Background: Sarcoidosis is a systemic inflammatory disease characterized by epithelioid granuloma formation in various organs. The etiology of sarcoidosis is unknown. Several studies report an increased risk of sarcoidosis in obese patients. The purpose of this study is to conduct a systematic review to assess the risk of sarcoidosis in obese or overweight patients, and to provide a population-based estimate of the risk of sarcoidosis in obese and overweight individuals. Methods: Using the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA) guidelines, we conducted a comprehensive search of studies (Randomized control trial (RCT), cohort or case-control) studies that estimated the risk of sarcoidosis with body mass index (BMI) between 2009-2019 using keywords and MESH terms related to obesity and sarcoidosis. The search was conducted in MEDLINE, EBSCO, and CINAHL. Three independent investigators reviewed each article and assessed for bias. Data was extracted from each study that met inclusion criteria. Quantitative analysis was performed using Review Manager 5.3 software. Results: An initial search yielded 77 potential articles; 73 articles did not meet inclusion criteria and 4 were included in the final analysis. The pooled risk estimate for the incidence of sarcoidosis in obese and overweight individuals was 1.68 [95% confidence interval 1.5-1.87] with a significant statistical heterogeneity, I2 of 92%. Conclusion: From our systematic review, obese and overweight individuals have a 68% (RR 1.68, 95% CI 1.50 to 1.87) increased risk of developing sarcoidosis in comparison with normal or underweight individuals. More studies are needed to further evaluate the role of obesity in the etiopathogenesis of sarcoidosis.
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American Journal of Internal Medicine (Volume 8, Issue 5)
This article belongs to the Special Issue Occupational and Environmental Lung Diseases: The Emergency Global Health Threats |
DOI | 10.11648/j.ajim.20200805.18 |
Page(s) | 237-245 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
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Copyright © The Author(s), 2020. Published by Science Publishing Group |
Sarcoidosis, Obesity, Pulmonary
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APA Style
David Wainaina Wambui, Ogugua Ndili Obi, Gregory Dale Kearney. (2020). Association Between Obesity and Sarcoidosis: A Systematic Review and Meta-analysis. American Journal of Internal Medicine, 8(5), 237-245. https://doi.org/10.11648/j.ajim.20200805.18
ACS Style
David Wainaina Wambui; Ogugua Ndili Obi; Gregory Dale Kearney. Association Between Obesity and Sarcoidosis: A Systematic Review and Meta-analysis. Am. J. Intern. Med. 2020, 8(5), 237-245. doi: 10.11648/j.ajim.20200805.18
AMA Style
David Wainaina Wambui, Ogugua Ndili Obi, Gregory Dale Kearney. Association Between Obesity and Sarcoidosis: A Systematic Review and Meta-analysis. Am J Intern Med. 2020;8(5):237-245. doi: 10.11648/j.ajim.20200805.18
@article{10.11648/j.ajim.20200805.18, author = {David Wainaina Wambui and Ogugua Ndili Obi and Gregory Dale Kearney}, title = {Association Between Obesity and Sarcoidosis: A Systematic Review and Meta-analysis}, journal = {American Journal of Internal Medicine}, volume = {8}, number = {5}, pages = {237-245}, doi = {10.11648/j.ajim.20200805.18}, url = {https://doi.org/10.11648/j.ajim.20200805.18}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20200805.18}, abstract = {Background: Sarcoidosis is a systemic inflammatory disease characterized by epithelioid granuloma formation in various organs. The etiology of sarcoidosis is unknown. Several studies report an increased risk of sarcoidosis in obese patients. The purpose of this study is to conduct a systematic review to assess the risk of sarcoidosis in obese or overweight patients, and to provide a population-based estimate of the risk of sarcoidosis in obese and overweight individuals. Methods: Using the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA) guidelines, we conducted a comprehensive search of studies (Randomized control trial (RCT), cohort or case-control) studies that estimated the risk of sarcoidosis with body mass index (BMI) between 2009-2019 using keywords and MESH terms related to obesity and sarcoidosis. The search was conducted in MEDLINE, EBSCO, and CINAHL. Three independent investigators reviewed each article and assessed for bias. Data was extracted from each study that met inclusion criteria. Quantitative analysis was performed using Review Manager 5.3 software. Results: An initial search yielded 77 potential articles; 73 articles did not meet inclusion criteria and 4 were included in the final analysis. The pooled risk estimate for the incidence of sarcoidosis in obese and overweight individuals was 1.68 [95% confidence interval 1.5-1.87] with a significant statistical heterogeneity, I2 of 92%. Conclusion: From our systematic review, obese and overweight individuals have a 68% (RR 1.68, 95% CI 1.50 to 1.87) increased risk of developing sarcoidosis in comparison with normal or underweight individuals. More studies are needed to further evaluate the role of obesity in the etiopathogenesis of sarcoidosis.}, year = {2020} }
TY - JOUR T1 - Association Between Obesity and Sarcoidosis: A Systematic Review and Meta-analysis AU - David Wainaina Wambui AU - Ogugua Ndili Obi AU - Gregory Dale Kearney Y1 - 2020/09/07 PY - 2020 N1 - https://doi.org/10.11648/j.ajim.20200805.18 DO - 10.11648/j.ajim.20200805.18 T2 - American Journal of Internal Medicine JF - American Journal of Internal Medicine JO - American Journal of Internal Medicine SP - 237 EP - 245 PB - Science Publishing Group SN - 2330-4324 UR - https://doi.org/10.11648/j.ajim.20200805.18 AB - Background: Sarcoidosis is a systemic inflammatory disease characterized by epithelioid granuloma formation in various organs. The etiology of sarcoidosis is unknown. Several studies report an increased risk of sarcoidosis in obese patients. The purpose of this study is to conduct a systematic review to assess the risk of sarcoidosis in obese or overweight patients, and to provide a population-based estimate of the risk of sarcoidosis in obese and overweight individuals. Methods: Using the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA) guidelines, we conducted a comprehensive search of studies (Randomized control trial (RCT), cohort or case-control) studies that estimated the risk of sarcoidosis with body mass index (BMI) between 2009-2019 using keywords and MESH terms related to obesity and sarcoidosis. The search was conducted in MEDLINE, EBSCO, and CINAHL. Three independent investigators reviewed each article and assessed for bias. Data was extracted from each study that met inclusion criteria. Quantitative analysis was performed using Review Manager 5.3 software. Results: An initial search yielded 77 potential articles; 73 articles did not meet inclusion criteria and 4 were included in the final analysis. The pooled risk estimate for the incidence of sarcoidosis in obese and overweight individuals was 1.68 [95% confidence interval 1.5-1.87] with a significant statistical heterogeneity, I2 of 92%. Conclusion: From our systematic review, obese and overweight individuals have a 68% (RR 1.68, 95% CI 1.50 to 1.87) increased risk of developing sarcoidosis in comparison with normal or underweight individuals. More studies are needed to further evaluate the role of obesity in the etiopathogenesis of sarcoidosis. VL - 8 IS - 5 ER -