients with a diagnosis of asthma of at least three years' duration were included in the study. Children with hypertension, hyperlipidaemia, diabetes, a history of smoking contact, or systemic disease were excluded. The study and control groups were evaluated with transthoracic echocardiography, and abdominal aorta diameters were measured. Using the measured data, abdominal aortic stiffness parameters (aortic distensibility: DIS, aortic strain: S, pressure strain elastic modulus: Ep, and pressure strain normalised by diastolic pressure: Ep*) were calculated. Statistical evaluation was done with the Student's t-test, chi-squared test and Pearson's correlation test. Results: The study group consisted of 50 children (24 female, 26 male) with asthma. According to the GINA guidelines, 26 of the patients had mild intermittant asthma, six had mild persistent asthma and 18 had intermediate persistent asthma. None of the patients had severe asthma. In 37 of the asthma patients, spIgE was positive and these patients were accepted as having atopic asthma; 27 of these patients received immunotherapy. We did not detect any differences between the study and control groups in terms of gender, age and body mass index. No differences were evident between the groups with regard to systolic and diastolic blood pressure, heart rate, blood cholesterol levels and respiratory function test parameters. There was no difference between the asthma and control groups in the measurement of abdominal aortic stiffness parameters. There was no significant correlation between aortic stiffness parameters and high-sensitivity C-reactive protein, blood total cholesterol, LDL cholesterol and HDL cholesterol levels. Conclusion: We did not find any difference between the asthma patients and control group with regard to aortic stiffness parameters (DIS, S, Ep and Ep*) and there was no difference in these parameters when we compared patients with mild asthma with those with moderate asthma. These results may be due to the anti-inflamatory effect of inhaled steroids. Further studies are needed to validate these results.en_US
dc.identifier.doi10.5830/CVJA-2014-046en_US
dc.identifier.endpage12en_US
dc.identifier.issn1995-1892
dc.identifier.issn1680-0745
dc.identifier.issue1en_US
dc.identifier.pmid25268111en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage8en_US
dc.identifier.urihttps://doi.org/10.5830/CVJA-2014-046
dc.identifier.urihttps://hdl.handle.net/11454/51213
dc.identifier.volume26en_US
dc.identifier.wosWOS:000351221800008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherClinics Cardive Publ Pty Ltden_US
dc.relation.ispartofCardiovascular Journal of Africaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectasthmaen_US
dc.subjectchildrenen_US
dc.subjectaortic stiffnessen_US
dc.titleAbdominal aortic stiffness as a marker of atherosclerosis in childhood-onset asthma: a case-control studyen_US
dc.typeArticleen_US

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