[Pulmonary manifestations in childhood obesity]
1Facultatea de Medicină, Clinica a II-a Pediatrie, Universitatea de Medicină si Farmacie "Gr.T. Popa" Iaşi.
Insights
Obesity increasingly affects global health, causing respiratory issues like asthma. Body mass index (BMI) is linked to higher asthma rates and severity due to mechanical and hormonal factors from fat cells.
Area of Science:
- Pulmonology and Endocrinology
- Pathophysiology of Obesity
Context:
- Rising global obesity rates present significant public health challenges.
- Obesity is a complex, multisystemic condition with diverse pathologies.
Purpose:
- To explore the respiratory manifestations of obesity.
- To examine the relationship between body mass index (BMI) and asthma.
- To investigate the underlying mechanisms linking obesity to respiratory disease.
Summary:
- Obesity leads to restrictive respiratory physiology, reduced lung compliance, and impaired ventilation/perfusion.
- Increased BMI correlates with higher prevalence, incidence, and severity of bronchial asthma.
- Adipocytes contribute through hormonal (leptin) and inflammatory (cytokine) pathways, impacting respiratory health.
Impact:
- Highlights the critical link between obesity and respiratory health, particularly asthma.
- Underscores the need for integrated management of obesity and respiratory conditions.
- Provides insights into the complex interplay of mechanical and metabolic factors in obesity-related lung dysfunction.
Abstract:
Obesity has an increasing incidence throughout the world, inducing a complex and multisystemic pathology. The respiratory manifestations are: restrictive respiratory physiology, reduced respiratory compliance, altered ventilation/perfusion index, bronchial hyperresponsiveness. Increases in body mass index (BMI) are associated with increases in prevalence, incidence and severity of bronchial asthma. The mechanic effects of obesity remain important, but the adipocites have many influences by the hormones, leptines, cytokines and other proinflammatory agents.
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