1. Association between air flow limitation and body composition in young adults
- Author
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Rodrigo Muñoz-Cofré, Pablo A. Lizana, Claudio García-Herrera, Mariano del Sol, and Máximo Escobar Cabello
- Subjects
Adult ,Male ,medicine.medical_specialty ,Pulmonary function ,Physiology ,Human Factors and Ergonomics ,lcsh:GN49-298 ,Logistic regression ,Body fat percentage ,Gastroenterology ,Body composition ,Pulmonary function testing ,Body Mass Index ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Airway resistance ,Physiology (medical) ,Internal medicine ,Forced Expiratory Volume ,medicine ,Humans ,Orthopedics and Sports Medicine ,030212 general & internal medicine ,Obesity ,Young adult ,Specific Airway Resistance ,lcsh:Physical anthropology. Somatology ,business.industry ,Airway Resistance ,Public Health, Environmental and Occupational Health ,medicine.disease ,Cross-Sectional Studies ,030228 respiratory system ,Anthropology ,Original Article ,Female ,business ,Body mass index - Abstract
Background Body composition (BC) influences respiratory system mechanics, provoking air flow limitation (AFL). The objective of this study was to determine the relationship of AFL in small- and medium-caliber airways with BC in young adults. Methods Eighty-three individuals were recruited (40 men and 43 women). To determine AFL, the following measurements were taken: forced expiratory volume in the first second (FEV1), forced expiratory flow between 25 and 75% (FEF25–75%), airway resistance (Raw), and specific airway resistance (sRaw). The measured BC variables were body mass index (BMI), body fat percentage (%BF), and fat-free mass (FFM). Binary logistical regression analysis was used to estimate the association between the AFL variables and %BF, BMI, and %FFM, adjusting for weight and gender. Results Among men, a relationship was observed between Raw and %BF (r = 0.728; p < 0.0001) and sRaw and BMI (r = 0.617; p < 0.0001). Among women, significant relationships were reported between Raw and BMI (r = 0.615; p < 0.0001) and sRaw and BMI (r = 0.556; p < 0.0001). Among participants with a BMI over 30 kg/m2, higher risks of increased Raw (OR = 26.8; p = 0.009) and sRaw (OR = 9.3; p = 0.002) were observed. Furthermore, higher %BF was associated with greater risks for increased Raw (OR = 14.04; p = 0.030) and sRaw (OR = 4.14; p = 0.028). In contrast, increased %FFM (OR = 0.14; p = 0.025) was a protective factor for lung function. Conclusion Increased %BF is associated with increased AFL in small-caliber airways. Furthermore, increased %FFM is associated with decreased risk for Raw and sRaw in women. Therefore, evidence indicates that increased %FFM is a protective factor for adequate lung function.
- Published
- 2021