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Abdominal obesity and lung function

Ana Paula Limongi Richardelli Veloso, Karla Garcez Cusmanich
Background: Obesity can affect the thorax, diaphragm, and alterations in respiratory function even if the lungs are within normality. The respiratory compliance is very reduced by the increase in fat mass. Aim: To evaluate the effect of the physical therapeutic respiratory exercises on the thoracoabdominal mobility of obese individuals in pre-bariatric surgery. Methods: Cross-sectional and descriptive study, which used the cirtometry (axillary, xiphoid and abdominal) to evaluate the mobility of 74 individuals, 27 men and 47 women, in pre-bariatric surgery, assisted by the team EMAD, after eight weeks of physiotherapy, following a protocol of exercises, reevaluating and compared the measures pre and post intervention...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Amela Pasic, Fahrija Skokic, Fuad Pasic, Miroslav Ilic
AIM: Asthma and obesity represent one of the most crucial public and health problems of modern society that frequently begin in childhood and have some mutual elements of risk. Abdominal distribution of connective tissue is important determinant which brings to decrease of lungs function. Multiple influence of overweight on function of the lungs would clearly manifest over reduction of forced expiratory volume in the first second (FEV1) and forced vital capacity (FVC). METHOD: Examining was conducted at Pediatric Clinic of University Clinical Hospital Tuzla during the year 2013/2014...
June 2016: Medical Archives
Sofia Wilhelmsson, Monika Fagevik Olsén, Trude Staalesen, Anna Elander, Malin Nygren-Bonnier
BACKGROUND: Weight loss after obesity and pregnancy is associated with excess abdominal skin and weakness of the abdominal wall, which is assumed to cause low back pain and reduce lung function. Today, abdominoplasty is the only known method to treat excess skin, and plication is used to improve aesthetics and function alone or in addition to surgery. There is lack of evidence concerning the surgery's effect on trunk muscles, lung function, and physical function. The aim was to evaluate the effect on trunk muscle endurance, lung function and self-rated physical function after abdominoplasty with and without muscle plication...
August 31, 2016: Journal of Plastic Surgery and Hand Surgery
Thiago Thomaz Mafort, Rogério Rufino, Cláudia Henrique Costa, Agnaldo José Lopes
Obesity is currently one of the major epidemics of this millennium and affects individuals throughout the world. It causes multiple systemic complications, some of which result in severe impairment of organs and tissues. These complications involve mechanical changes caused by the accumulation of adipose tissue and the numerous cytokines produced by adipocytes. Obesity also significantly interferes with respiratory function by decreasing lung volume, particularly the expiratory reserve volume and functional residual capacity...
2016: Multidisciplinary Respiratory Medicine
T Kiss, T Bluth, M Gama de Abreu
BACKGROUND: Recent studies show that intraoperative protective ventilation is able to reduce postoperative pulmonary complications (PPC). OBJECTIVES: This article provides an overview of the definition and ways to predict PPC. We present different factors that lead to ventilator-induced lung injury and explain the concepts of stress and strain as well as driving pressure. Different strategies of mechanical ventilation to avoid PPC are discussed in light of clinical evidence...
August 2016: Der Anaesthesist
Aline Dill Winck, João Paulo Heinzmann-Filho, Rafaela Borges Soares, Juliana Severo da Silva, Cristhiele Taís Woszezenki, Letiane Bueno Zanatta
OBJECTIVE: To assess the effects of obesity on lung volume and capacity in children and adolescents. DATA SOURCE: This is a systematic review, carried out in Pubmed, Lilacs, Scielo and PEDro databases, using the following Keywords: Plethysmography; Whole Body OR Lung Volume Measurements OR Total Lung Capacity OR Functional Residual Capacity OR Residual Volume AND Obesity. Observational studies or clinical trials that assessed the effects of obesity on lung volume and capacity in children and adolescents (0-18 years) without any other associated disease; in English; Portuguese and Spanish languages were selected...
March 31, 2016: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
Ivan Curjuric, Medea Imboden, Pierre-Olivier Bridevaux, Margaret W Gerbase, Margot Haun, Dirk Keidel, Ashish Kumar, Marco Pons, Thierry Rochat, Tamara Schikowski, Christian Schindler, Arnold von Eckardstein, Florian Kronenberg, Nicole M Probst-Hensch
Lung function is an independent predictor of mortality and serves as an aging marker in never smokers. The protein sirtuin-1 of gene SIRT1 has profound anti-inflammatory effects and regulates metabolic pathways. Its suggested longevity effects on lower organisms remain poorly studied in humans. In 1132 never smokers of the population-based SAPALDIA cohort, we investigated associations between single nucleotide polymorphisms (SNPs; rs730821, rs10997868, rs10823116) of SIRT1 and aging-related lung function decline over 11 years in terms of change in forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), FEV1/FVC ratio, and forced expiratory flow between 25 and 75 % of FVC (FEF25-75) using multiple linear regression models...
