PMID- 22609068 OWN - NLM STAT- MEDLINE DCOM- 20140203 LR - 20130610 IS - 1522-9629 (Electronic) IS - 1094-5539 (Linking) VI - 26 IP - 4 DP - 2013 Aug TI - Obesity, expiratory flow limitation and asthma symptoms. PG - 438-43 LID - S1094-5539(12)00067-3 [pii] LID - 10.1016/j.pupt.2012.05.004 [doi] AB - Obesity is associated with poor asthma control, but the reason for this is unclear. Reduction in operating lung volume, as occurs in obesity, and bronchoconstriction, as occurs in asthma, can increase expiratory flow limitation during tidal breathing (EFLt), which may in turn increase respiratory symptoms. The aim of this study was to determine the effect of obesity on EFLt at baseline and after bronchoconstriction in non-asthmatic and asthmatic subjects, and to determine the association between EFLt, and respiratory symptoms. Data from previously published studies in non-asthmatic and asthmatic subjects were reanalyzed using an index of EFLt derived from respiratory system reactance measured by the forced oscillation technique. The analysis showed that during bronchoconstriction both non-asthmatic and asthmatic obese individuals were more likely to develop EFLt than non-obese subjects, despite similar changes in FEV1. Furthermore the index of EFLt was a significant determinant of the severity of breathlessness during challenge in non-asthmatic subjects, and of asthma symptom control in asthmatic subjects following anti-inflammatory treatment. These studies suggest that the combination of bronchoconstriction and low resting lung volume increase the risk of EFLt, and that this altered response to bronchoconstriction may increase the severity of symptoms and lead to worse asthma control. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Mahadev, Sriram AU - Mahadev S AD - Woolcock Institute of Medical Research, 431 Glebe Pt Rd., Glebe, NSW 2037, Australia. smahadev@med.usyd.edu.au FAU - Farah, Claude S AU - Farah CS FAU - King, Gregory G AU - King GG FAU - Salome, Cheryl M AU - Salome CM LA - eng PT - Journal Article DEP - 20120515 PL - England TA - Pulm Pharmacol Ther JT - Pulmonary pharmacology & therapeutics JID - 9715279 RN - 0 (Anti-Inflammatory Agents) SB - IM MH - Adult MH - Anti-Inflammatory Agents/*therapeutic use MH - Asthma/drug therapy/*physiopathology MH - Bronchoconstriction/drug effects MH - Case-Control Studies MH - Forced Expiratory Volume MH - Humans MH - Maximal Expiratory Flow Rate MH - Middle Aged MH - Obesity/*physiopathology MH - Retrospective Studies MH - Severity of Illness Index EDAT- 2012/05/23 06:00 MHDA- 2014/02/04 06:00 CRDT- 2012/05/22 06:00 PHST- 2012/01/13 00:00 [received] PHST- 2012/03/30 00:00 [revised] PHST- 2012/05/07 00:00 [accepted] PHST- 2012/05/22 06:00 [entrez] PHST- 2012/05/23 06:00 [pubmed] PHST- 2014/02/04 06:00 [medline] AID - S1094-5539(12)00067-3 [pii] AID - 10.1016/j.pupt.2012.05.004 [doi] PST - ppublish SO - Pulm Pharmacol Ther. 2013 Aug;26(4):438-43. doi: 10.1016/j.pupt.2012.05.004. Epub 2012 May 15.