TABLE 2.
COMPARISON OF UNTREATED AND CORTICOSTEROID-TREATED GROUPS
Parameter | Nontreated (n = 16) | Inhaled Steroids (n = 45) | Oral ± Inhaled Steroids (n = 33) | P Value |
---|---|---|---|---|
Demographics | ||||
Age, yr | 65 ± 2 | 68 ± 1 | 64 ± 1* | 0.061 |
BMI, kg/m2 | 26.3 ± 1.1 | 25.4 ± 0.6 | 24.6 ± 0.8 | 0.402 |
Smoking, pack-years | 64 ± 8 | 64 ± 4 | 61 ± 5 | 0.882 |
Physiology | ||||
FEV1, % predicted | 27.9 ± 2.1 | 26.7 ± 0.9 | 25.2 ± 1.4 | 0.420 |
TLC, % predicted | 128.3 ± 3.8 | 129.8 ± 2.0 | 128.3 ± 2.9 | 0.837 |
DlCO, % predicted | 30.4 ± 2.4 | 28.1 ± 1.4 | 27.7 ± 1.5 | 0.602 |
Six-minute-walk, ft | 1,399 ± 66 | 1,334 ± 45 | 1,146 ± 47*† | 0.004 |
Reduced maximum load (⩽ 40 W for men; ⩽ 25 W for women) | 13% | 37% | 48% | 0.256 |
PaO2, mm Hg | 64.3 ± 2.2 | 58.2 ± 1.4 | 61.4 ± 1.7 | 0.139 |
WBC, 103/mm3 | 7.2 ± 0.3 | 7.3 ± 0.3 | 9.5 ± 0.4*† | <0.001 |
Symptoms and health status | ||||
UCSD SOBQ | 63.9 ± 3.0 | 55.0 ± 2.8 | 67.1 ± 3.3* | 0.012 |
SF-36 PCS | 27.7 ± 1.6 | 31.9 ± 1.3 | 26.2 ± 1.3*† | 0.007 |
SF-36 MCS | 57.9 ± 2.2 | 58.4 ± 0.8 | 55.4 ± 1.7 | 0.233 |
QWB | 0.60 ± 0.02 | 0.61 ± 0.02 | 0.51 ± 0.02*† | <0.001 |
SGRQ overall score | 51.2 ± 2.5 | 47.4 ± 2.0 | 56.0 ± 2.3* | 0.016 |
Small airway wall dimensions | ||||
Lumen content of collapsed airway, % | 32.4 ± 3.9 | 30.2 ± 3.0 | 30.4 ± 3.8 | 0.931 |
Lumen content of expanded airway, % | 8.20 ± 1.73 | 8.02 ± 1.13 | 7.89 ± 1.76 | 0.993 |
Airways containing lymphoid follicles, % | 40.2 ± 6.4 | 26.1 ± 3.7 | 21.3 ± 4.5† | 0.051 |
Total wall thickness, mm | 0.16 ± 0.008 | 0.15 ± 0.005 | 0.15 ± 0.006 | 0.913 |
Epithelial thickness, mm | 0.035 ± 0.003 | 0.035 ± 0.001 | 0.035 ± 0.002 | 0.971 |
Lamina propria, mm | 0.041 ± 0.002 | 0.040 ± 0.002 | 0.040 ± 0.002 | 0.801 |
Smooth muscle, mm | 0.020 ± 0.001 | 0.018 ± 0.001 | 0.019 ± 0.001 | 0.320 |
Adventitia, mm | 0.078 ± 0.006 | 0.077 ± 0.004 | 0.078 ± 0.005 | 0.971 |
For definition of abbreviations, see Table 1.
Values are mean ± SEM.
P < 0.05 versus nontreated group.
P < 0.05 versus inhaled steroids group.