Influence of Body Mass Index on Inflammatory Profile at Admission in Critically Ill Septic Patients

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Citações na Scopus
7
Tipo de produção
article
Data de publicação
2015
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ISSN da Revista
Título do Volume
Editora
HINDAWI LTD
Citação
INTERNATIONAL JOURNAL OF INFLAMMATION, article ID UNSP 734857, 6p, 2015
Projetos de Pesquisa
Unidades Organizacionais
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Resumo
Introduction. Inflammation is ubiquitous during sepsis and may be influenced by body mass index (BMI). We sought to evaluate if BMIwas associated with serumlevels of several cytokinesmeasured at intensive care unit admission due to sepsis. Methods. 33 septic patients were included. An array of thirty-two cytokines and chemokines was measured using Milliplex technology. We assessed the association between cytokine levels and BMI by generalized additive model that also included illness severity (measured by SAPS 3 score); one model was built for each cytokine measured. Results. We found that levels of epidermal growth factor, vascular endothelial growth factor, and interleukins 4, 5, and 13 were associated with BMI in a complex, nonlinear way, independently of illness severity. Higher BMI was associated with higher levels of anti-inflammatory interleukins. Conclusion. BMI may influence host response to infection during critical illness. Larger studies should confirm these findings.
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Referências
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