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Association of growth and nutritional parameters with pulmonary function in cystic fibrosis: a literature review
Renan Marrichi Mauch1, Arthur Henrique Pezzo Kmit1, Fernando Augusto de Lima Marson1
1Faculdade de Ciências Médicas, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brasil.
Insights
Growth and nutritional status are linked to lung function in pediatric cystic fibrosis patients. Early intervention can improve prognosis and life expectancy for these individuals.
Area of Science:
- Pediatric Pulmonology
- Clinical Nutrition
- Biostatistics
Background:
- Cystic Fibrosis (CF) is a genetic disorder affecting multiple organs, primarily the lungs.
- Pulmonary function decline is a major cause of morbidity and mortality in CF.
- Growth and nutritional status are critical indicators of health in pediatric CF patients.
Purpose of the Study:
- To conduct a literature review on the association between growth and nutritional parameters and pulmonary function in pediatric cystic fibrosis.
- To synthesize current evidence on how these factors influence lung health in young CF patients.
Main Methods:
- Systematic literature search of databases (PubMed, Cochrane, Medline, Lilacs, Scielo) for articles published in the last 15 years.
- Inclusion criteria focused on long-term associations of growth and nutrition with pulmonary disease in CF.
- Excluded studies focusing solely on nutritional parameters or disease description.
Main Results:
- Seven studies involving 12,455 patients were included in the review.
- Six studies examined the relationship between growth parameters and lung function.
- All seven studies reported a link between nutritional parameters and lung function.
Conclusions:
- Pulmonary disease severity in CF, assessed by spirometry, correlates with impaired body growth and nutritional status.
- Targeted interventions addressing growth and nutritional parameters may enhance prognosis and increase life expectancy in CF patients.
Objective:
To review the literature addressing the relationship of growth and nutritional parameters with pulmonary function in pediatric patients with cystic fibrosis.
Data Source:
A collection of articles published in the last 15 years in English, Portuguese and Spanish was made by research in electronic databases - PubMed, Cochrane, Medline, Lilacs and Scielo - using the keywords cystic fibrosis, growth, nutrition, pulmonary function in varied combinations. Articles that addressed the long term association of growth and nutritional parameters, with an emphasis on growth, with pulmonary disease in cystic fibrosis, were included, and we excluded those that addressing only the relationship between nutritional parameters and cystic fibrosis and those in which the aim was to describe the disease.
Data Synthesis:
Seven studies were included, with a total of 12,455 patients. Six studies reported relationship between growth parameters and lung function, including one study addressing the association of growth parameters, solely, with lung function, and all the seven studies reported relationship between nutritional parameters and lung function.
Conclusions:
The review suggests that the severity of the lung disease, determined by spirometry, is associated with body growth and nutritional status in cystic fibrosis. Thus, the intervention in these parameters can lead to the better prognosis and life expectancy for cystic fibrosis patients.
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