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Published in: BMC Pulmonary Medicine 1/2021

Open Access 01-12-2021 | Sarcoidosis | Research

FeV1 and BMI influence King’s Sarcoidosis Questionnaire score in sarcoidosis patients

Authors: Björn Christian Frye, Laura Potasso, Erik Farin-Glattacker, Surrinder Birring, Joachim Müller-Quernheim, Jonas Christian Schupp

Published in: BMC Pulmonary Medicine | Issue 1/2021

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Abstract

Background

Sarcoidosis is granulomatous disease of unknown origin affecting organ function and quality of life. The King’s Sarcoidosis Questionnaire (KSQ) serves as a tool to assess quality of life in sarcoidosis patients with general health and organ specific domains. A German translation has been validated in a German cohort. In this study we assessed, whether clinical parameters influence KSQ scores.

Methods

Clinical data (e.g. lung function, organ impairment, serological parameters) for the German validation cohort were extracted from clinical charts and investigated by correlation and linear regression analyses.

Results

KSQ subdomain scores were generally lower in patients with respective organ manifestation or on current therapy. LUNG subdomain was significantly predicted by lung functional parameters, however for general health status, only FeV1 exerted significant influence. GHS was not influenced by serological parameters, but was significantly negatively correlated with body mass index (BMI). KSQ provides additional information beyond lung function, clinical or serological parameters in sarcoidosis patients. Notably, high BMI is significantly negatively associated with patients’ well-being as measured by KSQ-GHS.

