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  4. FEV1 and FVC and systemic inflammation in a spinal cord injury cohort

FEV1 and FVC and systemic inflammation in a spinal cord injury cohort

BMC Pulmonary Medicine, 2017 · DOI: 10.1186/s12890-017-0459-6 · Published: August 8, 2017

Spinal Cord InjuryPulmonologyGenetics

Simple Explanation

This study explores the connection between inflammation in the body and lung function in people with spinal cord injuries (SCI). Individuals with SCI often experience systemic inflammation and reduced lung function. The study found that higher levels of certain inflammatory markers (CRP and IL-6) were linked to lower lung function (FEV1 and FVC) in people with SCI. This suggests that inflammation might negatively impact lung health in this population. The findings remained consistent even after considering other factors like age, injury severity, and smoking habits, strengthening the idea that inflammation plays a significant role in reduced lung function among individuals with chronic SCI.

Study Duration
8/2009 and 4/2015
Participants
311 individuals with chronic SCI
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Plasma CRP and IL-6 were inversely associated with FEV1 and FVC in individuals with chronic SCI.
  • 2
    Each interquartile range (5.91 mg/L) increase in CRP was associated with a significant decrease in FEV1 (−55.85 ml; 95% CI: -89.21, −22.49) and decrease in FVC (−65. 50 ml; 95% CI: -106.61, −24.60).
  • 3
    Similar significant findings were observed for IL-6, indicating its role in reduced pulmonary function.

Research Summary

This study investigated the relationship between systemic inflammation and pulmonary function in individuals with chronic spinal cord injury (SCI). The results showed that higher levels of inflammatory biomarkers (CRP and IL-6) were associated with decreased FEV1 and FVC, indicating reduced lung function. The researchers concluded that systemic inflammation in chronic SCI may contribute to reduced pulmonary function, independent of other factors.

Practical Implications

Potential Therapeutic Target

Targeting systemic inflammation could be a potential therapeutic strategy to improve pulmonary function in individuals with chronic SCI.

Monitoring Inflammatory Markers

Regular monitoring of inflammatory markers like CRP and IL-6 in SCI patients may help identify those at risk of pulmonary function decline.

Lifestyle Interventions

Implementing lifestyle interventions (e.g., exercise, diet) to reduce systemic inflammation might improve respiratory health in this population.

Study Limitations

  • 1
    Cross-sectional nature limits determination of temporality.
  • 2
    Potential for residual confounding despite considering many confounders.
  • 3
    Uncertainty regarding the mechanism by which systemic inflammation influences pulmonary function in SCI.

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