Correlation between increased body mass index and reduced lung function in children and adolescents: a systematic

Authors

DOI:

https://doi.org/10.33448/rsd-v11i3.25654

Keywords:

Overweight; Body Mass Index; Children.

Abstract

Objective: To evaluate studies on the relationship between body mass index (BMI) and lung function in children and adolescents. Methods: Studies were selected with or without a diagnosis of asthma, being compared or associated with lung function and body mass index (BMI) of cross-sectional designs,  cohort, case-control and randomized controlled trials (RCTs). The data were selected using descriptors (("Body Mass Index" OR BMI OR "Body Composition" OR "Body Fat Percentage" OR "Fat Percentage") AND Asthma AND ("Lung function" OR Spirometry)) on the basis of data PUBMED, EMBASE, LILACS, SCIELO. Results: We included 20 articles in the systematic review. Of the total, 10 items 5% found correlations between increasing BMIand changes in lung function (FEV1). Of those found correlations, 5 (50%) reported correlated with the decrease in FEV1 and the remainder with the increase in FEV1. The FVC, 53% has no correlation with the outcome. Regarding the FEV1/FVC ratio 44% found no association. Finally, only 40% correlation between the >IMC with FEF25-75%, and 25% had decreased FEF25- 75% to >BMI. Conclusions: Although most studies have indicated that increased BMI tends to a decrease in lung values, these results and conclusions should  be evaluated with caution.

References

Abeso (2009). Associação Brasileira para Estudo da Obesidade e Síndrome Metabólica de Obesidade DB. AC Farmacêutica.

Alwan A. (2011). Global status report on non communicable diseases 2010: World Health Organization;

Andrade, L. S., Araújo, A. C. T., Cauduro, T. M., Watanabe, L. A., Castro, A. P., & Jacob, C. M. A., et al. (2013). Obesidade e asma: associação ou epifenômeno? Revista Paulista de Pediatria.; 31(2): 138-44.

Assunção, S. N. F., Daltro, C. H. D. C., Sorte, B., Christian, N., Júnior, R., & da Costa, H., et al. (2014). Lung function in the absence of respiratory symptoms in overweight children and adolescents. Jornal Brasileiro de Pneumologia. 40(2): 134-41.

Bekkers, M., Wijga, A. H., de Jongste, J. C., Kerkhof, M., Postma, D., & Gehring, U., et al. (2013). Waist circumference, BMI, and lung function in 8‐year‐old children: The PIAMA birth cohort study. Pediatric pulmonology.48 (7):674-82.

Bekkers, M. B., Wijga, A. H., Gehring, U., Koppelman, G. H., de Jongste, J. C., & Smit, H. A., et al. (2015). BMI, waist circumference at 8 and 12 years of age and FVC and FEV(1) at 12 years of age; the PIAMA birth cohort study. BMC Pulm Med.15. London.

Boran, P., Tokuc, G., Pisgin, B., Oktem, S., Yegin, Z., & Bostan, O. (2007). Impact of obesity on ventilatory function. Jornal de pediatria. 83(2):171-6.

Chen, Y., Rennie, D., Cormier, Y., & Dosman, J. A. (2009). Waist circumference associated with pulmonary function in children. Pediatric pulmonology.; 44(3): 216-21.

Chow, J., Leung, A., Li, W., Tse, T., Sy, H., & Leung, T. (2009). Airway inflammatory and spirometric measurements in obese children. Hong Kong medical journal = Xianggangyixuezazhi / Hong Kong Academy of Medicine.15(5): 346-52.

Chu, Y. T., Chen, W. Y., Wang, T. N., Tseng, H. I., Wu, J. R., & Ko, Y. C. (2009). Extreme BMI predicts higher asthma prevalence and is associated with lung function impairment in school‐aged children. Pediatric pulmonology.; 44(5): 472-9.

Eisenmann, J. C., Arnall, D. A., Kanuho, V., Interpretter, C., & Coast, J. R. (2007). Obesity and pulmonary function in Navajo and Hopi children. Ethnicity & disease.17(1): 14-8.

