Diurnal variability of FEV1 and Salivary cortisol with Anthropometric and cardiovascular parameters in healthy individuals
DOI:
https://doi.org/10.21276/sm79sx07Keywords:
BMI, diurnal, pulmonary, lung function, obesityAbstract
Background: Airways exhibit a definite circadian variation in caliber and this phenomenon is amplified in excess of respiratory distress such as asthma or COPD. FEV1 is considered a reliable airway measurement. Body Mass index is linked with several diseases and affects various systems. Salivary cortisol, a direct measure of stress can impact respiratory and cardiovascular function. This study was taken up to find any association of FEV1 and salivary cortisol with BMI and pulse pressure.
Methods: Spirometric analysis was performed to check for diurnal variability of FEV1 among 18 – 35-year-old. BMI, PP and salivary cortisol were measured. SPSS 21.0 was used for analysis of data.
Results: Diurnal variations were found to be significant in both FEV1 and Salivary cortisol. FEV1 values increased from 2.71 + 0.93 in the morning to 2.86 + 0.57 in the evening while salivary cortisol decreased from 1.52 + 0.30 to 1.17 + 0.39. Pulse pressure showed no diurnal pattern. When compared between genders, all variable except BMI was found to be significant.
Conclusion: The correlation found will help us to categorise high risk population and prioritize early diagnosis and patient management.
Downloads
References
Turner-Warwick, M. The management of chronic asthma. In P. J. Barnes, I. W. Rodger, and N. C. Thomson, editors. Asthma: Basic Mechanisms and Clinical Management. Academic Press Limited, London 1988. 721–732.
Storms, W. W., S. F. Bodman, R. A. Nathan, and P. Byer. Nocturnal asthma symptoms may be more prevalent than we think. J. Asthma 1994; 31:313–318.
Hetzel, M. R., and T. J. H. Clark. 1980. Comparison of normal and asthmatic circadian rhythms in peak expiratory flow rate. Thorax 35:732–738.
van Pelt, W., G. J. J. M. Borsboom, B. Rijcken, J. P. Schouten, B. C. van Zomeren, and P. H. Quanje. . Discrepancies between longitudinal and cross-sectional change in ventilatory function in 12 years of follow-up. Am. J. Respir. Crit. Care Med 1994; 149:1218–1226.
Hetzel, M. R. The pulmonary clock [Editorial]. Thorax 1981; 36:481–486.
Saxena Y, Sidhwani G, Upmanyu R. Abdominal obesity and pulmonary functions in young Indian adults: a prospective study. Indian J Physiol Pharmacol. 2009; 53(4):318–26.
Babb TG, Wyrick BL, Delorey DS,Chase PJ, Feng MY. Fat distribution and end expiratory lung volume in lean and obese men and women. Chest. 2008; 134:704–11.
Piper AJ, Grunstein RR. Big Breathing: the complex interaction of obesity, hypoventilation, weight loss, and respiratory functions. J Appl Physiol. 2010; 108:199–205.
Neeraj Dhaun, Rebecca Moorhouse, IainM. MacIntyre, Vanessa Melvill, Wilna Oosthuyzen, Robert A. Kimmitt et al. Diurnal Variation in Blood Pressure and Arterial Stiffness in Chronic Kidney Disease. The Role of Endothelin-1. Hypertension 2014; 64( 2): 296-304
Hiromitsu Kobayashi, Chorong Song, Harumi Ikei, Bum-Jin Park, Takahide Kagawa and Yoshifumi Miyazaki. Diurnal Changes in Distribution Characteristics of Salivary Cortisol and Immunoglobulin A Concentrations. Int. J. Environ. Res. Public Health 2017, 14, 987-995
Borsboom GJJM, van Pelt W, van Houwelingen HC, van Vianen BG, Schouten JP, Quanjer PH. Diurnal variation in lung function in subgroups from two Dutch populations: consequences for longitudinal analysis. Am J Respir Crit Care Med 1999;159:1163 – 1171.
Ali Baig M, Qureshi RH. Pulmonary function tests: normal values in non-smoking students and staff at the Aga Khan University, Karachi. J Coll Physicians Surg Pak 2007; 17:265-8.
Harik-Khan RI, Wise RA, Fleg JL. The effect of gender on the relationship between body fat distribution and lung function. J Clin Epidemiol. 2001; 54:399-406.
Walker BR, Soderberg S, Lindahl B, Olsson T. Independent effects of obesity and cortisol in predicting cardiovascular risk factors in men and women. J Intern Med. 2000;247(2):198–204.
Bjorntorp P, Holm G, Rosmond R. Hypothalamic arousal, insulin resistance and Type 2 diabetes mellitus. Diabet Med. 1999;16(5):373–83.
Pasquali R, Cantobelli S, Casimirri F, et al. The hypothalamic-pituitary-adrenal axis in obese women with different patterns of body fat distribution. J Clin Endocrinol Metab. 1993;77(2):341–6.
Anagnostis P, Athyros VG, Tziomalos K, Karagiannis A, Mikhailidis DP. Clinical review: The pathogenetic role of cortisol in the metabolic syndrome: a hypothesis. J Clin Endocrinol Metab. 2009;94(8):2692–701.
Ranjit N, Diez-Roux AV, Sanchez B, et al. Association of salivary cortisol circadian pattern with cynical hostility: multi-ethnic study of atherosclerosis. Psychosom Med. 2009;71(7):748–55.
Champaneri S, Xu X, Carnethon MR, Bertoni AG, Seeman T, DeSantis AS, Diez Roux A, Shrager S, Golden SH. Diurnal salivary cortisol is associated with body mass index and waist circumference: the Multiethnic Study of Atherosclerosis. Obesity (Silver Spring). 2013 Jan;21(1):E56-63.
Banerjee J, Roy A, Singhamahapatra A, Dey PK, Ghosal A, Das A. Association of Body Mass Index (BMI) with Lung Function Parameters in Non-asthmatics Identified by Spirometric Protocols. J Clin Diagn Res. 2014 Feb;8(2):12-4.
Matthew D. Jankowich, Tracey Taveira, Wen-Chih Wu, Decreased Lung Function Is Associated With Increased Arterial Stiffness as Measured by Peripheral Pulse Pressure: Data From NHANES III, American Journal of Hypertension 2010; 23(6): 614–619.
Hole DJ, Watt GC, Davey-Smith G, Hart CL, Gillis CR, Hawthorne VM. Impaired lung function and mortality risk in men and women: findings from the Renfrew and Paisley prospective population study. BMJ. 1996 Sep 21;313(7059):711-5;
Zureik M, Benetos A, Neukirch C, Courbon D, Bean K, Thomas F, Ducimetière P. Reduced pulmonary function is associated with central arterial stiffness in men. Am J Respir Crit Care Med. 2001 Dec 15;164(12):2181-
Downloads
Published
Issue
Section
License
Copyright (c) 2024 International Archives of BioMedical and Clinical Research (IABCR)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors are required to sign and submit the completed “Copyright transfer Form” upon acceptance of publication of the paper. This is determined by a publishing agreement between the author and International Archives of Biomedical and Clinical Research. These rights might include the right to publish, communicate and distribute online. Author(s) retain the copyright of their work. International Archives of Biomedical and Clinical Research supports the need for authors to share, disseminate and maximize the impact of their research.