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Do obese adults have a higher risk of asthma attack when exposed to indoor mold? A study based on the 2005 Behavioral
Xiao-Jun Wen1, Lina Balluz, Ali Mokdad
1Behavioral Surveillance Branch, National Center for Chronic Diseases/Division of Adult and Community Health, Centers for Disease Control and Prevention, 4770 Buford Hwy., MS-K66, Atlanta, GA 30341, USA.
Objective:
Some studies show an association between asthma and obesity, but it is unknown whether exposure to mold will increase the risk of asthma attacks among obese people. This study examined whether obese adults have a higher risk of asthma attacks than non-obese adults when exposed to indoor mold.
Methods:
We used data from the 2005 Behavioral Risk Factor Surveillance System to conduct a cross-sectional analysis among 9,668 respondents who reported exposure to indoor mold.
Results:
With exposure to indoor mold, weighted prevalence of asthma attacks among obese respondents was 11.4% (95% confidence interval [CI] 6.0, 20.6], which was 2.3 times as high as among the exposed non-obese respondents (5.0%, 95% CI 2.8, 8.8). This ratio was almost the same as the ratio of 2.0:1 between the obese respondents (5.7%, 95% CI 4.6, 7.2) and the non-obese respondents (2.8%, 95% CI 2.3, 3.9) when neither group had exposure to mold. The odds ratio of asthma attack among obese people was 3.10 (95% CI 1.10, 8.67) for those with exposure to mold and 2.21 (95% CI 1.54, 3.17) for those without exposure to mold after adjusting for age, sex, race/ethnicity, and smoking status.
Conclusion:
Our study suggests that obese adults who have been exposed to indoor mold may not necessarily have a higher risk of asthma attack than obese adults who have not been exposed, even though obesity and exposure to indoor mold are both major risk factors for asthma attack. Medical professionals should not only incorporate weight-control or weight-reduction measures as the components of asthma treatment plans, but also advise asthma patients to avoid exposure to indoor mold.
Insights
Obese adults exposed to indoor mold did not show a significantly higher risk of asthma attacks compared to obese adults without mold exposure. Both obesity and mold exposure are risk factors for asthma, necessitating integrated treatment plans.
Area of Science:
- Environmental Health
- Epidemiology
- Pulmonology
Background:
- Obesity and indoor mold exposure are recognized risk factors for asthma.
- The combined effect of obesity and indoor mold exposure on asthma attack risk remains unclear.
Purpose of the Study:
- To investigate if obese adults exposed to indoor mold have an increased risk of asthma attacks compared to non-obese adults.
- To analyze the association between obesity, indoor mold exposure, and asthma attacks.
Main Methods:
- Cross-sectional analysis of 9,668 respondents from the 2005 Behavioral Risk Factor Surveillance System.
- Data specifically included individuals reporting exposure to indoor mold.
Main Results:
- Obese respondents exposed to indoor mold had a 11.4% prevalence of asthma attacks, 2.3 times higher than exposed non-obese respondents (5.0%).
- The odds ratio for asthma attacks was 3.10 for obese individuals with mold exposure versus 2.21 for obese individuals without mold exposure, after adjustments.
- The increased risk associated with mold exposure was similar between obese and non-obese individuals.
Conclusions:
- Obese adults exposed to indoor mold do not necessarily face a higher asthma attack risk than obese adults without mold exposure.
- Healthcare providers should integrate weight management and avoidance of indoor mold into asthma management strategies.
- Both obesity and indoor mold exposure are significant risk factors for asthma attacks.
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