Cardiopulmonary Rehabilitation
Bibliographic record
Abstract
1448 In patients who have chronic obstructive pulmonary disease (COPD), unrelated disorders are relatively underrecognized and undertreated by the clinicians. Metabolic syndrome is characterized by the presence of abdominal obesity, atherogenic dyslipidemia, raised blood pressure and blood glucose and a prothrombotic and an inflammatory states which predispose to cardiovascular diseases. The diagnosis of the metabolic syndrome included ≥3 of the following: abdominal obesity (>102cm in men, >88cm in women), triglycerides (≥1.69 mmol/L), high-density lipoprotein cholesterol (<1.0mmol/L in men, <1.3mmol/L in women), blood pressure (≥130/≥85 mmHg) and fasting glucose (≥6.1mmol/L). PURPOSE: This study was undertaken to evaluate the presence of the metabolic syndrome in COPD patients who participated in a cardiopulmonary rehabilitation program. METHODS: Twenty-eight men with COPD and 15 women with COPD (age:66 ± 7 years, [mean ± SD], FEV1:43 ± 16% predicted) are included in this observational study. No patient were on oral corticosteroid regimen. Waist circumference, fasting lipid profile, blood pressure and fasting glucose were obtained in all patients. RESULTS: In this group, 61% of patients presented abdominal obesity, 63% elevated triglycerides, 24% had low high-density lipoprotein cholesterol, 13% elevated fasting glucose and 82% have raised blood pressure. Sixty-one percent of men and 27% of women presented ≥3 determinants of the metabolic syndrome. CONCLUSION: In summary, the presence of the metabolic syndrome is frequent in patients with COPD who participated in a cardiopulmonary rehabilitation program. This is higher than the reported prevalence of the metabolic syndrome in a none COPD population. Thus, waist circumference, fasting lipid profile, blood pressure and fasting glucose should be obtained in all COPD patients who begin such a program. This should allow a better cardiovascular risk assessment of this population who usually had a past history of smoking habit.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.171 | 0.056 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".