The effects of fatness and fat distribution on respiratory functions
Slawomir Koziel1, Stanley J Ulijaszek, Alicja Szklarska
1Institute of Anthropology, Polish Academy of Sciences, Kuznicza 35, 50-951 Wroclaw, Poland. slawek@antro.pan.wroc.pl
Annals of Human Biology
|June 1, 2007
Summary
Obesity impacts lung function differently in men and women. Abdominal and chest fat affect male respiratory health, while upper body fat is key for females.
Area of Science:
- Pulmonary Medicine
- Obesity Research
- Cardiorespiratory Health
Background:
- Inverse relationships between obesity indices and respiratory function are documented.
- Specific measures of obesity and their differential impact on lung function remain unclear.
Purpose of the Study:
- To assess the influence of overall fatness and regional fat distribution on respiratory function.
- To investigate sex-specific effects of obesity on lung capacity.
Main Methods:
- A cross-sectional study of 423 males and 509 females aged 40-50 years.
- Multiple regression analysis evaluated the impact of height, Body Mass Index (BMI), Waist-to-Hip Ratio (WHR), and skinfolds on Forced Vital Capacity (FVC) and Forced Expiratory Volume in 1-second (FEV1).
Main Results:
- In males, FVC and FEV1 were positively associated with height and BMI. Abdominal and subscapular skinfolds, and WHR negatively impacted FVC.
- In females, FVC and FEV1 showed positive associations with height and negative associations with subscapular skinfold. WHR and abdominal skinfolds had no significant association.
- Male respiratory function was similarly affected by abdominal and chest fat; female respiratory function was most strongly related to thoracic fat.
Conclusions:
- Fatness generally impairs respiratory function, with distinct patterns in males and females.
- In males, abdominal (subcutaneous and visceral) and chest fat significantly affect respiratory function.
- In females, upper thoracic subcutaneous fat has the most substantial impact on respiratory function, with minimal influence from abdominal fat.
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