June 2016: Age (2005-)
A V Capelo, V M da Fonseca, M V M Peixoto, S R de Carvalho, C M Azevedo, M I G Elsas, B Marques
UNLABELLED: Abdominal obesity is associated with a risk of cardiovascular diseases, metabolic syndrome and decreased lung function. However, it is not known whether asthma control is influenced by the accumulation of adipose tissue in the various abdominal compartments. OBJECTIVE: To determine associations among abdominal adiposity distribution, asthma control, lung function and cytokines in women. METHODS AND DESIGN: In this cross-sectional study of asthmatic women, data on demographic variables, comorbid conditions, disease history, anthropometric and spirometric measurements were collected...
September 2016: Revista Portuguesa de Pneumologia
Hyung Koo Kang, Hye Yun Park, Byeong-Ho Jeong, Won-Jung Koh, Seong Yong Lim
Impaired lung function is a risk factor for cardiovascular (CV) events. However, it has not been well established whether FVC reduction even within normal range is associated with cardiovascular disease (CVD) risk and whether reduced FVC is an independent relationship of CVD irrespective of metabolic syndrome. Thus, we aimed to explore the relationship between FVC and CV-event risk using the FRS beyond the presence of metabolic syndrome or abdominal obesity in a representative Korean population based on data from the nationwide Korea National Health and Nutrition Examination Survey (KNHANES IV)...
November 2015: Medicine (Baltimore)
Nikolaus Buchmann, Kristina Norman, Elisabeth Steinhagen-Thiessen, Ilja Demuth, Rahel Eckardt
BACKGROUND: Previous studies have indicated a relationship between type II diabetes (T2D), metabolic syndrome (MetS) and pulmonary function but the pathological mechanism responsible remains unclear. The aim of the current analysis within the Berlin Aging Study II (BASE-II) was to investigate the influence of abdominal obesity and muscle mass on pulmonary function in subjects with T2D and MetS. MATERIAL AND METHODS: A prebronchodilator pulmonary function test was carried out in 1369 subjects from the BASE-II (mean age 69 ± 4 years, 51...
July 2016: Zeitschrift Für Gerontologie und Geriatrie
Nikolaus Buchmann, Kristina Norman, Elisabeth Steinhagen-Thiessen, Ilja Demuth, Rahel Eckardt
BACKGROUND: Previous studies have indicated a relationship between type II diabetes (T2D), metabolic syndrome (MetS) and pulmonary function but the pathological mechanism responsible remains unclear. The aim of the current analysis within the Berlin Aging Study II (BASE-II) was to investigate the influence of abdominal obesity and muscle mass on pulmonary function in subjects with T2D and MetS. MATERIAL AND METHODS: A prebronchodilator pulmonary function test was carried out in 1369 subjects from the BASE-II (mean age 69 ± 4 years, 51...
October 27, 2015: Zeitschrift Für Gerontologie und Geriatrie
Andreas Güldner, Marcelo Gama de Abreu
Postoperative pulmonary complications add to higher mortality and morbidity. This risk could be lowered with intraoperative protective ventilation, especially with low tidal volumes. The application of PEEP and the use of recruitment maneuvers can enhance the lung function during surgery, but can also cause haemodynamic instability. In patients with open abdominal surgery and no lung damage or obesity, PEEP and recruitment maneuvers have no protective effect against postoperative pulmonary complications. It is still unclear, wether the use of intraoperative PEEP in other patient groups and during different surgery procedures is relevant for lung protection...
September 2015: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
Camille Meslin, Colette Desert, Isabelle Callebaut, Anis Djari, Christophe Klopp, Frédérique Pitel, Sophie Leroux, Pascal Martin, Pascal Froment, Edith Guilbert, Florence Gondret, Sandrine Lagarrigue, Philippe Monget
Free fatty acid receptors (FFAR) belong to a family of five G-protein coupled receptors that are involved in the regulation of lipid metabolism, so that their loss of function increases the risk of obesity. The aim of this study was to determine the expansion of genes encoding paralogs of FFAR2 in the chicken, considered as a model organism for developmental biology and biomedical research. By estimating the gene copy number using quantitative polymerase chain reaction, genomic DNA resequencing, and RNA sequencing data, we showed the existence of 23 ± 1...
May 2015: Genome Biology and Evolution
Coby van de Bool, Erica P A Rutten, Frits M E Franssen, Emiel F M Wouters, Annemie M W J Schols
Decreased physical performance due to loss of muscle mass (i.e. sarcopenia) is prevalent in ageing and appears more pronounced in chronic disease. A comprehensive profile of the sarcopenic phenotype in chronic obstructive pulmonary disease (COPD) is not yet available. The aim of the present study was to characterise prevalence, functional implications and predictive value of sarcopenia with or without abdominal obesity in Dutch COPD patients eligible for pulmonary rehabilitation.505 COPD patients (aged 37-87 years; 57% male) underwent assessment of lung function, body composition and physical functioning, before entering pulmonary rehabilitation...
