[Effect of weight reduction on respiratory function in obese children with asthma]
Natsuko Masumoto1, Hiroshi Odajima, Kiyotaka Shimada
1The Departmant of Pediatrics, National Fukuoka Hospital, Japan.
Insights
Weight reduction improves lung function in obese children with asthma. Lowering body mass index (BMI), body fat percentage, and fat volume positively impacts respiratory parameters like forced vital capacity (FVC) and forced expiratory volume in one second (FEV1).
Area of Science:
- Pediatric Pulmonology
- Obesity Medicine
- Respiratory Physiology
Context:
- The link between childhood obesity and asthma is established, but underlying mechanisms require further investigation.
- Previous studies indicate weight loss benefits adult lung function, yet systematic research in children is lacking.
- This study focuses on the impact of weight reduction interventions on respiratory health in pediatric asthma patients.
Purpose:
- To investigate the effect of a structured weight reduction program on respiratory function in obese children diagnosed with asthma.
- To determine correlations between changes in obesity markers (BMI, %Fat, Fat volume) and respiratory parameters (FVC, FEV1, PEF, V50).
Summary:
- Ten obese children (aged 7-13) with asthma participated in a weight reduction program.
- Measurements included spirometry, BMI, %Fat, and Fat volume before and after the intervention.
- Logistic linear analysis revealed significant correlations between reduced obesity markers and improved lung function, specifically %FVC and %FEV1.
Impact:
- Weight reduction interventions can significantly enhance respiratory function in obese children with asthma.
- Findings suggest that obesity exacerbates asthma symptoms, highlighting the therapeutic potential of weight management.
- This research provides evidence for integrating weight control strategies into asthma management plans for pediatric populations.
Background:
Though the epidemiological relationship between obesity and asthma has been widely investigated, the mechanism is less known. Several studies have examined that weight loss improved lung function in adults. However, it has not been systematically studied in children. We investigated the effect of weight reduction on respiratory function in obese children with asthma.
Methods:
We selected 10 obese children aged 7-13 years with physician diagnosed asthma who was subjected the weight reduction program in Fukuoka National Hospital in 2003-2007. Obesity was defined by BMI >90 percentile of the same age population. Before and after the program, they performed the spirometry. And they were measured the height, the weight, the %Fat, and the Fat volume. Logistic linear analysis was conducted to determine the correlation between relative change in each obesity markers and relative change in each respiratory parameter.
Results:
Reduction of BMI, %Fat, and Fat volume correlated with relative changes in %FVC and %FEV1. Reduction of %Fat and Fat volume also correlated with relative changes in %PEF and %V50.
Conclusion:
Reduction of BMI, %Fat, and Fat volume can improve respiratory function in obese children with asthma. Obesity may be contribute to aggravate the symptoms of asthma.
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