Comparison of Body Composition Indices of Chemical Warfare Veterans with Chronic Pulmonary Obstruction in Patients with Low and Moderate to High Disease Severity

Q3 Medicine

Journal of Military Medicine Pub Date : 2020-10-19 DOI:10.30491/JMM.22.8.837

M. Salesi, G. Alishiri, A. Shahriary, Amir Elhaei, A. Shakibaee

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Abstract

Background and Aim: More than 100,000 Iranian veterans suffer from chemical damage caused by mustard gas. The aim of this study was to determine the body composition status of chemical warfare veterans with chronic obstructive pulmonary disease (COPD). Methods: This is a cross-sectional study. 97 chemical warfare veterans with COPD in Karaj, Iran were included in the study. The Patients were divided into two groups low and medium to high disease severity according to spirometry parameters. The body composition parameters were evaluated using the Bioelectrical Impedance Analysis method. Results: Mean age, height and weight of patients were 49.19±3.86, 171.85±6.11, 79.24±11.09, respectively. 65.6 % of them were overweight or obese. According to spirometry indexes, 55.7% (n=54) of veterans had low disease severity and 44.3% (n=43) had moderate to high disease severity. There was a significant difference between chemical veterans with low severity of COPD and moderate to high severity of COPD in body fat-free mass (p-value=0.031), body muscle mass (p-value=0.026) and body water (p-value=0.031) indices. All three indices in the group of veterans with moderate to high disease severity had a higher mean than the veterans with low disease severity. But no significant difference was observed in the fat mass index between these two groups

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化学战老兵慢性肺阻塞低、中、高疾病严重程度患者身体成分指标的比较

背景和目的：超过100000名伊朗退伍军人遭受芥子气造成的化学伤害。本研究的目的是确定患有慢性阻塞性肺病（COPD）的化学战退伍军人的身体成分状况。方法：这是一项横断面研究。在伊朗卡拉杰，97名患有慢性阻塞性肺病的化学战老兵被纳入了这项研究。根据肺活量测定参数将患者分为疾病严重程度低组和中至高组。使用生物电阻抗分析方法评估身体成分参数。结果：患者的平均年龄、身高和体重分别为49.19±3.86、171.85±6.11和79.24±11.09。超重或肥胖者占65.6%。根据肺活量测定指标，55.7%（n=54）的退伍军人疾病严重程度较低，44.3%（n=43）的退伍军人患有中度至高度疾病。低严重程度COPD和中重度COPD的化学退伍军人在体脂游离质量（p值=0.031）、体肌质量（p价值=0.026）和体水（p价值0.031）指标方面存在显著差异。中度至高度疾病严重程度退伍军人组的所有三项指标的平均值均高于低度疾病严重程度的退伍军人组。但这两组之间的脂肪质量指数没有显著差异

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来源期刊

Journal of Military Medicine Medicine-Public Health, Environmental and Occupational Health

CiteScore

2.60

自引率

0.00%

发文量

期刊介绍： Journal of Military Medicine is a Bimonthly peer-reviewed medical journal covering research and developments in the field of health and medicine in military and crisis settings. The journal was established in 1999. It publishes original research reports, editorials, letters to the editor, and reviews.