Conclusion

This observation may direct further studies investigating the effect of obesity on sarcoidosis-related quality of life and strategies to intervene with steroid-sparing therapies and measures of life style modifications.
Trial registration This study was registered in the German Clinical Trials Register (reference number DRKS00010072). Registered January 2016.
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Literature
1.
go back to reference Grunewald J, Grutters JC, Arkema EV, Saketkoo LA, Moller DR, Muller-Quernheim J. Sarcoidosis. Nat Rev Dis Primers. 2019;5(1):45.CrossRef Grunewald J, Grutters JC, Arkema EV, Saketkoo LA, Moller DR, Muller-Quernheim J. Sarcoidosis. Nat Rev Dis Primers. 2019;5(1):45.CrossRef
2.
go back to reference Valeyre D, Prasse A, Nunes H, Uzunhan Y, Brillet PY, Muller-Quernheim J. Sarcoidosis. Lancet. 2014;383(9923):1155–67.CrossRef Valeyre D, Prasse A, Nunes H, Uzunhan Y, Brillet PY, Muller-Quernheim J. Sarcoidosis. Lancet. 2014;383(9923):1155–67.CrossRef
3.
go back to reference Judson MA. Quality of life in sarcoidosis. Semin Respir Crit Care Med. 2017;38(4):546–58.CrossRef Judson MA. Quality of life in sarcoidosis. Semin Respir Crit Care Med. 2017;38(4):546–58.CrossRef
4.
go back to reference Korenromp IH, van de Laar MA. Health-related quality of life in sarcoidosis. Curr Opin Pulm Med. 2014;20(5):503–7.CrossRef Korenromp IH, van de Laar MA. Health-related quality of life in sarcoidosis. Curr Opin Pulm Med. 2014;20(5):503–7.CrossRef
5.
go back to reference Baughman RP, Drent M, Kavuru M, Judson MA, Costabel U, du Bois R, et al. Infliximab therapy in patients with chronic sarcoidosis and pulmonary involvement. Am J Respir Crit Care Med. 2006;174(7):795–802.CrossRef Baughman RP, Drent M, Kavuru M, Judson MA, Costabel U, du Bois R, et al. Infliximab therapy in patients with chronic sarcoidosis and pulmonary involvement. Am J Respir Crit Care Med. 2006;174(7):795–802.CrossRef
6.
go back to reference Baughman RP, Drent M, Culver DA, Grutters JC, Handa T, Humbert M, et al. Endpoints for clinical trials of sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis. 2012;29(2):90–8.PubMed Baughman RP, Drent M, Culver DA, Grutters JC, Handa T, Humbert M, et al. Endpoints for clinical trials of sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis. 2012;29(2):90–8.PubMed
7.
go back to reference Patel AS, Siegert RJ, Creamer D, Larkin G, Maher TM, Renzoni EA, et al. The development and validation of the King’s Sarcoidosis Questionnaire for the assessment of health status. Thorax. 2013;68(1):57–65.CrossRef Patel AS, Siegert RJ, Creamer D, Larkin G, Maher TM, Renzoni EA, et al. The development and validation of the King’s Sarcoidosis Questionnaire for the assessment of health status. Thorax. 2013;68(1):57–65.CrossRef
8.
go back to reference Farin E, Heyduck K, Frye BC, Birring SS, Muller-Quernheim J, Schupp JC. Translation and psychometric properties of the King’s Sarcoidosis Questionnaire (KSQ) in German language. Health Qual Life Outcomes. 2019;17(1):62.CrossRef Farin E, Heyduck K, Frye BC, Birring SS, Muller-Quernheim J, Schupp JC. Translation and psychometric properties of the King’s Sarcoidosis Questionnaire (KSQ) in German language. Health Qual Life Outcomes. 2019;17(1):62.CrossRef
9.
go back to reference Van Manen MJ, Wapenaar M, Strookappe B, Drent M, Elfferich M, de Vries J, et al. Validation of the King’s Sarcoidosis Questionnaire (KSQ) in a Dutch sarcoidosis population. Sarcoidosis Vasc Diffuse Lung Dis. 2016;33(1):75–82.PubMed Van Manen MJ, Wapenaar M, Strookappe B, Drent M, Elfferich M, de Vries J, et al. Validation of the King’s Sarcoidosis Questionnaire (KSQ) in a Dutch sarcoidosis population. Sarcoidosis Vasc Diffuse Lung Dis. 2016;33(1):75–82.PubMed
10.
go back to reference Schupp JC, Fichtner UA, Frye BC, Heyduck-Weides K, Birring SS, Windisch W, et al. Psychometric properties of the German version of the Leicester Cough Questionnaire in sarcoidosis. PLoS ONE. 2018;13(10):e0205308.CrossRef Schupp JC, Fichtner UA, Frye BC, Heyduck-Weides K, Birring SS, Windisch W, et al. Psychometric properties of the German version of the Leicester Cough Questionnaire in sarcoidosis. PLoS ONE. 2018;13(10):e0205308.CrossRef
