PMID- 22467360 OWN - NLM STAT- MEDLINE DCOM- 20130415 LR - 20221207 IS - 1099-0496 (Electronic) IS - 8755-6863 (Print) IS - 1099-0496 (Linking) VI - 47 IP - 11 DP - 2012 Nov TI - Associations of obesity and asthma with functional exercise capacity in urban minority adolescents. PG - 1061-9 LID - 10.1002/ppul.22547 [doi] AB - PURPOSE: To examine the independent association of asthma and obesity and of their co-existence with functional exercise capacity among urban adolescents. METHODS: One hundred eighteen Hispanic- and African-American adolescents including 33 obese asthmatics, 18 normal-weight asthmatics, 38 obese non-asthmatics, and 29 normal-weight non-asthmatics underwent anthropometric measures, 6-minute walk test (6MWT) as measure of functional exercise capacity and spirometry as measure of pulmonary function. The 6-minute walk distance (6MWD) was compared between the four study groups. The association of 6MWD with measures of lower airway obstruction, and measures of adiposity was assessed. RESULTS: The 6MWD was lower among the obese groups with the least distance covered by the obese asthmatic group (P = 0.02). In the obese asthmatic group, there was a negative correlation between 6MWD and body mass index (BMI) (r = -0.35, P = 0.03), but no association was noted with percent-predicted forced expiratory volume in the 1st second (FEV(1) ; r = 0.07, P = 0.70). Conversely, the 6MWD correlated with FEV(1) among normal-weight asthmatics (r = 0.45, P = 0.04) and normal-weight non-asthmatics (r = 0.4, P = 0.03), but was not associated with BMI in either of the two groups. After adjusting for age, height, gender, and ethnicity, BMI was noted to be a significant predictor (beta -2.76, 95% CI -4.77 to -0.76, P < 0.01) of the 6MWD among the obese while percent predicted FEV(1) (beta 1.87, 95% CI 0.28-3.45, P = 0.02) was a significant predictor among the normal-weight participants. CONCLUSIONS: Our findings suggest that among urban minority obese asthmatic adolescents, functional exercise capacity was associated with obesity, rather than pulmonary function. CI - Copyright (c) 2012 Wiley Periodicals, Inc. FAU - Rastogi, Deepa AU - Rastogi D AD - Division of Respiratory and Sleep Medicine, Department of Pediatrics, Children's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx, New York 10467, USA. drastogi@montefiore.org FAU - Khan, Unab I AU - Khan UI FAU - Isasi, Carmen R AU - Isasi CR FAU - Coupey, Susan M AU - Coupey SM LA - eng GR - KL2 RR025749/RR/NCRR NIH HHS/United States GR - UL1 RR025750/RR/NCRR NIH HHS/United States GR - TL1 RR025748/RR/NCRR NIH HHS/United States GR - R01 HL102130/HL/NHLBI NIH HHS/United States GR - K23 HL105790/HL/NHLBI NIH HHS/United States GR - UL1 RR025750-01/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20120329 PL - United States TA - Pediatr Pulmonol JT - Pediatric pulmonology JID - 8510590 SB - IM MH - Adiposity/physiology MH - Adolescent MH - Anthropometry MH - Asthma/ethnology/*physiopathology MH - Black People MH - Exercise Test/methods MH - Female MH - Hispanic or Latino MH - Humans MH - Male MH - *Minority Groups MH - Obesity/ethnology/*physiopathology MH - Physical Endurance/*physiology MH - Prevalence MH - Respiratory Function Tests MH - Urban Population MH - Walking/physiology PMC - PMC3389560 MID - NIHMS361118 COIS- The authors do not have any conflict of interest with the materials included in this manuscript EDAT- 2012/04/03 06:00 MHDA- 2013/04/16 06:00 PMCR- 2013/11/01 CRDT- 2012/04/03 06:00 PHST- 2011/10/04 00:00 [received] PHST- 2012/02/23 00:00 [accepted] PHST- 2012/04/03 06:00 [entrez] PHST- 2012/04/03 06:00 [pubmed] PHST- 2013/04/16 06:00 [medline] PHST- 2013/11/01 00:00 [pmc-release] AID - 10.1002/ppul.22547 [doi] PST - ppublish SO - Pediatr Pulmonol. 2012 Nov;47(11):1061-9. doi: 10.1002/ppul.22547. Epub 2012 Mar 29.