[THE ASSOCIATION BETWEEN OBESITY AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)]
Shahar Geva1, Moria Yaakoby1, Or Kalchiem-Dekel1,2
1Department of Medicine B, Ben-Gurion University, Soroka University Medical Center, Beer-Sheva, Israel.
Harefuah
|May 23, 2017
Summary
Obesity and male gender may protect against hospitalizations for chronic obstructive pulmonary disease (COPD) exacerbations. Obese COPD patients also show better lung function, though survival is unaffected.
Area of Science:
- Pulmonology
- Obesity Medicine
Background:
- Chronic obstructive pulmonary disease (COPD) presents with respiratory and systemic effects.
- Obesity (BMI > 30 kg/m²) prevalence has doubled, with its relationship to COPD being unclear.
- Obesity is linked to increased survival in COPD patients, contrasting general population outcomes.
Purpose of the Study:
- To compare obese and non-obese patients with COPD.
- To assess differences in COPD exacerbation-related hospital admissions between groups.
Main Methods:
- Retrospective cohort study of 323 COPD patients (2003-2010).
- Data collected included demographics, medical history, BMI, lung function, hospital admissions, and mortality.
- Patients were categorized as obese (95) or non-obese (228).
Main Results:
- Non-obese COPD patients were 1.6 times more likely to be hospitalized for exacerbations.
- Women were 1.8 times more likely to be hospitalized.
- Obese COPD patients exhibited higher FEV1 and FEV1/FVC ratios.
- No significant difference in mortality was observed between obese and non-obese groups.
Conclusions:
- Obesity and male gender appear protective against COPD exacerbation hospitalizations.
- Obese COPD patients demonstrate superior lung function parameters.
- Obesity does not impact COPD patient survival.
- Further research is needed to establish nutritional guidelines and target weights for COPD management.
Related Concept Videos
01:24Chronic Obstructive Pulmonary Disease
2.8K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
2.8K
01:20Chronic Obstructive Pulmonary Disease-II: Pathophysiology
4.9K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
4.9K
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
4.0K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
4.0K
01:24Obesity
1.5K
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
1.5K
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
4.0K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
4.0K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
3.2K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
3.2K