RESUMO
It is unclear whether obesity is associated with increasing degree of airway responsiveness in asthmatics. In this study, methacholine challenge test results of 1,725 subjects with respiratory symptoms were reviewed. Obesity was associated with asthma with an odds ratio of 1.72 (95% C.I. 1.36, 2.17). Although there was a significant difference in the degree of airway responsiveness between various body mass index categories of non-asthmatics (p = 0.01), no significant difference was noted among asthmatics (p = 0.93). A weakly significant interaction between asthma status and body mass index on the degree of airway responsiveness was noted (p = 0.08).
Assuntos
Asma/fisiopatologia , Hiper-Reatividade Brônquica/etiologia , Obesidade/complicações , Adulto , Idoso , Índice de Massa Corporal , Feminino , Volume Expiratório Forçado , Humanos , Masculino , Cloreto de Metacolina/farmacologia , Pessoa de Meia-Idade , Estudos RetrospectivosRESUMO
The study's objective was to compare the bronchial hyper-responsiveness (BHR) between those with normal and increased weight and evaluate if the association was sex-specific. In this cross-sectional review of methacholine challenge test results of 1,141 adults for evaluation of respiratory symptoms, logistic regression analysis was conducted to adjust for covariates. When compared to normal weight, overweight or obese women showed a higher prevalence of symptomatic BHR with odds ratios of 1.63 (95% C.I. 1.16-2.29). This association was not seen in men, with a significant sex-specific interaction. This study shows a sex-specific association between symptomatic BHR and overweight or obese status.
