体重变化和体重循环对超重和肥胖成年人的肺功能的影响
Kevin De Soomer1, Hilde Vaerenberg1, Joost Weyler2
1Department of Respiratory Medicine, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium.
Annals of the American Thoracic Society
|October 23, 2023
概括
显著的体重变化会对肺功能产生深远的影响,特别是在男性中. 肥胖问题 肥胖问题
科学领域:
- 肺部医学 肺部医学
- 肥胖问题研究研究
- 心血管呼吸系统生理学
背景情况:
- 流行病学研究将体重增加与肺功能下降联系起来,体重减轻通过减肥手术改善肺功能.
- 关于同一个人群中大量体重波动的影响的数据有限.
研究的目的:
- 调查显著体重减轻或增加与肺功能之间的关联.
- 为了检查重量循环对肺功能的影响.
主要方法:
- 对255名5年内体重变化≥20公斤的受试者进行了回顾性分析,这些受试者接受了针对睡眠呼吸暂停的持续正气道压力治疗.
- 肺功能参数在基线和随访期间被评估.
- 在73名受试者中分析了体重循环,定义为≥10公斤的对立体重变化在初级体重变化之前或之后.
主要成果:
- 体重变化显著影响了男性比女性的肺功能.
- 减肥改善了强迫性生命能力 (FVC) 并降低了特定的呼吸道阻力;体重增加逆转了这些影响.
- 在瘦身和老年人中观察到体重变化的更大影响,功能残留能力显示出最大的变化.
结论:
- 肥胖对肺功能的有害影响是一个被动和可逆的过程.
- 体重循环可以否定通过减肥获得的肺功能改善.
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