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ORIGINAL ARTICLE

Effect of Obesity on Clinical Presentation and Response to Treatment in Asthma

, M.D., , J.D., , M.D., , M.D., , Ph.D., M.P.H., , M.D., , Pharm.D., , Ph.D., , Ph.D. & , M.D. show all
Pages 553-558 | Published online: 02 Jul 2009
 

Abstract

Obesity is a risk factor for being diagnosed with asthma, but there is conflicting evidence on whether obesity is a risk factor for lung function abnormalities characteristic of asthma. We studied a cohort of 488 subjects, 47% of whom were obese. Obese and non-obese subjects with asthma had similar airflow limitation and bronchodilator responsiveness, but obese participants had increased sleep disturbance and gastroesophageal reflux disease, higher cytokine levels, and a trend towards increased exacerbations when treated with theophylline. Obese and non-obese asthmatics have similar lung function abnormalities, but comorbidities and altered responses to medications may significantly affect asthma control in obese people.

Abbreviations
ALA-ACRC:=

American Lung Association-Asthma Clinical Research Centers

ASUI:=

Asthma Symptom Utility Index

BMI:=

body mass index

CRP:=

C-reactive protein

FEV1:=

forced expiratory volume in one second

FVC:=

forced vital capacity

GERD:=

gastroesophageal reflux disease

IL6:=

interleukin 6

LODO:=

“Effectiveness of Low Dose Theophylline as Add-on Treatment in Asthma”

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