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Obesity disproportionately impacts lung volumes, airflow and exhaled nitric oxide in children

The current literature focusing on the effect of obesity and overweight on lung function and fraction of exhaled nitric oxide (FeNO) in children, particularly among healthy children of non-European descent, remains controversial. Furthermore, whether the relationship of obesity and overweight with l...

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Published in:PloS one 2017-04, Vol.12 (4), p.e0174691-e0174691
Main Authors: Yao, Tsung-Chieh, Tsai, Hui-Ju, Chang, Su-Wei, Chung, Ren-Hua, Hsu, Jing-Ya, Tsai, Ming-Han, Liao, Sui-Ling, Hua, Man-Chin, Lai, Shen-Hao, Chen, Li-Chen, Yeh, Kuo-Wei, Tseng, Yu-Lun, Lin, Wan-Chen, Chang, Su-Ching, Huang, Jing-Long
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cited_by cdi_FETCH-LOGICAL-c692t-4c5593428f6af0eefa56e1f1fda5ca3538e3a7ebcebbb1ce30d5fb58191d05be3
cites cdi_FETCH-LOGICAL-c692t-4c5593428f6af0eefa56e1f1fda5ca3538e3a7ebcebbb1ce30d5fb58191d05be3
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creator Yao, Tsung-Chieh
Tsai, Hui-Ju
Chang, Su-Wei
Chung, Ren-Hua
Hsu, Jing-Ya
Tsai, Ming-Han
Liao, Sui-Ling
Hua, Man-Chin
Lai, Shen-Hao
Chen, Li-Chen
Yeh, Kuo-Wei
Tseng, Yu-Lun
Lin, Wan-Chen
Chang, Su-Ching
Huang, Jing-Long
description The current literature focusing on the effect of obesity and overweight on lung function and fraction of exhaled nitric oxide (FeNO) in children, particularly among healthy children of non-European descent, remains controversial. Furthermore, whether the relationship of obesity and overweight with lung function and FeNO in children is modified by atopy is unclear. The objective of this study was to examine the effect of excess weight on lung function parameters and FeNO among Asian children, with a particular focus on exploring the potential effect modification by atopy. We investigated the effect of excess weight on lung function and FeNO in a population sample of 1,717 children aged 5 to 18 years and explored the potential modifying effect of atopy. There were positive associations of body mass index (BMI) z-score with forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow (PEF), and forced expiratory flow at 25-75% (FEF25-75) (all P
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Furthermore, whether the relationship of obesity and overweight with lung function and FeNO in children is modified by atopy is unclear. The objective of this study was to examine the effect of excess weight on lung function parameters and FeNO among Asian children, with a particular focus on exploring the potential effect modification by atopy. We investigated the effect of excess weight on lung function and FeNO in a population sample of 1,717 children aged 5 to 18 years and explored the potential modifying effect of atopy. There were positive associations of body mass index (BMI) z-score with forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow (PEF), and forced expiratory flow at 25-75% (FEF25-75) (all P&lt;0.001), after controlling for confounders. The beta coefficient for FEV1 (0.084) was smaller than that for FVC (0.111). In contrast, a negative association was found between BMI z-score and FEV1/FVC ratio (P&lt;0.001) and FeNO (P = 0.03). A consistent pattern of association for lung function variables was observed when stratifying by atopy. There was a negative association of BMI z-score with FeNO in atopic subjects (P = 0.006), but not in non-atopic subjects (P = 0.46). Excess weight disproportionately impacts lung volumes and airflow in children from the general population, independent of atopic status. 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Academic</collection><collection>ProQuest Engineering Collection</collection><collection>Biological Sciences</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials science collection</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yao, Tsung-Chieh</au><au>Tsai, Hui-Ju</au><au>Chang, Su-Wei</au><au>Chung, Ren-Hua</au><au>Hsu, Jing-Ya</au><au>Tsai, Ming-Han</au><au>Liao, Sui-Ling</au><au>Hua, Man-Chin</au><au>Lai, Shen-Hao</au><au>Chen, Li-Chen</au><au>Yeh, Kuo-Wei</au><au>Tseng, Yu-Lun</au><au>Lin, Wan-Chen</au><au>Chang, Su-Ching</au><au>Huang, Jing-Long</au><au>Chen, Yang-Ching</au><aucorp>Prediction of Allergies in Taiwanese Children (PATCH) Study Group</aucorp><aucorp>on behalf of the Prediction of Allergies in Taiwanese Children (PATCH) Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obesity disproportionately impacts lung volumes, airflow and exhaled nitric oxide in children</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-04-04</date><risdate>2017</risdate><volume>12</volume><issue>4</issue><spage>e0174691</spage><epage>e0174691</epage><pages>e0174691-e0174691</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The current literature focusing on the effect of obesity and overweight on lung function and fraction of exhaled nitric oxide (FeNO) in children, particularly among healthy children of non-European descent, remains controversial. Furthermore, whether the relationship of obesity and overweight with lung function and FeNO in children is modified by atopy is unclear. The objective of this study was to examine the effect of excess weight on lung function parameters and FeNO among Asian children, with a particular focus on exploring the potential effect modification by atopy. We investigated the effect of excess weight on lung function and FeNO in a population sample of 1,717 children aged 5 to 18 years and explored the potential modifying effect of atopy. There were positive associations of body mass index (BMI) z-score with forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow (PEF), and forced expiratory flow at 25-75% (FEF25-75) (all P&lt;0.001), after controlling for confounders. The beta coefficient for FEV1 (0.084) was smaller than that for FVC (0.111). In contrast, a negative association was found between BMI z-score and FEV1/FVC ratio (P&lt;0.001) and FeNO (P = 0.03). A consistent pattern of association for lung function variables was observed when stratifying by atopy. There was a negative association of BMI z-score with FeNO in atopic subjects (P = 0.006), but not in non-atopic subjects (P = 0.46). Excess weight disproportionately impacts lung volumes and airflow in children from the general population, independent of atopic status. Excess weight inversely affects FeNO in atopic but not in non-atopic children.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28376119</pmid><doi>10.1371/journal.pone.0174691</doi><tpages>e0174691</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
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issn 1932-6203
1932-6203
language eng
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source Access via ProQuest (Open Access); PubMed Central
subjects Adolescent
Air flow
Analysis
Asthma
Atopy
Bioinformatics
Biology and Life Sciences
Body mass
Body Mass Index
Body size
Body weight
Child
Child, Preschool
Children
Exhalation - physiology
Female
Forced Expiratory Volume
Health aspects
Health sciences
Hospitals
Humans
Hypersensitivity, Immediate - complications
Hypersensitivity, Immediate - physiopathology
Immunology
Lung - physiopathology
Lungs
Male
Maximal Midexpiratory Flow Rate
Medical research
Medicine
Medicine and Health Sciences
Mortality
Nitric oxide
Nitric Oxide - physiology
Obesity
Obesity - complications
Obesity - pathology
Obesity - physiopathology
Overweight
Parameter modification
Peak Expiratory Flow Rate
Pediatrics
People and Places
Physicians
Population
Pulmonary Ventilation
Respiratory diseases
Respiratory function
Respiratory Function Tests
Rheumatology
Vital Capacity
title Obesity disproportionately impacts lung volumes, airflow and exhaled nitric oxide in children
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