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Asthma Incidence Shows a 50 Percent Increase in Fat People

ers noted that obesity in the absence of asthma causes physiologic impairments in lung function, including reduction in lung volume, chest wall restriction and an increase in the oxygen cost of breathing. It also contributes to various other conditions including gastroesophageal reflux and sleep apnea. These difficulties can result in breathlessness (dyspnea) and wheezing, which might be mistaken for asthma by patients and clinicians.

"Weight loss studies have shown improvements in lung function and asthma symptoms, but not necessarily in airflow obstruction or airway hyperresponsiveness," said Dr. Sutherland. "It is also reasonable to believe that some of the patients with ‘asthma’ may have respiratory symptoms due to obesity but may not meet rigorous objective physiologic criteria for asthma."

The authors concluded that obesity is a well-established risk factor for diabetes, sleep apnea, stroke, cardiovascular disease, arthritis and other illnesses. They said their findings support the addition of asthma to that list.

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