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Assessment of endothelial function is reproducible in patients with cystic fibrosis. | LitMetric

Assessment of endothelial function is reproducible in patients with cystic fibrosis.

J Cyst Fibros

Department of Population Health Sciences, Augusta University, Augusta, GA, United States of America; Georgia Prevention Institute, Department of Population Health Sciences, Augusta University, Augusta, GA, United States of America; Sport and Exercise Science Research Institute, University of Ulster, Jordanstown, Northern Ireland, UK. Electronic address:

Published: November 2019

AI Article Synopsis

Article Abstract

Background: New treatments have improved life-expectancy in patients with cystic fibrosis (CF); however, cardiovascular health remains an area of concern in this population. Flow-mediated dilation (FMD), a non-invasive assessment of vascular endothelial function that predicts future cardiovascular disease and events, is attenuated in patients with CF compared to controls. The reproducibility of FMD in CF; however, has yet to be evaluated. Thus, this study sought to examine the within-day, between-day, and between-month reproducibility of FMD in patients with CF.

Methods: Pulmonary function, baseline diameter (cm), peak diameter (cm), and FMD(%) were assessed 5 times (sessions A-E) over four visits in 13 patients with CF (six males, seven females, age range: 13-43 years old; mean forced expiratory volume in 1 s = 71% predicted). Sessions A and B (within-day), C (between-day), and D and E (between-month) were separated by 3 h, at least 10 days, and ~3 months, respectively. Reproducibility was assessed by: (1) paired t-tests, (2) coefficients of variation (CV), (3) CV prime, (4) Pearson's correlation (r), (5) intra-class correlation coefficient, and (6) Bland-Altman plots. Five acceptable parameters were required to determine reproducibility.

Results: Pulmonary function was stable throughout all visits. FMD(%) and baseline diameter (cm) satisfied all six reproducibility criteria for within-day, while peak diameter (cm) met five of six criteria. All six reproducibility criteria were met for all between-day and between-month assessments.

Conclusion: The present study provides evidence that endothelial function assessed by FMD is reproducible in patients with CF not only within-day, but also between-day and between-month.

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Source
http://dx.doi.org/10.1016/j.jcf.2019.03.011DOI Listing

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