Body mass index increase: a risk factor for forced expiratory volume in 1 s decline for overweight and obese adults with asthma

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Fältnamn	Indikatorer	Metadata
000		05321naa a2200541 4500
001		oai:gup.ub.gu.se/322267
003		SwePub
008		240910s2022 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:DiVA.org:umu-200826
024	7	a https://gup.ub.gu.se/publication/3222672 URI
024	7	a https://doi.org/10.1183/23120541.00110-20222 DOI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-2008262 URI
040		a (SwePub)gud (SwePub)umu
041		a eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Bermúdez Barón, Nicolásu Umeå universitet,Avdelningen för hållbar hälsa4 aut0 (Swepub:umu)nibe0055
245	1 0	a Body mass index increase: a risk factor for forced expiratory volume in 1 s decline for overweight and obese adults with asthma
264		c 2022-08-04
264	1	b European Respiratory Society (ERS),c 2022
520		a Background With increasing prevalence of overweight and obesity, it is important to study how body mass index (BMI) change may affect lung function among subjects with asthma. There are few prospective studies on this topic, especially with separate analyses of those with normal and high BMI. The aim of the present study was to prospectively study the association between annual BMI change and annual lung function decline, separately among those with normal initial BMI and overweight/obesity, in an adult asthma cohort. Methods A population-based adult asthma cohort was examined at study entry between 1986 and 2001 and at follow-up between 2012 and 2014 (n=945). Annual BMI change was analysed in association with annual decline in forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC) and FEV1/FVC separately in those with normal weight (BMI 18.5-24.9) and overweight/obese subjects (BMI >= 25) at study entry. Regression models were used to adjust for sex, age, smoking, inhaled corticosteroids use and occupational exposure to gas, dust or fumes. Results Overweight/obese subjects had lower FEV1 and FVC but slower annual FEV1 and FVC decline compared to those with normal weight. After adjustment through regression modelling, the association between BMI change with FEV1 and FVC decline remained significant for both BMI groups, but with stronger associations among the overweight/obese (FEV1 B-[Overweight/obese]=-25 mL versus B[ normal weight]= -15 mL). However, when including only those with BMI increase during follow-up, the associations remained significant among those with overweight/obesity, but not in the normal-weight group. No associations were seen for FEV1/FVC. Conclusions BMI increase is associated with faster FEV1 and FVC decline among overweight and obese adults with asthma in comparison with their normal-weight counterparts.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicin0 (SwePub)3022 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicine0 (SwePub)3022 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Lungmedicin och allergi0 (SwePub)302192 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Respiratory Medicine and Allergy0 (SwePub)302192 hsv//eng
653		a pulmonary-function
653		a cluster-analysis
653		a lung-function
653		a weight-loss
653		a inflammation
653		a smoking
653		a people
653		a Respiratory System
700	1	a Kankaanranta, Hannu,d 1967u Gothenburg University,Göteborgs universitet,Krefting Research Centre,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition,Dept of Internal Medicine and Clinical Nutrition, Krefting Research Centre, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden; Faculty of Medicine and Health Technology, Tampere University, Respiratory Research Group, Tampere University, Tampere, Finland; Dept of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland4 aut0 (Swepub:gu)xkankh
700	1	a Hedman, Linnea,d 1979-u Umeå universitet,Avdelningen för hållbar hälsa4 aut0 (Swepub:umu)evli0029
700	1	a Andersson, Martinu Umeå universitet,Avdelningen för hållbar hälsa4 aut0 (Swepub:umu)manann00
700	1	a Stridsman, Carolineu Umeå universitet,Avdelningen för medicin4 aut0 (Swepub:umu)cast0052
700	1	a Lindberg, Anneu Umeå universitet,Avdelningen för medicin4 aut0 (Swepub:umu)anelig02
700	1	a Rönmark, Evau Umeå universitet,Avdelningen för hållbar hälsa4 aut0 (Swepub:umu)evra0004
700	1	a Backman, Helenau Umeå universitet,Avdelningen för hållbar hälsa4 aut0 (Swepub:umu)heaban01
710	2	a Umeå universitetb Avdelningen för hållbar hälsa4 org
773	0	t European Respiratory Journal Open Research (ERJ Open Research)d : European Respiratory Society (ERS)g 8:4q 8:4x 2312-0541
856	4	u https://doi.org/10.1183/23120541.00110-2022y Fulltext
856	4	u https://umu.diva-portal.org/smash/get/diva2:1710498/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4 8	u https://gup.ub.gu.se/publication/322267
856	4 8	u https://doi.org/10.1183/23120541.00110-2022
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-200826

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Av författaren/redakt...: Bermúdez Barón, ...; Kankaanranta, Ha ...; Hedman, Linnea, ...; Andersson, Marti ...; Stridsman, Carol ...; Lindberg, Anne; visa fler...; Rönmark, Eva; Backman, Helena; visa färre...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin

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