Evidence map›Paper›PMID 34586303›Full record

ArticleJornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia2021

Respiratory burden in obese and young asthmatics: a study of diaphragmatic kinetics.

Luís Henrique Sarmento Tenório, Fabiana Cavalcanti Vieira, Helga Cecília Muniz de Souza, Armele de Fátima Dornelas de Andrade, Virgínia Maria Barros de Lorena, Décio Medeiros, José Ângelo Rizzo, Georgia Veras de Araújo Gueiros Lira, Marco Aurélio de Valois Correia Junior, Emanuel Sávio Cavalcanti Sarinho

Open access · diamondAbstract read
In one paragraph

Article in Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Diaphragm Morphology and Function in Neurocritical Care Patients: Uncovering Key Correlations With Respiratory Muscle Strength Under Mechanical Ventilation.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2025
    Observational
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Luís Henrique Sarmento TenórioPrograma de Pós-Graduação em Criança e Saúde do Adolescente, Universidade Federal de Pernambuco, Recife (PE), Brasil.ORCID 0000-0002-7455-2735
Fabiana Cavalcanti VieiraPrograma de Pós-Graduação em Criança e Saúde do Adolescente, Universidade Federal de Pernambuco, Recife (PE), Brasil.ORCID 0000-0003-1978-1612
Helga Cecília Muniz de SouzaDepartamento de Fisioterapia, Universidade Federal de Pernambuco, Recife (PE), Brasil.ORCID 0000-0003-3538-5687
Armele de Fátima Dornelas de AndradeDepartamento de Fisioterapia, Universidade Federal de Pernambuco, Recife (PE), Brasil.ORCID 0000-0001-9430-4395
Virgínia Maria Barros de LorenaDepartamento de Imunologia, Centro de Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, Brasil.ORCID 0000-0003-0663-236X
Décio MedeirosPrograma de Pós-Graduação em Criança e Saúde do Adolescente, Universidade Federal de Pernambuco, Recife (PE), Brasil.ORCID 0000-0003-1779-5762
José Ângelo RizzoPrograma de Pós-Graduação em Criança e Saúde do Adolescente, Universidade Federal de Pernambuco, Recife (PE), Brasil.ORCID 0000-0003-3344-804X
Georgia Veras de Araújo Gueiros LiraPrograma de Pós-Graduação em Criança e Saúde do Adolescente, Universidade Federal de Pernambuco, Recife (PE), Brasil.ORCID 0000-0002-7525-5193
Marco Aurélio de Valois Correia JuniorCentro de Pesquisa em Alergia e Imunologia, Universidade Federal de Pernambuco, Recife (PE), Brasil.ORCID 0000-0003-0386-5256
Emanuel Sávio Cavalcanti SarinhoPrograma de Pós-Graduação em Criança e Saúde do Adolescente, Universidade Federal de Pernambuco, Recife (PE), Brasil.ORCID 0000-0003-3331-6274
Universidade Federal de Pernambuco · BRFundação Oswaldo Cruz · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to assess the diaphragm kinetics, respiratory function, and serum dosage of leptin and inflammatory cytokines (IL-6 and TNF-α) in three clinical groups: obese, asthmatic, and healthy.

methodsThis is a clinical exploratory study performed on 73 youths (12-24 years of age, 42.5% male) allocated into three groups: obesity (OG, n=33), body mass index (BMIz-score) ≥ +2, asthmatic (AG, n=26) controlled mild asthmatics, classified by GINA, and Healthy Control Group (CG, n=14). The participants were subjected to diaphragmatic ultrasound, spirometry, maximal respiratory pressure, serum leptin levels, and IL-6 and TNF-α whole blood cell culture levels.

resultsDiaphragm thickness was higher in OG in comparison to AG and CG (2.0±0.4 vs 1.7±0.5 and 1.6±0.2, both with p<0.05). Maximal voluntary ventilation (MVV) was significantly lower in OG and AG in relation to the CG (82.8±21.4 and 72.5±21.2 vs 102.8±27.3, both with p<0.05). OG has the highest leptin rate among the groups (with the other two groups had p<0.05). All groups had similar TNF-α and IL-6 levels.

conclusionThe muscular hypertrophy found in the diaphragm of the obese individuals can be justified by the increase in respiratory work imposed by the chronic condition of the disease. Such increase in thickness did not occur in controlled mild asthmatics. The IL-6 and TNF-α markers detected no evidence of muscle inflammation, even though leptin was expected to be altered in obese individuals. Both obese and asthmatic patients had lower pulmonary resistance than the healthy ones.

Indexed as

AsthmaDiaphragmAdolescentFemaleHumansKineticsLeptinMaleObesityTumor Necrosis Factor-alphaYoung AdultLeptinTumor Necrosis Factor-alpha

Identifiers

PMID34586303
PMCPMC8642816
OpenAlexW3201561501

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.