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Obesity and asthma: Effect of bariatric surgery on lung function, inflammation and quality of life.

Completed
Conditions
asthma, obesityastma, obesitas
Registration Number
NL-OMON24901
Lead Sponsor
Sint Franciscus Gasthuis, Rotterdam, The Netherlands and Leiden University Medical Center, Leiden, The Netherlands
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
120
Inclusion Criteria

1. For the asthma patients: Physician diagnosed, persistent asthma > 2 years;

2. Age > 18 and < 50 year;

Exclusion Criteria

1. Smoking > 10 sig/d or > 10 pack years (PY);

2. COPD or other pulmonary pathology apart from asthma;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
ung function: FEV1/FVC at 12 months after bariatric surgery.
Secondary Outcome Measures
NameTimeMethod
1. Other lung function parameters: FEV1, FIV1, TLC, FRC, reversibility (supine and sitting position). R5, X5 and Fres (FOT);<br /><br>2. Airway inflammation: FeNO, bronchial biopsies (during operation), PC20 methacholine;<br /><br>3. Systemic inflammation (blood): TNF-á, IL-6, eotaxin, high sensitivity CRP, leptin, adiponectin, oestrogen, progesteron, lipid spectrum, glucose, sCD14;<br /><br>4. Local inflammation (visceral fat tissue and bronchial biopsies): determination of gene expression (TNF-á, IL-6, eotaxin, leptin, adiponectin), polymorphisms of Beta-2 receptor ADRB2, glucocorticoid receptor gen NR3C1 and Toll-like receptors (TLR2, TLR4, TLR6 en TLR10, and IgE. Intima Media Thickness measurement. Determination of structural features in bronchial mucosa (airway remodelling);<br /><br>5. Asthma symptoms: ACQ, exacerbation frequency, medication use, ACT.
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