11.
go back to reference R Core Development Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria 2019. R Core Development Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria 2019.
12.
go back to reference Hair JFj, Anderson RE, Tatham RL, Black WC. Multivariate data analysis (3rd Edition). New York: MacMillan. 1995. Hair JFj, Anderson RE, Tatham RL, Black WC. Multivariate data analysis (3rd Edition). New York: MacMillan. 1995.
13.
go back to reference Schupp JC, Freitag-Wolf S, Bargagli E, Mihailovic-Vucinic V, Rottoli P, Grubanovic A, et al. Phenotypes of organ involvement in sarcoidosis. Eur Respir J. 2018;51(1). Schupp JC, Freitag-Wolf S, Bargagli E, Mihailovic-Vucinic V, Rottoli P, Grubanovic A, et al. Phenotypes of organ involvement in sarcoidosis. Eur Respir J. 2018;51(1).
14.
go back to reference Spagnolo P, Rossi G, Trisolini R, Sverzellati N, Baughman RP, Wells AU. Pulmonary sarcoidosis. Lancet Respir Med. 2018;6(5):389–402.CrossRef Spagnolo P, Rossi G, Trisolini R, Sverzellati N, Baughman RP, Wells AU. Pulmonary sarcoidosis. Lancet Respir Med. 2018;6(5):389–402.CrossRef
15.
go back to reference Drent M, Lower EE, De Vries J. Sarcoidosis-associated fatigue. Eur Respir J. 2012;40(1):255–63.CrossRef Drent M, Lower EE, De Vries J. Sarcoidosis-associated fatigue. Eur Respir J. 2012;40(1):255–63.CrossRef
16.
go back to reference Hendriks C, Drent M, Elfferich M, De Vries J. The Fatigue Assessment Scale: quality and availability in sarcoidosis and other diseases. Curr Opin Pulm Med. 2018;24(5):495–503.CrossRef Hendriks C, Drent M, Elfferich M, De Vries J. The Fatigue Assessment Scale: quality and availability in sarcoidosis and other diseases. Curr Opin Pulm Med. 2018;24(5):495–503.CrossRef
17.
go back to reference Zhou Y, Lower EE, Li H, Farhey Y, Baughman RP. Clinical characteristics of patients with bone sarcoidosis. Semin Arthritis Rheum. 2017;47(1):143–8.CrossRef Zhou Y, Lower EE, Li H, Farhey Y, Baughman RP. Clinical characteristics of patients with bone sarcoidosis. Semin Arthritis Rheum. 2017;47(1):143–8.CrossRef
18.
go back to reference Biller H, Ruprecht B, Gaede KI, Muller-Quernheim J, Zissel G. Gene polymorphisms of ACE and the angiotensin receptor AT2R1 influence serum ACE levels in sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis. 2009;26(2):139–46.PubMed Biller H, Ruprecht B, Gaede KI, Muller-Quernheim J, Zissel G. Gene polymorphisms of ACE and the angiotensin receptor AT2R1 influence serum ACE levels in sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis. 2009;26(2):139–46.PubMed
19.
go back to reference Ruprecht B, Schurmann M, Ziegenhagen MW, vom Bauer E, Meier D, Schlaak M, et al. Corrected normal values for serum ACE by genotyping the deletion-/insertion-polymorphism of the ACE gene. Pneumologie. 2001;55(7):326–32.CrossRef Ruprecht B, Schurmann M, Ziegenhagen MW, vom Bauer E, Meier D, Schlaak M, et al. Corrected normal values for serum ACE by genotyping the deletion-/insertion-polymorphism of the ACE gene. Pneumologie. 2001;55(7):326–32.CrossRef
20.
go back to reference Kruit A, Grutters JC, Gerritsen WB, Kos S, Wodzig WK, van den Bosch JM, et al. ACE I/D-corrected Z-scores to identify normal and elevated ACE activity in sarcoidosis. Respir Med. 2007;101(3):510–5.CrossRef Kruit A, Grutters JC, Gerritsen WB, Kos S, Wodzig WK, van den Bosch JM, et al. ACE I/D-corrected Z-scores to identify normal and elevated ACE activity in sarcoidosis. Respir Med. 2007;101(3):510–5.CrossRef
21.
go back to reference Ziegenhagen MW, Rothe ME, Schlaak M, Muller-Quernheim J. Bronchoalveolar and serological parameters reflecting the severity of sarcoidosis. Eur Respir J. 2003;21(3):407–13.CrossRef Ziegenhagen MW, Rothe ME, Schlaak M, Muller-Quernheim J. Bronchoalveolar and serological parameters reflecting the severity of sarcoidosis. Eur Respir J. 2003;21(3):407–13.CrossRef
22.
