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Análise comparativa do perfil imunológico e bioquímico entre pacientes com Doença Pulmonar Obstrutiva Crônica e pacientes com Espirometria com Comprometimento da Relação Preservada (PRISm)

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dc.creator Braz, Leticia Helen Dias
dc.date.accessioned 2026-02-04T16:40:26Z
dc.date.available 2026-02-04T16:40:26Z
dc.date.issued 2026-12-03
dc.identifier.citation BRAZ, Leticia Helen Dias. Análise comparativa do perfil imunológico e bioquímico entre pacientes com doença pulmonar obstrutiva crônica e pacientes com espirometria com comprometimento da relação preservada (PRISm). Orientadora: Gyselle Chrystina Baccan; Coorientadora: Margarida Célia Lima Costa Neves. 2025. 77 f. Dissertação (Mestrado em Imunologia) - Universidade Federal da Bahia, Instituto de Ciências da Saúde, Salvador, 2025. pt_BR
dc.identifier.uri https://repositorio.ufba.br/handle/ri/43990
dc.description.abstract Chronic Obstructive Pulmonary Disease (COPD) and Preserved Ratio Impaired Spirometry (PRISm) are pulmonary conditions that share common factors. However, the pathophysiological mechanisms differentiating these entities remain poorly understood. This study aimed to compare the immunological and biochemical profiles of patients with COPD and PRISm and to analyze the correlation of these biomarkers with anthropometric parameters in each group. A cross-sectional analytical study was conducted involving 72 patients aged 50-80 years. Serum cytokines (IL-6, IL-8, IL-10, IL-12, TNF), biochemical markers (total cholesterol, HDL, LDL, triglycerides, glucose, glycated hemoglobin), and anthropometric measurements (waist circumference, triceps skinfold thickness, mid upper arm circumference) were assessed. No statistically significant differences were found between the groups regarding cytokine or biochemical levels. However, in COPD patients, abdominal circumference correlated positively with IL-6 levels (r = 0.565; p < 0.05), while triceps skinfold thickness showed a significant inverse correlation with IL-10 (r = – 0.427; p < 0.05). In PRISm patients, glucose levels were positively correlated with mid upper arm circumference (r = 0.574; p < 0.05) and body mass index (r = 0.567; p < 0.05). Although COPD and PRISm patients exhibited similar inflammatory and biochemical profiles, our analysis of correlations with body composition parameters showed distinct associations. The presents findings underscore the importance of individualized clinical management for each patient group. pt_BR
dc.description.sponsorship Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) pt_BR
dc.language por pt_BR
dc.publisher Universidade Federal da Bahia pt_BR
dc.rights Acesso Aberto pt_BR
dc.subject Doença Pulmonar Obstrutiva Crônica (DPOC) pt_BR
dc.subject Espirometria com Comprometimento da Relação Preservada (PRISm) pt_BR
dc.subject Citocinas pt_BR
dc.subject Perfil metabólico pt_BR
dc.subject Antropometria pt_BR
dc.subject Inflamação pt_BR
dc.subject.other chronic obstructive pulmonary disease (COPD) pt_BR
dc.subject.other Preserved Ratio Impaired Spirometry (PRISm) pt_BR
dc.subject.other cytokines pt_BR
dc.subject.other Metabolic profile pt_BR
dc.subject.other anthropometry pt_BR
dc.subject.other inflammation pt_BR
dc.title Análise comparativa do perfil imunológico e bioquímico entre pacientes com Doença Pulmonar Obstrutiva Crônica e pacientes com Espirometria com Comprometimento da Relação Preservada (PRISm) pt_BR
dc.title.alternative Comparative Analysis of Immunological and Biochemical Patient Profiles in Chronic Obstructive Pulmonary Disease and Preserved Ratio Impaired Spirometry (PRISm) pt_BR
dc.type Dissertação pt_BR
dc.publisher.program Programa de Pós-Graduação em Imunologia - (PPGIM)  pt_BR
dc.publisher.initials UFBA pt_BR
dc.publisher.country Brasil pt_BR
dc.subject.cnpq CNPQ::CIENCIAS DA SAUDE pt_BR
dc.contributor.advisor1 Baccan, Gyselle Chrystina
dc.contributor.advisor1ID https://orcid.org/0000-0001-8479-508X pt_BR
dc.contributor.advisor1Lattes http://lattes.cnpq.br/1780475016440250 pt_BR
dc.contributor.advisor-co1 Neves, Margarida Célia Lima Costa
dc.contributor.advisor-co1Lattes http://lattes.cnpq.br/2617272725974050 pt_BR
dc.contributor.referee1 Baccan, Gyselle Chrystina
dc.contributor.referee1ID https://orcid.org/0000-0001-8479-508X pt_BR
dc.contributor.referee1Lattes http://lattes.cnpq.br/1780475016440250 pt_BR
dc.contributor.referee2 Macambira, Simone Garcia
dc.contributor.referee2Lattes http://lattes.cnpq.br/0000934973237500 pt_BR
dc.contributor.referee3 Medeiros, Jairza Maria Barreto
dc.contributor.referee3Lattes http://lattes.cnpq.br/6674302443921098 pt_BR
dc.creator.ID https://orcid.org/0009-0001-8322-3394 pt_BR
dc.creator.Lattes http://lattes.cnpq.br/4025484523751262 pt_BR
dc.description.resumo A Doença Pulmonar Obstrutiva Crônica (DPOC) e a Espirometria com Comprometimento da Relação Preservada (PRISm) compartilham fatores de risco. No entanto, os mecanismos fisiopatológicos que diferenciam ambas as condições ainda são pouco compreendidas. Este estudo teve como objetivo comparar os perfis imunológicos e bioquímicos de pacientes com DPOC e PRISm e analisar a correlação desses biomarcadores com parâmetros antropométricos em cada grupo. Foi realizado um estudo analítico transversal envolvendo 72 pacientes com idades entre 50 e 80 anos. Foram avaliadas citocinas séricas (IL-6, IL-8, IL-10, IL-12 e TNF), marcadores bioquímicos (colesterol total, HDL, LDL, triglicerídeos, glicose e hemoglobina glicada) e medidas antropométricas (circunferência abdominal, dobra cutânea tricipital e circunferência do braço). Não foram encontradas diferenças estatisticamente significativas entre os grupos em relação aos níveis de citocinas ou bioquímicos. No entanto, em pacientes com DPOC, a circunferência abdominal apresentou correlação positiva com os níveis de IL-6 (r = 0,565; p < 0,05), enquanto a espessura da prega cutânea tricipital mostrou correlação inversa significativa com a IL-10 (r = –0,427; p < 0,05). Em pacientes com PRISm, os níveis de glicose apresentaram correlação positiva com a circunferência do braço (r = 0,574; p < 0,05) e com o índice de massa corporal (r = 0,567; p < 0,05). Embora os pacientes com DPOC e PRISm apresentassem perfis inflamatórios e bioquímicos semelhantes, nossa análise de correlações com parâmetros de composição corporal mostrou associações distintas. Os presentes achados ressaltam a importância do manejo clínico individualizado para cada grupo de pacientes. pt_BR
dc.publisher.department Instituto de Ciências da Saúde - ICS pt_BR
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Independent effect of the triglyceride-glucose index on all-cause mortality in critically ill patients with chronic obstructive pulmonary disease and asthma: A retrospective cohort study. Chronic Respiratory Disease, 21. https://doi.org/10.1177/14799731241245424 pt_BR
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