Gold, D. R., Damokosh, A. I., Dockery, D. W., & Berkey, C. S. (2003). Body‐mass index as a predictor of incident asthma in a prospective cohort of children. Pediatric pulmonology. 36 (6): 514-21.

Han, Y-Y, Forno, E., & Celedón, J. C. (2014). Adiposity, fractional exhaled nitric oxide, and asthma in US children. American journal of respiratory and critical care medicine. 190(1): 32-9.

He, Q. Q., Wong, T. W., Du, L., Jiang, Z. Q., Qiu, H., & Gao, Y., et al. (2009). Respiratory health in overweight and obese Chinese children. Pediatric pulmonology. 44(10): 997-1002.

Hernandes, E., Zamboni, A., & Di Thommazo, A (2010) editors. StArt Uma Ferramenta Computacional de Apoio à Revisão Sistemática. Congresso Brasileiro de Software (CBSoft’10), Salvador, Brazil.

Jensen, M. E., Gibson, P. G., Collins, C. E., & Wood, L. G. (2013). Lean mass, not fat mass, is associated with lung function in male and female children with asthma. Pediatric research.75(1-1):93-8.

Koenig, S. M. (2001). Pulmonary complications of obesity. The American journal of the medical sciences; 321(4): 249-79.

Lang, J. E., Hossain, J., Dixon, A. E., Shade, D., Wise, R. A., & Peters, S. P., et al. (2012). Does Age Impact the Obese Asthma Phenotype? CHEST. 2011; 140 (6): 1524- 33.

Paralikar, S. J., Kathrotia, R. G., Pathak, N. R., & Jani, M. B. (2012). Assessment of pulmonary functions in obese adolescent boys. Lung India: Official Organ of Indian Chest Society. 29(3):236-40.

Pérez-Padilla, R., Rojas, R., Torres, V., Borja-Aburto, V., Olaiz, G., & Empece Working, G. (2006). Obesity among children residing in Mexico City and its impact on lung function: a comparison with Mexican-Americans. Archives of medical research. 37(1): 165-71.

Rodrigues, J. C., Takahashi, A., Olmos, F. M. A., Souza, J. B., Bussamra, M. H. F., & Cardieri, J. M. A. (2007). Efeito do índice de massa corpórea na gravidade da asma e na reatividade brônquica induzida pelo exercício em criançasasmáticas com sobrepeso e obesas. Rev Paul Pediatr.;25(3):207-13.

Spathopoulos D, Paraskakis E, Trypsianis G, Tsalkidis A, Arvanitidou V & Emporiadou M, et al. (2009). The effect of obesity on pulmonary lung function of school aged children in Greece. Pediatric pulmonology. 44(3): 273- 80.

Schwimmer J. B., Burwinkle T. M. & Varni J. W. (2003). Health-related quality of life of severely obese children and adolescents. Jama. 289(14):1813-9.

Sigulem D. M., Taddei J, Escrivão M., & Devincenzi M. U. (2001). Obesidade na infância e na adolescência. Compacta Nutr 2:5-16.

Suchindran C., North K. E., Popkin B. M., & Gordon-Larsen P. (2010). Association of adolescent obesity with risk of severe obesity in adulthood. Jama.; 304(18):2042-7.

Tantisira K, Litonjua A, Weiss S., & Fuhlbrigge A. (2003). Association of body mass with pulmonary function in the Childhood Asthma Management Program (CAMP). Thorax.58(12):1036-41.

Ulger Z, Demir E, Tanac R, Goksen D, Gulen F & Darcan S, et al. (2006). The effect of childhood obesity on respiratory function tests and airway hyperresponsiveness. The Turkish journal of pediatrics; 48 (1): 43-50.

Published

25/02/2022

How to Cite

FERNANDES, M. T. C. .; ANTUNES, M. O. B. .; QUADROS, A.; FRIEDRICH, F. Correlation between increased body mass index and reduced lung function in children and adolescents: a systematic . Research, Society and Development, [S. l.], v. 11, n. 3, p. e33611325654, 2022. DOI: 10.33448/rsd-v11i3.25654. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/25654. Acesso em: 20 apr. 2024.

Issue

Section

Health Sciences