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The Effect of Obesity and Overweight on Pulmonary Function in School-Aged Children

Received: 27 June 2021    Accepted: 28 July 2021    Published: 11 August 2021
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Abstract

Background: Obesity has an increasing prevalence worldwide in both industrial and developing countries. It also leads to serious complications among most body systems including the respiratory system; which has not been well studied and proven in Arab countries. Objective: To evaluate the association between obesity degrees, and pulmonary function parameters. Methods: Non-asthmatic children aged 5 to 14 years old were enrolled in this study. We obtained height and weight for each child then we calculated body mass index. We performed pulmonary function tests using spirometer. Results: This study included a total of 99 children (51 boys, 49 girls), the mean age was 10.5 years. Spirometric parameters such as Forced Vital Capacity (FVC) was higher in children with overweight and obesity. While Forced Expiratory Volume during the first second (FEV1) in addition to FEV1 to FVC Ratio were lower in children with overweight and obesity. There also was a negative linear correlation between Body Mass Index in percentiles and FEV1, FEV1/FVC Ratio, which reflects an airway obstruction inappropriate with lung volumes. Conclusion: we recommend conducting the measurement of pulmonary function via spirometer within the investigations of children with overweight and obesity to detect pathological changes as early as possible.

Published in American Journal of Pediatrics (Volume 7, Issue 3)
DOI 10.11648/j.ajp.20210703.22
Page(s) 154-158
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Obesity, Overweight, BMI, FVC, FEV, FEV1/FVC Ratio

