Factors Associated with BMI in Greek Adults with Asthma

Grammatopoulou, Eirini; Haniotou, Aikaterini; Douka, Angeliki; Koutsouki, Dimitra

doi:10.3109/02770900903584027

Cited by 6 publications

(3 citation statements)

References 35 publications

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“…As regards BMI, Greek patients with normal BMI had better asthma control compared to the overweight/obese, which is in accordance with previous studies (38,47,48). This finding might be explained by the fact that the obese/overweight patients with asthma compared to those with normal BMI have higher activity limitations and dyspnea (49).…”

Section: Discussionsupporting

confidence: 92%

“…This is due to their low fitness which results from their wrong beliefs, behavior, and attitude to the disease (50) and not because of the disease itself. Specifically, Greek overweight/obese asthma patients compared to those with normal BMI have better asthma control, lower level of physical activity in leisure time, and higher disability impact of dyspnea on daily activities (47).…”

Section: Discussionmentioning

confidence: 99%

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Validity and Reliability Evidence of the Asthma Control Test – Act in Greece

et al. 2010

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Validity and Reliability Evidence of the Asthma Control Test – Act in Greece

et al. 2010

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“…Furthermore, we conclude that in addition to the inverse association with age, there is a negative association between FVC and central obesity, independent of the age of onset and disease duration. Although the association between central obesity and lung function has been studied in the general population, few studies have been conducted in the asthmatics population [ 33 , 40 ]. In addition to being determined by age, gender, and height [ 18 ], lung volumes seem to be more negatively affected by central obesity than overall obesity and peripheral fat [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Central obesity and other factors associated with uncontrolled asthma in women

Capelo

Fonseca

Peixoto

et al. 2015

All Asth Clin Immun

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BackgroundAsthma remains an uncontrolled disease. The Comorbidities, particularly obesity, and several other factors have been identified as being individually associated with asthma control, and these factors vary among different countries and between sexes. Studies have suggested that the harmful effects of these factors are greatest among women. The aim of the present study was to identify associated factors with uncontrolled asthma in women at the outpatient clinic of a Federal University Hospital in Rio de Janeiro, Brazil.MethodsCross-sectional study with asthmatic women, older than 18 years old. All subjects were included according to stringent criteria. The study used a structured questionnaire with data about demographic variables, education level, comorbid conditions, and disease history. Anthropometric and spirometric measurements were obtained. Asthma control was assessed by three different tools: the Asthma Control Test (ACT), the Asthma Control Questionnaire (ACQ) and the Global Initiative for Asthma (GINA) criteria.ResultsA total of 124 women were included, and 57%, 38% and 21% were totally controlled according to ACT, ACQ and GINA criteria, respectively. A total of 31.5% were obese. According to the CI (Conicity Index) and WC (waist circumference) respectively, 84% and 68% were centrally obese. There was no association between asthma control and age, education, duration of the disease or BMI (Body Mass Index) in the three models, but there was a significant association between central obesity and asthma control with the ACQ and GINA assessment tools, controlling for explanatory variables such as GERD (gastroesophageal reflux disease). Pre-bronchodilator percent predicted forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) were significantly associated with age and FVC was also associated with central obesity.ConclusionsAsthma remains uncontrolled in women despite treatment, and central obesity seems to have a negative influence on the control of the disease. We believe that women should be studied as a separate group and suggest prospective studies with assessment of fat distribution and biomarkers, controlling for possible comorbidities associated with asthma control.

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