go back to reference Ziegenhagen MW, Rothe ME, Zissel G, Muller-Quernheim J. Exaggerated TNFalpha release of alveolar macrophages in corticosteroid resistant sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis. 2002;19(3):185–90.PubMed Ziegenhagen MW, Rothe ME, Zissel G, Muller-Quernheim J. Exaggerated TNFalpha release of alveolar macrophages in corticosteroid resistant sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis. 2002;19(3):185–90.PubMed
23.
go back to reference Keijsers RG, Verzijlbergen FJ, Oyen WJ, van den Bosch JM, Ruven HJ, van Velzen-Blad H, et al. 18F-FDG PET, genotype-corrected ACE and sIL-2R in newly diagnosed sarcoidosis. Eur J Nucl Med Mol Imaging. 2009;36(7):1131–7.CrossRef Keijsers RG, Verzijlbergen FJ, Oyen WJ, van den Bosch JM, Ruven HJ, van Velzen-Blad H, et al. 18F-FDG PET, genotype-corrected ACE and sIL-2R in newly diagnosed sarcoidosis. Eur J Nucl Med Mol Imaging. 2009;36(7):1131–7.CrossRef
24.
go back to reference Vorselaars AD, van Moorsel CH, Zanen P, Ruven HJ, Claessen AM, van Velzen-Blad H, et al. ACE and sIL-2R correlate with lung function improvement in sarcoidosis during methotrexate therapy. Respir Med. 2015;109(2):279–85.CrossRef Vorselaars AD, van Moorsel CH, Zanen P, Ruven HJ, Claessen AM, van Velzen-Blad H, et al. ACE and sIL-2R correlate with lung function improvement in sarcoidosis during methotrexate therapy. Respir Med. 2015;109(2):279–85.CrossRef
25.
go back to reference Mostard RL, Prompers L, Weijers RE, van Kroonenburgh MJ, Wijnen PA, Geusens PP, et al. F-18 FDG PET/CT for detecting bone and bone marrow involvement in sarcoidosis patients. Clin Nucl Med. 2012;37(1):21–5.CrossRef Mostard RL, Prompers L, Weijers RE, van Kroonenburgh MJ, Wijnen PA, Geusens PP, et al. F-18 FDG PET/CT for detecting bone and bone marrow involvement in sarcoidosis patients. Clin Nucl Med. 2012;37(1):21–5.CrossRef
26.
go back to reference Muller-Quernheim J. Monitoring sarcoidosis therapy with immunopathologic parameters. Pneumologie. 1994;48(2):47–9.PubMed Muller-Quernheim J. Monitoring sarcoidosis therapy with immunopathologic parameters. Pneumologie. 1994;48(2):47–9.PubMed
27.
go back to reference Kouranos V, Ward S, Kokosi MA, Castillo D, Chua F, Judge EP, et al. Mixed ventilatory defects in pulmonary sarcoidosis: prevalence and clinical features. Chest. 2020;158(5):2007–14.CrossRef Kouranos V, Ward S, Kokosi MA, Castillo D, Chua F, Judge EP, et al. Mixed ventilatory defects in pulmonary sarcoidosis: prevalence and clinical features. Chest. 2020;158(5):2007–14.CrossRef
28.
go back to reference Baughman RP, Judson MA, Beaumont JL, Maier LA, Sweiss NJ, Culver DA, et al. Evaluating the minimal clinically important difference of the King’s Sarcoidosis Questionnaire in a Multicenter Prospective Study. Ann Am Thorac Soc. 2021;18(3):477–85.CrossRef Baughman RP, Judson MA, Beaumont JL, Maier LA, Sweiss NJ, Culver DA, et al. Evaluating the minimal clinically important difference of the King’s Sarcoidosis Questionnaire in a Multicenter Prospective Study. Ann Am Thorac Soc. 2021;18(3):477–85.CrossRef
29.
go back to reference Cremers JP, Drent M, Elfferich MD, Nelemans PJ, Wijnen PA, Witteman BJ, et al. Body composition profiling in a Dutch sarcoidosis population. Sarcoidosis Vasc Diffuse Lung Dis. 2013;30(4):289–99.PubMed Cremers JP, Drent M, Elfferich MD, Nelemans PJ, Wijnen PA, Witteman BJ, et al. Body composition profiling in a Dutch sarcoidosis population. Sarcoidosis Vasc Diffuse Lung Dis. 2013;30(4):289–99.PubMed
30.
go back to reference Gvozdenovic BS, Mihailovic-Vucinic V, Vukovic M, Lower EE, Baughman RP, Dudvarski-Ilic A, et al. Effect of obesity on patient-reported outcomes in sarcoidosis. Int J Tuberc Lung Dis. 2013;17(4):559–64.CrossRef Gvozdenovic BS, Mihailovic-Vucinic V, Vukovic M, Lower EE, Baughman RP, Dudvarski-Ilic A, et al. Effect of obesity on patient-reported outcomes in sarcoidosis. Int J Tuberc Lung Dis. 2013;17(4):559–64.CrossRef
31.
go back to reference Saligan LN. The relationship between physical activity, functional performance and fatigue in sarcoidosis. J Clin Nurs. 2014;23(15–16):2376–8.CrossRef Saligan LN. The relationship between physical activity, functional performance and fatigue in sarcoidosis. J Clin Nurs. 2014;23(15–16):2376–8.CrossRef
32.