References
[1] World Health Organization. Childhood overweight and obesity [Internet] Geneva: WHO; 2016.
[2] Global Nutrition Report Shining a Light to Spur Action on Nutrition 2018. World Health Organization. Available online: https://www.who.int/nutrition/globalnutritionreport/2018_Global_Nutrition_Report.pdf (accessed on 30 December 2020).
[3] Musaiger, Abdulrahman O., et al. "Prevalence of overweight and obesity among adolescents in eight Arab countries: comparison between two international standards (ARABEAT-2)." Nutricion hospitalaria 33.5 (2016): 1062-1065.
[4] Kumar, S., & Kelly, A. S. (2017, February). Review of childhood obesity: from epidemiology, etiology, and comorbidities to clinical assessment and treatment. In Mayo Clinic Proceedings (Vol. 92, No. 2, pp. 251-265). Elsevier.
[5] Cole, T. J., Bellizzi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: international survey. Bmj, 320 (7244), 1240.
[6] Gepstein, V., & Weiss, R. (2019). Obesity as the main risk factor for metabolic syndrome in children. Frontiers in endocrinology, 10, 568.
[7] Attard SM, Herring AH, Howard AG, Gordon-Larsen P. Longitudinal trajectories of BMI and cardiovascular disease risk: the national longitudinal study of adolescent health. Obesity (Silver Spring).
[8] Geng, T., Smith, C. E., Li, C., & Huang, T. (2018). Childhood BMI and adult type 2 diabetes, coronary artery diseases, chronic kidney disease, and cardiometabolic traits: a Mendelian randomization analysis. Diabetes care, 41 (5), 1089-1096.
[9] Weihrauch-Blüher, S., Schwarz, P., & Klusmann, J. H. (2019). Childhood obesity: increased risk for cardiometabolic disease and cancer in adulthood. Metabolism, 92, 147-152.
[10] Lindberg, L., Danielsson, P., Persson, M., Marcus, C., & Hagman, E. (2020). Association of childhood obesity with risk of early all-cause and cause-specific mortality: A Swedish prospective cohort study. PLoS medicine, 17 (3), e1003078.
[11] Fiorino, Elizabeth K., and Lee J. Brooks. "Obesity and respiratory diseases in childhood." Clinics in chest medicine 30.3 (2009): 601-608.
[12] Lang, Jason E., et al. "Being overweight or obese and the development of asthma." Pediatrics 142.6 (2018).
[13] Forno, E., Han, Y. Y., Mullen, J., & Celedón, J. C. (2018). Overweight, obesity, and lung function in children and adults—a meta-analysis. The Journal of Allergy and Clinical Immunology: In Practice, 6 (2), 570-581.
[14] di Palmo, Emanuela, et al. "Childhood Obesity and Respiratory Diseases: Which Link?." Children 8.3 (2021): 177.
[15] Csige I, Ujvárosy D, Szabó Z, et al. The Impact of Obesity on the Cardiovascular System. J Diabetes Res. 2018; 2018: 3407306. Published 2018 Nov 4. doi: 10.1155/2018/3407306.
[16] Torun, Emel, et al. "The effect of obesity degree on childhood pulmonary function tests." Balkan medical journal 31.3 (2014): 235. Parameswaran K, Todd DC, Soth M. Altered respiratory physiology in obesity. Can Respir J 2006; 13: 203–210.
[17] Ayinapudi, Karnika, et al. "Obesity and pulmonary hypertension." Current hypertension reports 20.12 (2018): 1-8.
[18] Miller, M. R., Hankinson, J. A. T. S., Brusasco, V., Burgos, F., Casaburi, R., Coates, A.,... & Wanger, J. A. T. S. (2005). Standardisation of spirometry. European respiratory journal, 26 (2), 319-338.
[19] Gomez-Llorente, M., Romero, R., Chueca, N., Martinez-Cañavate, A., & Gomez-Llorente, C. (2017). Obesity and asthma: a missing link. International journal of molecular sciences, 18 (7), 1490.
[20] Paz-Filho, Gilberto, et al. "Leptin: molecular mechanisms, systemic pro-inflammatory effects, and clinical implications." Arquivos Brasileiros de Endocrinologia & Metabologia 56 (2012): 597-607.
[21] Grotta, M. B., Squebola-Cola, D. M., Toro, A. A. et al. Obesity increases eosinophil activity in asthmatic children and adolescents. BMC Pulm Med 13, 39 (2013).
[22] Shin, J. H., Kim, J. H., Lee, W. Y., & Shim, J. Y. (2008). The expression of adiponectin receptors and the effects of adiponectin and leptin on airway smooth muscle cells. Yonsei medical journal, 49 (5), 804.
[23] Fretzayas, Andrew, et al. "Is obesity related to the lung function of non-asthmatic children?." World journal of clinical pediatrics 7.2 (2018): 67.
[24] Davidson, W. J., Mackenzie-Rife, K. A., Witmans, M. B., Montgomery, M. D., Ball, G. D., Egbogah, S., & Eves, N. D. (2014). Obesity negatively impacts lung function in children and adolescents. Pediatric pulmonology, 49 (10), 1003-1010.
[25] Cibella, F., Bruno, A., Cuttitta, G., Bucchieri, S., Melis, M. R., De Cantis, S.,... & Viegi, G. (2015). An elevated body mass index increases lung volume but reduces airflow in Italian schoolchildren. PLoS One, 10 (5), e0127154.
[26] Akın, O., Arslan, M., Haymana, C., Karabulut, E., Hacihamdioglu, B., & Yavuz, S. T. (2017). Association of neck circumference and pulmonary function in children. Annals of Allergy, Asthma & Immunology, 119 (1), 27-30.
[27] Robinson PD. Obesity and its impact on the respiratory system. Paediatr Respir Rev. 2014; 15 (3): 219–26.
[28] Spathopoulos, D., Paraskakis, E., Trypsianis, G., Tsalkidis, A., Arvanitidou, V., Emporiadou, M.,... & Chatzimichael, A. (2009). The effect of obesity on pulmonary lung function of school aged children in Greece. Pediatric pulmonology, 44 (3), 273-280.
[29] Webb A, Siddaiah R, Pirzada M, Islam S, Halaby C, et al. Pulmonary Function Test Abnormalities in Obese Non-Asthmatic Children and Adolescents. Sci J Pulm Respir Med. 2017; 1 (1): 019-023.
Cite This Article
  • APA Style

    Nurshan Mohamed Hamzah, Ahmed Chreitah, Maamoun Hakim. (2021). The Effect of Obesity and Overweight on Pulmonary Function in School-Aged Children. American Journal of Pediatrics, 7(3), 154-158. https://doi.org/10.11648/j.ajp.20210703.22

