in Sarcoidosis and Exercise Tolerance, Dyspnea, and Quality of Life

 

Sarcoidosis

Controls

p

(n = 111)

(n = 65)

Age (years)

44.8 ± 10.4

43.3 ± 12.4
 
BMI (kg/m2)

28.2 ± 3.9

26.8 ± 5.6

0.091

FAS

22.9 ± 7.9

17.0 ± 3.3

0.046

MRC

1.3 ± 0.8

1.1 ± 0.3

0.028

OCD

1.6 ± 0.8

1.1 ± 0.3

0.025

Borg’s scale

0.7 ± 1.3

0.1 ± 0.1

0.010

FI

1.7 ± 1.1

1.1 ± 0.3

0.007

MT

1.8 ± 0.9

1.2 ± 0.5

0.032

ME

1.9 ± 1.0

1.2 ± 0.5

0.006

FI + MT + ME

5.5 ± 2.9

3.5 ± 1.2

0.004

PF

50.7 ± 7.4

54.8 ± 4.0

0.007

RP

45.2 ± 10.7

53.7 ± 5.4

0.003

BP

46.3 ± 10.0

51.1 ± 10.8

0.106

GH

40.2 ± 11.7

51.0 ± 4.8

0.001

VT

49.9 ± 9.7

54.9 ± 10.7

0.061

SF

47.1 ± 12.1

49.5 ± 9.7

0.160

RE

50.3 ± 12.1

52.0 ± 7.6

0.065

MH

43.7 ± 10.6

47.9 ± 9.0

0.238

PCS

46.4 ± 9.2

54.1 ± 5.1

0.010

MCS

47.3 ± 11.4

49.2 ± 9.9

0.176


Values are means ± SD

BMI Body Mass Index, FAS Fatigue Assessment Scale, MRC Medical Research Council questionnaire, OCD Oxygen Cost Diagram, FI Functional Impairment, MT Magnitude of Task, ME Magnitude of Effort, PF Physical functioning, RP Role Physical, BP Bodily Pain, GH General Health, VT Vitality, SF Social Functioning, RE Role Emotional, MH Mental Health, PCS Physical Cumulative Score, MCS Mental Cumulative Score



Significant differences between sarcoidosis patients and controls were observed in the perception of dyspnea. These differences were confirmed in all dyspnea questionnaires used (MRC, OCD, Borg’s scale, and BDI). The quality of life estimation showed inappreciable differences between sarcoidosis and control subjects in the SF-36 domains that reflect mental aspects: BP, VT, RE, MH and MCS. There were, however, significant differences in the domains that reflect physical aspects: PF (50.7 vs. 54.8; p = 0.007), RP (45.2 vs. 53.7; p = 0.003), GH (40.2 vs. 51.0; p = 0.001), and PCS (46.4 vs. 54.1; p = 0.01, respectively) (Table 1). The results of lung function and cardiopulmonary exercise tests were in the patients within normal range.


3.1 Sarcoidosis Patients Stratified by Steroids Consumption


There were no differences in age and BMI between sarcoidosis patients taking and non-taking steroids (Table 2). Nor were there differences in the mean FAS results of sarcoidosis patients regarding steroid consumption. The patients on steroids had a higher dyspnea score than those not taking steroids only in the MRC questionnaire (1.4 vs. 1.2, respectively; p = 0.043); other dyspnea, quality of life, and lung function results were inappreciably different between these two subgroups of sarcoidosis patients.


Table 2
Physical and clinical characteristics of the sarcoidosis patients stratified by steroids consumption









































































Clinical data

Taking steroids

Non-taking steroids

p

Gender (F/M)

3/45

1/46

0.039

Age (years)

45.1 ± 10.2

43.4 ± 11.3

0.232

BMI (kg/m2)

27.8 ± 2.9

28.4 ± 4.8

0.414

FAS

21.7 ± 6.9

22.0 ± 7.9

0.819

MRC

1.4 ± 0.6

1.2 ± 0.6

0.043

OCD

1.7 ± 0.9

1.4 ± 0.7

0.357

FI

1.8 ± 1.0

1.5 ± 1.0

0.305

MT

2.0 ± 1.0

1.4 ± 0.8

0.102

ME

2.1 ± 1.0

1.6 ± 0.9

0.125

FI + ME + MT

6.1 ± 2.9

4.6 ± 2.6

0.096

PF

47.5 ± 9.4

53.2 ± 5.0

0.485

RP

38.5 ± 12.0

50.5 ± 6.3

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Oct 9, 2016 | Posted by in ONCOLOGY | Comments Off on in Sarcoidosis and Exercise Tolerance, Dyspnea, and Quality of Life

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