PMID- 23076338 OWN - NLM STAT- MEDLINE DCOM- 20130419 LR - 20121120 IS - 1468-2044 (Electronic) IS - 0003-9888 (Linking) VI - 97 IP - 12 DP - 2012 Dec TI - Gain in lung function after weight reduction in severely obese children. PG - 1039-42 LID - 10.1136/archdischild-2011-301304 [doi] AB - AIM: The primary objective of this prospective cohort study was to determine the effect of weight loss on pulmonary function values in extremely obese children. METHODS: Obese children participated in a 26-week in-hospital or outpatient multidisciplinary treatment programme. Waist circumference was measured and pulmonary function tests were performed at enrolment and after 6 months. RESULTS: The data of 112 children were analysed. The children had a mean age of 14.4 (range 8.5-18.9) years and 62.5% were girls. The mean SD score-body mass index (SDS-BMI) was +3.38 at baseline and +2.91 after the intervention. Lung function improved significantly: functional vital capacity increased by 3.08% (95% CI 1.16% to 5.00%) of the predicted value, forced expiratory volume in 1 s (FEV(1)) by 2.91% (95% CI 1.11% to 4.71%) of the predicted value, total lung capacity by 2.27% (95% CI 1.16% to 5.00%) of the predicted value, and expiratory reserve volume (ERV) by 14.8% (95% CI 8.66% to 20.88%) of the predicted value. The increase in ERV correlated with the reduction in SDS-BMI and with the reduction in waist circumference. FEV(1) did not correlate with the reduction in either SDS-BMI or waist circumference. CONCLUSIONS: Weight loss in severely obese children correlated with an improvement in lung function, especially ERV. The improvement in ERV correlated with the decrease in SDS-BMI and waist circumference. FAU - van de Griendt, E J AU - van de Griendt EJ AD - Department of Pediatric Respiratory Medicine and Allergy, Emma Children's Hospital, Academic Medical Centre, Amsterdam, The Netherlands. e.j.vandegriendt@amc.nl FAU - van der Baan-Slootweg, O H AU - van der Baan-Slootweg OH FAU - van Essen-Zandvliet, E E M AU - van Essen-Zandvliet EE FAU - van der Palen, J AU - van der Palen J FAU - Tamminga-Smeulders, C L J AU - Tamminga-Smeulders CL FAU - Benninga, M A AU - Benninga MA FAU - van Aalderen, W M C AU - van Aalderen WM LA - eng PT - Journal Article DEP - 20121016 PL - England TA - Arch Dis Child JT - Archives of disease in childhood JID - 0372434 SB - IM MH - Adolescent MH - Body Mass Index MH - Child MH - Cohort Studies MH - Female MH - Humans MH - Lung/*physiopathology MH - Male MH - Obesity, Morbid/*physiopathology/therapy MH - Prospective Studies MH - Pulmonary Ventilation MH - Respiratory Function Tests MH - Weight Loss/*physiology EDAT- 2012/10/19 06:00 MHDA- 2013/04/23 06:00 CRDT- 2012/10/19 06:00 PHST- 2012/10/19 06:00 [entrez] PHST- 2012/10/19 06:00 [pubmed] PHST- 2013/04/23 06:00 [medline] AID - archdischild-2011-301304 [pii] AID - 10.1136/archdischild-2011-301304 [doi] PST - ppublish SO - Arch Dis Child. 2012 Dec;97(12):1039-42. doi: 10.1136/archdischild-2011-301304. Epub 2012 Oct 16.