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    ACS Style

    Nurshan Mohamed Hamzah; Ahmed Chreitah; Maamoun Hakim. The Effect of Obesity and Overweight on Pulmonary Function in School-Aged Children. Am. J. Pediatr. 2021, 7(3), 154-158. doi: 10.11648/j.ajp.20210703.22

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    AMA Style

    Nurshan Mohamed Hamzah, Ahmed Chreitah, Maamoun Hakim. The Effect of Obesity and Overweight on Pulmonary Function in School-Aged Children. Am J Pediatr. 2021;7(3):154-158. doi: 10.11648/j.ajp.20210703.22

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  • @article{10.11648/j.ajp.20210703.22,
      author = {Nurshan Mohamed Hamzah and Ahmed Chreitah and Maamoun Hakim},
      title = {The Effect of Obesity and Overweight on Pulmonary Function in School-Aged Children},
      journal = {American Journal of Pediatrics},
      volume = {7},
      number = {3},
      pages = {154-158},
      doi = {10.11648/j.ajp.20210703.22},
      url = {https://doi.org/10.11648/j.ajp.20210703.22},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20210703.22},
      abstract = {Background: Obesity has an increasing prevalence worldwide in both industrial and developing countries. It also leads to serious complications among most body systems including the respiratory system; which has not been well studied and proven in Arab countries. Objective: To evaluate the association between obesity degrees, and pulmonary function parameters. Methods: Non-asthmatic children aged 5 to 14 years old were enrolled in this study. We obtained height and weight for each child then we calculated body mass index. We performed pulmonary function tests using spirometer. Results: This study included a total of 99 children (51 boys, 49 girls), the mean age was 10.5 years. Spirometric parameters such as Forced Vital Capacity (FVC) was higher in children with overweight and obesity. While Forced Expiratory Volume during the first second (FEV1) in addition to FEV1 to FVC Ratio were lower in children with overweight and obesity. There also was a negative linear correlation between Body Mass Index in percentiles and FEV1, FEV1/FVC Ratio, which reflects an airway obstruction inappropriate with lung volumes. Conclusion: we recommend conducting the measurement of pulmonary function via spirometer within the investigations of children with overweight and obesity to detect pathological changes as early as possible.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - The Effect of Obesity and Overweight on Pulmonary Function in School-Aged Children
    AU  - Nurshan Mohamed Hamzah
    AU  - Ahmed Chreitah
    AU  - Maamoun Hakim
    Y1  - 2021/08/11
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajp.20210703.22
    DO  - 10.11648/j.ajp.20210703.22
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 154
    EP  - 158
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20210703.22
    AB  - Background: Obesity has an increasing prevalence worldwide in both industrial and developing countries. It also leads to serious complications among most body systems including the respiratory system; which has not been well studied and proven in Arab countries. Objective: To evaluate the association between obesity degrees, and pulmonary function parameters. Methods: Non-asthmatic children aged 5 to 14 years old were enrolled in this study. We obtained height and weight for each child then we calculated body mass index. We performed pulmonary function tests using spirometer. Results: This study included a total of 99 children (51 boys, 49 girls), the mean age was 10.5 years. Spirometric parameters such as Forced Vital Capacity (FVC) was higher in children with overweight and obesity. While Forced Expiratory Volume during the first second (FEV1) in addition to FEV1 to FVC Ratio were lower in children with overweight and obesity. There also was a negative linear correlation between Body Mass Index in percentiles and FEV1, FEV1/FVC Ratio, which reflects an airway obstruction inappropriate with lung volumes. Conclusion: we recommend conducting the measurement of pulmonary function via spirometer within the investigations of children with overweight and obesity to detect pathological changes as early as possible.
    VL  - 7
    IS  - 3
    ER  - 

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Author Information
  • Faculty of Medicine, Department of Pediatrics, Tishreen University, Lattakia, Syria

  • Faculty of Medicine, Department of Pediatrics, Tishreen University, Lattakia, Syria

  • Faculty of Medicine, Department of Pediatrics, Tishreen University, Lattakia, Syria

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