Influence of Body Composition on Lung Function and Respiratory Muscle Strength in Children With Obesity
Dirceu Costa Junior1, Fabiana S Peixoto-Souza2, Poliane N Araujo2
1Hortolandia City Hall, Sao Paulo, Brazil.
Insights
Children with obesity showed reduced lung function, particularly males. Body composition significantly impacts lung capacity, suggesting it can predict respiratory changes in pediatric obesity.
Area of Science:
- Pediatric Pulmonology
- Pediatric Obesity Research
- Cardiorespiratory Health
Background:
- Childhood obesity is linked to impaired lung function and reduced respiratory muscle strength.
- Understanding the impact of body composition on respiratory health in children is crucial.
Purpose of the Study:
- To evaluate lung function and respiratory muscle strength in children with obesity.
- To determine how body composition influences these respiratory parameters.
Main Methods:
- A cross-sectional study included 75 children (6-10 years old), with 40 having obesity.
- Evaluated body mass index, z-score, waist circumference, body composition, respiratory muscle strength, and lung function (spirometry).
Main Results:
- Children with obesity had greater lean and fat mass but similar respiratory muscle strength compared to normal-weight peers.
- Male children with obesity exhibited significantly lower forced expiratory volume in the first second % (FEV1%) and FEV1/forced vital capacity % (FVC%).
- Body composition variables significantly influenced spirometric measures.
Conclusions:
- Children with obesity experience reduced lung volume and capacity.
- Anthropometric and body composition factors may predict altered lung function in pediatric obesity.
Background:
Obesity affects lung function and respiratory muscle strength. The aim of the present study was to assess lung function and respiratory muscle strength in children with obesity and determine the influence of body composition on these variables.
Methods:
A cross-sectional study was conducted involving 75 children (40 with obesity and 35 within the ideal weight range) aged 6 - 10 years. Body mass index, z score, waist circumference, body composition (tetrapolar bioimpedance), respiratory muscle strength and lung function (spirometry) were evaluated.
Results:
Children with obesity exhibited larger quantities of both lean and fat mass in comparison to those in the ideal weight range. No significant differences were found between groups regarding the respective reference values for respiratory muscle strength. Male children with obesity demonstrated significantly lower lung function values (forced expiratory volume in the first second % (FEV1%) and FEV1/forced vital capacity % (FVC%) : 93.76 ± 9.78 and 92.29 ± 3.8, respectively) in comparison to males in the ideal weight range (99.87 ± 9.72 and 96.31 ± 4.82, respectively). The regression models demonstrated that the spirometric variables were influenced by all body composition variables.
Conclusion:
Children with obesity demonstrated a reduction in lung volume and capacity. Thus, anthropometric and body composition characteristics may be predictive factors for altered lung function.
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