August 2015: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
Letícia Silva, Jacqueline de Melo Barcelar, Catarina Souza Rattes, Larissa Bouwman Sayão, Cyda Albuquerque Reinaux, Shirley L Campos, Daniella Cunha Brandão, Guilherme Fregonezi, Andrea Aliverti, Armèle Dornelas de Andrade
The objective of this study was to analyze thoraco-abdominal kinematics in obese children in seated and supine positions during spontaneous quiet breathing. An observational study of pulmonary function and chest wall volume assessed by optoelectronic plethysmography was conducted on 35 children aged 8-12 years that were divided into 2 groups according to weight/height ratio percentiles: there were 18 obese children with percentiles greater than 95 and 17 normal weight children with percentiles of 5-85. Pulmonary function (forced expiratory volume in 1 s (FEV1); forced vital capacity (FVC); and FEV1/FVC ratio), ventilatory pattern, total and compartment chest wall volume variations, and thoraco-abdominal asynchronies were evaluated...
February 2015: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
Wei-Liang Chen, Chung-Ching Wang, Li-Wei Wu, Tung-Wei Kao, James Yi-Hsin Chan, Ying-Jen Chen, Ya-Hui Yang, Yaw-Wen Chang, Tao-Chun Peng
Although the link between impaired lung function and cardiovascular events and type 2 diabetes mellitus has been recognized, the association between impaired lung function and metabolic syndrome has not been comprehensively assessed in the United States (U.S.) population. The aim of our study was to explore the association between impaired lung function and metabolic syndrome in a nationally representative sample of men and women. This cross-sectional population-based study included 8602 participants aged 20-65 years in the Third National Health and Nutrition Examination Survey (NHANES III)...
2014: PloS One
Michael Eberlein, Gregory A Schmidt, Roy G Brower
Chest wall strapping (CWS) induces breathing at low lung volumes. Mild to moderate obesity can lead to similar changes in lung volumes, due to chest wall and abdominal restriction. Chest wall strapping is also conceptually similar to a mismatch between significantly oversized donor lungs transplanted into a recipient with a smaller chest cavity. Chest wall strapping increases lung elastic recoil, reduces pulmonary compliance, and substantially increases maximal expiratory flows. The interactions between elastic properties of the lung parenchyma and small airways are critical for pulmonary function...
October 2014: Annals of the American Thoracic Society
Minehiko Inomata, Yukio Kawagishi, Chihiro Taka, Kenta Kambara, Seisuke Okazawa, Yasuo Fukushima, Shingo Imanishi, Tomomi Ichikawa, Kensuke Suzuki, Toru Yamada, Yutaka Kamura, Chikaaki Kobashi, Minoru Iwata, Shigeki Sumi, Hideki Origasa, Ryuji Hayashi, Kazuyuki Tobe
UNLABELLED: Aims/Introduction:  It has been reported that metabolic syndrome is associated with impaired lung function, and abdominal obesity is regarded as the most important determinant of this association. We evaluated the association between a component of metabolic syndrome, indices of body composition, including the total adipose tissue content, lean bodyweight and visceral adipose tissue content, as assessed by bioimpedance analysis, and lung function. MATERIALS AND METHODS:   A total of 516 participants responded to our questionnaire to determine the smoking status and history of past diseases...
June 6, 2012: Journal of Diabetes Investigation
A A Defresne, G A Hans, P J Goffin, S P Bindelle, P J Amabili, A M DeRoover, R Poirrier, J F Brichant, J L Joris
BACKGROUND: Intraoperative recruitment manoeuvres (RMs) combined with PEEP reverse the decrease in functional residual capacity (FRC) associated with anaesthesia and improve intraoperative oxygenation. Whether these benefits persist after operation remains unknown. We tested the hypothesis that intraoperative RMs associated with PEEP improve postoperative spirometry including FRC and reduce the incidence of postoperative hypoxaemia in morbidly obese (MO) patients undergoing laparoscopic gastric bypass...
September 2014: British Journal of Anaesthesia
Bahar Ulubas, Ramazan Gen, Munir Tumkaya, Esen Akbay, Mukadder Calıkoglu
SUMMARY: It is known that obesity causes to impairment of pulmonary functions. This impairment worsens with aging. There are studies about obesity showing that the uses of abdominal measurements instead of BMI are more accurate.: PURPOSE: The aim of our study is to investigate the correlation of waist circumference in the women aged over 40 years with obesity to the respiratory function tests and chest expansion. MATERIALS AND METHODS: In our study, BMI, waist circumference and chest expansion of 64 women over 40-year old were measured and the values obtained were compared with the results of respiratory function tests...
April 2011: Obesity Research & Clinical Practice
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