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  4. Cross-sectional associations of pulmonary function with systemic inflammation and oxidative stress in individuals with chronic spinal cord injury

Cross-sectional associations of pulmonary function with systemic inflammation and oxidative stress in individuals with chronic spinal cord injury

The Journal of Spinal Cord Medicine, 2016 · DOI: 10.1179/2045772315Y.0000000045 · Published: May 1, 2016

Spinal Cord InjuryImmunologyPulmonology

Simple Explanation

This study investigates the relationship between inflammation and oxidative stress with lung function in people with chronic spinal cord injury (SCI). Systemic inflammation and oxidative stress have been linked to reduced lung function. The study found that higher levels of inflammation were associated with lower lung function in individuals with SCI. Increased systemic inflammation was associated with reductions in FEV1 and FVC independent of a number of covariates. Oxidative stress, measured through novel markers, did not show a clear relationship with lung function. There were no clear patterns of association with any of the oxidative stress biomarkers or other outcome measures.

Study Duration
Not specified
Participants
One-hundred thirty-seven men with chronic SCI
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Higher levels of systemic inflammation (CRP and IL-6) were associated with lower percent-predicted FEV1 and FVC measurements in individuals with chronic SCI. participants with higher levels of CRP and IL-6 had lower percent-predicted FEV1 and FVC measurements.
  • 2
    No clear associations were found between oxidative stress biomarkers (FLOx) and pulmonary function measures. There were no clear patterns of association with any of the oxidative stress biomarkers or other outcome measures.
  • 3
    The associations between inflammation and pulmonary function remained significant even after adjusting for confounders like age, race, BMI, smoking, SCI characteristics, COPD, and medication use. Level/severity of injury, BMI, cigarette smoking status and pack-years, current use of statins, and COPD were all associated with changes of more than 10% in at least a single univariate model.

Research Summary

This study examined the cross-sectional associations between systemic inflammation and oxidative stress with pulmonary function in individuals with chronic spinal cord injury (SCI). The objective was to evaluate the associations between biomarkers of inflammation and oxidative stress with spirometric and lung volume measures in individuals with chronic spinal cord injury (SCI). The study found that increased systemic inflammation, measured by CRP and IL-6, was associated with reductions in FEV1 and FVC, independent of several covariates. Increased systemic inflammation was associated with reductions in FEV1 and FVC independent of a number of covariates. The authors conclude that even small decrements in pulmonary function attributable to systemic inflammation could be particularly important in SCI populations given already impaired respiratory muscles and pulmonary function. These small decrements in function attributable to systemic inflammation could be particularly important in SCI populations given already impaired respiratory muscles and pulmonary function.

Practical Implications

Clinical Monitoring

Regular monitoring of inflammatory markers in SCI patients may help identify those at risk of pulmonary function decline.

Intervention Strategies

Targeting systemic inflammation through lifestyle interventions or medications may improve or preserve pulmonary function in SCI.

Further Research

Future studies should investigate the mechanisms linking inflammation and pulmonary function in SCI and explore potential therapeutic targets.

Study Limitations

  • 1
    Cross-sectional design limits the ability to determine temporality of associations.
  • 2
    Sample size of 137 participants may limit the power to detect statistically significant patterns.
  • 3
    Use of global markers of oxidative stress (FLOx) may introduce measurement error.

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