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Cluster analysis in phenotyping a Portuguese population.

C C Loureiro1, P Sa-Couto2, A Todo-Bom3

  • 1Pneumology Unit, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Centre of Pneumology, Faculty of Medicine, University of Coimbra, Portugal.

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This study identified five distinct asthma phenotypes in Portuguese patients using cluster analysis. Key factors for distinguishing these asthma types include age of onset, obesity, and lung function measures.

Keywords:
AsthmaCluster analysisPhenotypes

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Area of Science:

  • Pulmonology
  • Clinical Immunology
  • Biostatistics

Background:

  • Asthma phenotyping aids understanding of disease mechanisms.
  • Inflammatory biomarkers enhance clinical parameter-based cluster analysis.
  • This approach was novel for Portuguese asthmatic patients.

Purpose of the Study:

  • To identify distinct asthma phenotypes in Portuguese patients.
  • Utilize cluster analysis on a secondary medical care population.
  • Characterize asthma subtypes within this specific demographic.

Main Methods:

  • Recruited consecutive asthma patients from an outpatient clinic.
  • Applied Ward's clustering method for phenotype identification.
  • Utilized standard asthma evaluation procedures and GINA guidelines.

Main Results:

  • Analyzed data from 57 out of 72 enrolled patients.
  • Identified five distinct asthma clusters (C1-C5).
  • Clusters varied by onset age, severity, obesity, inflammation (e.g., Th2, eosinophilic), and lung function.

Conclusions:

  • Identified asthma clusters largely align with larger studies.
  • Age at onset, obesity, lung function, FeNO, and severity are key distinguishing variables.
  • This phenotyping provides a refined understanding of asthma in the Portuguese population.