Dyspnoea and respiratory mechanics disturbances in obesity patients


DOI: https://dx.doi.org/10.18565/therapy.2021.8.65-69

Kucherenko N.G., Bebekh A.N., Umarova I.A., Gorelov A.I.

1) I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia, Saint Petersburg; 2) L.G. Sokolov North-Western Regional Scientific and Clinical Center of FMBA of Russia, Saint Petersburg
Abstract. An excess of adipose tissue can significantly limit the capabilities of the external respiration apparatus.
Aim of the study is to estimate the correlation between functional indicators of external respiration and the presence and severity of dyspnoea in obese patients, check up the influence of dyspnoea at the life quality of patients.
Material and methods. 45 obese patients were examined. A general clinical examination, external respiration functional testing, 6-minute walk test, an estimation of dyspnea severity using the mMRC and Borg scales, and estimation of life quality by means of the SF-36 questionnaire use were carried out.
Results. The majority of the surveyed had a significant shortness of breath. A correlation of its intensity and functional pulmonary tests results, the result of a test with a 6-minute walk was foxed. A significant dependence of the life quality of patients at the dyspnoea index was demonstrated.
Conclusion. Correlation between dyspnoea and functional parameters of external respiration in obese patients, as well as the significant influence of respiratory mechanics disorders at the life quality, determines the importance of their understanding and verification and dictates the need of correction and prevention of the progression of the identified disorders.
Keywords: respiratory mechanics, dyspnoea, external respiration function, life quality, obesity
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About the Autors

Natalia G. Kucherenko, PhD, associate professor of the Department of hospital therapy and cardiology named after M.S. Kushakovsky, I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia, head of the Department of therapy, L.G. Sokolov North-Western Regional Scientific and Clinical Center of FMBA of Russia. Address: 195267, Saint Petersburg, 2/1 Ushinskogo Str. E-mail: nataliadoc@mail.ru
Anton N. Bebekh, postgraduate student of the Department of hospital therapy and cardiology named after M.S. Kushakovsky, I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia, therapist of L.G. Sokolov North-Western Regional Scientific and Clinical Center of FMBA of Russia. Address: 195267, Saint Petersburg, 110/4 Grazhdansky prospect Str. E-mail: vizier3@yandex.ru
Irina A. Umarova, PhD, associate professor of the Department of hospital therapy and cardiology named after M.S. Kushakovsky, I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia, head of the Center for respiratory therapy and somnology, L.G. Sokolov North-Western Regional Scientific and Clinical Center of FMBA of Russia. Address: 199178, 85 Bolshoy prospect Vasilievskogo ostrova Str. E-mail: iumarova@mail.ru
Alexander I. Gorelov, MD, professor, professor of the Department of hospital therapy and cardiology named after M.S. Kushakovsky, I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia, chief therapist of L.G. Sokolov North-Western Regional Scientific and Clinical Center of FMBA of Russia. Address: 194214, St. Petersburg, 112/1 Toreza Drive. E-mail: prof.gorelov@mail.ru


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