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The association of body mass index, weight gain and central obesity with activity-related breathlessness : the Swedish Cardiopulmonary Bioimage Study

Ekström, Magnus Pär (author)
Lund University,Lunds universitet,Lungmedicin, allergologi och palliativ medicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Andfåddhet och kronisk andningssvikt,Forskargrupper vid Lunds universitet,Respiratory Medicine, Allergology, and Palliative Medicine,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Breathlessness and chronic respiratory failure,Lund University Research Groups,Lund Univ, Sweden
Blomberg, Anders, 1961- (author)
Umeå University,Umeå universitet,Avdelningen för medicin,Umea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden
Bergström, Göran, 1964 (author)
Gothenburg University,Göteborgs universitet,Wallenberglaboratoriet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Wallenberg Laboratory,Institute of Medicine, Department of Molecular and Clinical Medicine
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Brandberg, John, 1966 (author)
Gothenburg University,Göteborgs universitet,University of Gothenburg,Univ Gothenburg, Sweden,Institutionen för kliniska vetenskaper, Avdelningen för radiologi,Institute of Clinical Sciences, Department of Radiology
Caidahl, Kenneth, 1949 (author)
Gothenburg University,Göteborgs universitet,Karolinska Institutet,Univ Gothenburg, Sweden,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
Engström, Gunnar (author)
Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups,Lund Univ, Sweden
Engvall, Jan (author)
Linköpings universitet,Linköping University,Avdelningen för kardiovaskulär medicin,Medicinska fakulteten,Region Östergötland, Fysiologiska kliniken US
Eriksson, Maria (author)
Karolinska Institutet,Karolinska Institute,Karolinska Inst, Sweden
Gränsbo, Klas (author)
Lund University,Lunds universitet,Kardiovaskulär forskning - hypertoni,Forskargrupper vid Lunds universitet,Cardiovascular Research - Hypertension,Lund University Research Groups,Lund Univ, Sweden
Hansen, Tomas (author)
Uppsala University,Uppsala universitet,Radiologi,Uppsala Univ, Sweden
Jernberg, Tomas (author)
Karolinska Institutet,Karolinska Inst, Sweden
Nilsson, Lars (author)
Umeå University,Umeå universitet,Avdelningen för medicin,Umea Univ, Unit Med, Dept Publ Hlth & Clin Med, Umea, Sweden
Nilsson, Ulf (author)
Umeå University,Umeå universitet,Avdelningen för medicin,Umea Univ, Unit Med, Dept Publ Hlth & Clin Med, Umea, Sweden
Olin, Anna-Carin, 1960 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, enheten för arbets-och miljömedicin,Institute of Medicine, Department of Public Health and Community Medicine, Section of Occupational and environmental medicine
Persson, Lennart (author)
Linköpings universitet,Linköping University,Avdelningen för kardiovaskulär medicin,Medicinska fakulteten,Region Östergötland, Lungmedicinska kliniken US
Rosengren, Annika, 1951 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
Sandelin, Martin, 1976- (author)
Uppsala University,Uppsala universitet,Experimentell och klinisk onkologi,Uppsala Univ, Sweden
Sköld, Magnus (author)
Karolinska Institutet,Karolinska Institute,Karolinska Inst, Sweden; Karolinska Inst, Sweden; Karolinska Inst, Sweden
Sundström, Johan (author)
Karolinska Institute,Karolinska Inst, Sweden; Karolinska Inst, Sweden
Swahn, Eva (author)
Linköpings universitet,Linköping University,Avdelningen för kardiovaskulär medicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
Söderberg, Stefan (author)
Umeå University,Umeå universitet,Avdelningen för medicin,Umea Univ, Unit Med, Dept Publ Hlth & Clin Med, Umea, Sweden
Tanash, Hanan A. (author)
Lund University,Lunds universitet,Lungmedicin, allergologi och palliativ medicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Respiratory Medicine, Allergology, and Palliative Medicine,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital,Lund Univ, Sweden
Torén, Kjell, 1952 (author)
Sahlgrens Univ Hosp, Dept Occupat & Environm, Gothenburg, Sweden,Sahlgrenska University Hospital
Östgren, Carl Johan (author)
Linköpings universitet,Linköping University,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Vårdcentralen Ödeshög
Lindberg, Eva (author)
Uppsala University,Uppsala universitet,Lung- allergi- och sömnforskning,Uppsala Univ, Sweden
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 (creator_code:org_t)
2019-08-21
2019
English.
In: Thorax. - : BMJ Publishing Group Ltd. - 0040-6376 .- 1468-3296. ; 74:10, s. 958-964
Related links:
http://dx.doi.org/10...
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https://urn.kb.se/re...
https://doi.org/10.1...
https://urn.kb.se/re...
https://lup.lub.lu.s...
http://kipublication...
https://urn.kb.se/re...
https://gup.ub.gu.se...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Introduction: Breathlessness is common in the population, especially in women and associated with adverse health outcomes. Obesity (body mass index (BMI) >30 kg/m(2)) is rapidly increasing globally and its impact on breathlessness is unclear.Methods: This population-based study aimed primarily to evaluate the association of current BMI and self-reported change in BMI since age 20 with breathlessness (modified Research Council score >= 1) in the middle-aged population. Secondary aims were to evaluate factors that contribute to breathlessness in obesity, including the interaction with spirometric lung volume and sex.Results: We included 13 437 individuals; mean age 57.5 years; 52.5% women; mean BMI 26.8 (SD 4.3); mean BMI increase since age 20 was 5.0 kg/m(2); and 1283 (9.6%) reported breathlessness. Obesity was strongly associated with increased breathlessness, OR 3.54 (95% CI, 3.03 to 4.13) independent of age, sex, smoking, airflow obstruction, exercise level and the presence of comorbidities. The association between BMI and breathlessness was modified by lung volume; the increase in breathlessness prevalence with higher BMI was steeper for individuals with lower forced vital capacity (FVC). The higher breathlessness prevalence in obese women than men (27.4% vs 12.5%; p<0.001) was related to their lower FVC. Irrespective of current BMI and confounders, individuals who had increased in BMI since age 20 had more breathlessness.Conclusion: Breathlessness is independently associated with obesity and with weight gain in adult life, and the association is stronger for individuals with lower lung volumes.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Keyword

dyspnoea
sex
weight
lung function
lung volume
dyspnoea
lung function
lung volume
sex
weight

Publication and Content Type

ref (subject category)
art (subject category)

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