To evaluate the relationship between BODE Index and CRP in COPD patients in a tertiary care centre
To evaluate the relationship between BODE Index and CRP in COPD patients in a tertiary care centre
Abstract
Background: Chronic obstructive pulmonary disease (COPD) is a respiratory disease which is associated with abnormal inflammatory response of lungs to stimuli leading to a progressive airflow limitation that is not fully reversible. COPD is the third leading cause of death worldwide with an estimated burden of COPD about 37.8million cases. Of late, the disease is being discussed widely due to its systemic nature. A combined index of multiple mortality predictors for COPD known as the “BODE index” was developed to understand this aspect of the disease. The BODE index, which includes Body Mass Index (BMI), Airflow Obstruction (FEV1), Dyspnea (MMRC), and Exercise Capacity (6MWT), is a multidimensional tool for assessing disease severity. C-reactive protein (CRP), an acute-phase reactant, is commonly elevated in COPD and may reflect systemic inflammatory burden.
Objective: This study aimed to evaluate the relationship between CRP levels and the BODE index in stable COPD patients.
Methods: A cross-sectional study was conducted on 110 stable COPD patients. CRP levels and BODE index components were measured and analyzed using Pearson coefficient correlation.
Results: A weak but statistically significant positive correlation was found between CRP and the BODE index (r = 0.258, p = 0.006). CRP was also significantly associated with lower FEV1, shorter 6MWT distance, and higher MMRC scores.
Conclusion: CRP may be a useful marker for systemic inflammation and disease severity in stable COPD patients.
Downloads
References
2) Salvi S, Ghorpade D. What is the true burden of chronic obstructive pulmonary disease in India and what are its implications at a national level? Lung India. 2021 Nov-Dec;38(6):503-505. doi: 10.4103/lungindia.lungindia_579_21. PMID: 34747729; PMCID: PMC8614607.
3)Decramer M, De Benedetto F,Del Ponte A, Marinari S. Systemic effects of COPD. Respir Med 2005;99(SupplB):S3-10
4)Gan WQ, Man SFP, Senthisevlan A, Sin DD. Association between Chronic obstructive pulmonary disease and systemic inflammation: a systematic review and meta-analysis.Thorax2004;59:574-80
5)Agusti AG. COPD, a multicomponent disease: implications for management. Respir Med2005;99:670-682.
6)Jones PW, Quirk FH, Baveystock CM, Littlejohns P. A self complete measure of health status for chronic airflow limitation. The St George’s Respiratory Questionnaire. AmRev
7)American thoracic societyRespir Dis1992;145:1321-1327.
8)Celli B R, CoteC G, Marin J M, Casanova C, Montesde Oca M, Mendez R A, Pinto Plata V, Cabral HJ. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructivepulmonary disease. N Engl J Med2004;350:1005-1012.
9) NurhanSarioglu1,AylinOzgenAlpaydin1,AysınSakarCoskun1,Pınar Celik1, Beyhan Cengiz Ozyurt2, Arzu Yorgancioglu11Celal Bayar University, Medical Faculty, Pulmonary Diseases, Manisa, Turkey Multi disciplinary Respiratory Medicine2010;5(2):84-91 10)
10) DeTorres JP , Cordoba-Lanus E, López-Aguilar C, Murosde Fuentes M, Montejo de Garcini A, Aguirre-Jaime A, Celli BR, Casanova C. C- reactive protein levels and clinically important predictive outcomes in stable COPD patients. Eur Respir J2006;27:902-907..
11) Kumar R, Nigam P. C-Reactive Protein in Chronic Obstructive Pulmonary Disease,its Correlation with Lung Function and the Role of Statin in Chronic Obstructive Pulmonary Disease. International journal of scientific study 2015;3(7):168-71.
Copyright (c) 2025 Author (s). Published by Siddharth Health Research and Social Welfare Society

This work is licensed under a Creative Commons Attribution 4.0 International License.