go back to reference Canoy D, Cairns BJ, Balkwill A, Wright FL, Green J, Reeves G, et al. Coronary heart disease incidence in women by waist circumference within categories of body mass index. Eur J Prev Cardiol. 2013;20(5):759–62.CrossRef Canoy D, Cairns BJ, Balkwill A, Wright FL, Green J, Reeves G, et al. Coronary heart disease incidence in women by waist circumference within categories of body mass index. Eur J Prev Cardiol. 2013;20(5):759–62.CrossRef
33.
go back to reference El-Gamal H, Khayat A, Shikora S, Unterborn JN. Relationship of dyspnea to respiratory drive and pulmonary function tests in obese patients before and after weight loss. Chest. 2005;128(6):3870–4.CrossRef El-Gamal H, Khayat A, Shikora S, Unterborn JN. Relationship of dyspnea to respiratory drive and pulmonary function tests in obese patients before and after weight loss. Chest. 2005;128(6):3870–4.CrossRef
34.
go back to reference Khan NA, Donatelli CV, Tonelli AR, Wiesen J, Ribeiro Neto ML, Sahoo D, et al. Toxicity risk from glucocorticoids in sarcoidosis patients. Respir Med. 2017;132:9–14.CrossRef Khan NA, Donatelli CV, Tonelli AR, Wiesen J, Ribeiro Neto ML, Sahoo D, et al. Toxicity risk from glucocorticoids in sarcoidosis patients. Respir Med. 2017;132:9–14.CrossRef
35.
go back to reference Wang Q, Wu H. T cells in adipose tissue: critical players in immunometabolism. Front Immunol. 2018;9:2509.CrossRef Wang Q, Wu H. T cells in adipose tissue: critical players in immunometabolism. Front Immunol. 2018;9:2509.CrossRef
36.
go back to reference Schipper HS, Prakken B, Kalkhoven E, Boes M. Adipose tissue-resident immune cells: key players in immunometabolism. Trends Endocrinol Metab. 2012;23(8):407–15.CrossRef Schipper HS, Prakken B, Kalkhoven E, Boes M. Adipose tissue-resident immune cells: key players in immunometabolism. Trends Endocrinol Metab. 2012;23(8):407–15.CrossRef
37.
go back to reference Furman D, Campisi J, Verdin E, Carrera-Bastos P, Targ S, Franceschi C, et al. Chronic inflammation in the etiology of disease across the life span. Nat Med. 2019;25(12):1822–32.CrossRef Furman D, Campisi J, Verdin E, Carrera-Bastos P, Targ S, Franceschi C, et al. Chronic inflammation in the etiology of disease across the life span. Nat Med. 2019;25(12):1822–32.CrossRef
38.
go back to reference Harpsoe MC, Basit S, Andersson M, Nielsen NM, Frisch M, Wohlfahrt J, et al. Body mass index and risk of autoimmune diseases: a study within the Danish National Birth Cohort. Int J Epidemiol. 2014;43(3):843–55.CrossRef Harpsoe MC, Basit S, Andersson M, Nielsen NM, Frisch M, Wohlfahrt J, et al. Body mass index and risk of autoimmune diseases: a study within the Danish National Birth Cohort. Int J Epidemiol. 2014;43(3):843–55.CrossRef
39.
go back to reference Ungprasert P, Crowson CS, Matteson EL. Smoking, obesity and risk of sarcoidosis: a population-based nested case-control study. Respir Med. 2016;120:87–90.CrossRef Ungprasert P, Crowson CS, Matteson EL. Smoking, obesity and risk of sarcoidosis: a population-based nested case-control study. Respir Med. 2016;120:87–90.CrossRef
40.
go back to reference de Cabo R, Mattson MP. Effects of intermittent fasting on health, aging, and disease. N Engl J Med. 2019;381(26):2541–51.CrossRef de Cabo R, Mattson MP. Effects of intermittent fasting on health, aging, and disease. N Engl J Med. 2019;381(26):2541–51.CrossRef
41.
go back to reference Weindruch R, Sohal RS. Seminars in medicine of the Beth Israel Deaconess Medical Center. Caloric intake and aging. N Engl J Med. 1997;337(14):986–94. Weindruch R, Sohal RS. Seminars in medicine of the Beth Israel Deaconess Medical Center. Caloric intake and aging. N Engl J Med. 1997;337(14):986–94.
Metadata
Title
FeV1 and BMI influence King’s Sarcoidosis Questionnaire score in sarcoidosis patients
Authors
Björn Christian Frye
Laura Potasso
Erik Farin-Glattacker
Surrinder Birring
Joachim Müller-Quernheim
Jonas Christian Schupp
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Pulmonary Medicine / Issue 1/2021
Electronic ISSN: 1471-2466
DOI
https://doi.org/10.1186/s12890-021-01761-7

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