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Effects of weight loss on dynamic hyperinflation in obese women asthmatics.
Grandi Silva, Aline; Duarte Freitas, Patricia; Ferreira, Palmira Gabriele; Stelmach, Rafael; Carvalho-Pinto, Regina Maria; Salge, Joao Marcos; Arruda Martins, Milton; Carvalho, Celso R F.
Afiliação
  • Grandi Silva A; Department of Physical Therapy, School of Medicine, University of Sao Paulo , Sao Paulo , Brazil.
  • Duarte Freitas P; Department of Physical Therapy, School of Medicine, University of Sao Paulo , Sao Paulo , Brazil.
  • Ferreira PG; Department of Physical Therapy, School of Medicine, University of Sao Paulo , Sao Paulo , Brazil.
  • Stelmach R; Pulmonary Division, Heart Institute (InCor), Clinics Hospital, School of Medicine, University of Sao Paulo , Sao Paulo , Brazil.
  • Carvalho-Pinto RM; Pulmonary Division, Heart Institute (InCor), Clinics Hospital, School of Medicine, University of Sao Paulo , Sao Paulo , Brazil.
  • Salge JM; Pulmonary Division, Heart Institute (InCor), Clinics Hospital, School of Medicine, University of Sao Paulo , Sao Paulo , Brazil.
  • Arruda Martins M; Department of Medicine, School of Medicine, University of Sao Paulo , Sao Paulo , Brazil.
  • Carvalho CRF; Department of Physical Therapy, School of Medicine, University of Sao Paulo , Sao Paulo , Brazil.
J Appl Physiol (1985) ; 126(2): 413-421, 2019 02 01.
Article em En | MEDLINE | ID: mdl-30521428
Obese adults with asthma are more likely to develop dynamic hyperinflation (DH) and expiratory flow limitation (EFL) than nonobese asthmatics, and weight-loss seems to improve the breathing mechanics during exercise. However, studies evaluating the effect of weight loss on DH in obese adults with asthma have not been performed. We sought to evaluate the effect of a weight loss program on DH in obese adults with asthma. Forty-two asthma patients were enrolled in a weight loss program (diet, psychological support, and exercise) and were subsequently divided into two groups according to the percentage of weight loss: a ≥5% group ( n = 19) and a <5% group ( n = 23). Before and after the intervention, DH and EFL (constant load exercise), health-related quality of life (HRQoL), asthma control, quadriceps muscle strength and endurance, body composition, and lung function were assessed. Both groups exhibited a decrease of ≥10% in inspiratory capacity (DH) before intervention, and only the ≥5% group showed clinical improvement in DH compared with the <5% group postintervention (-9.1 ± 14.5% vs. -12.5 ± 13.5%, respectively). In addition, the ≥5% group displayed a significant delay in the onset of both DH and EFL and a clinically significant improvement in HRQoL and asthma control. Furthermore, a correlation was observed between reduced waist circumference and increased inspiratory capacity ( r = -0.45, P = 0.05) in the ≥5% group. In conclusion, a weight-loss of ≥5% of the body weight improves DH, which is associated with waist circumference in obese adults with asthma. In addition, the group with greater weight-loss showed a delayed onset of DH and EFL during exercise and improved asthma clinical control and HRQoL. NEW & NOTEWORTHY This is the first study to evaluate dynamic hyperinflation (DH) after a weight loss program in obese patients with asthma. Our results demonstrate that moderate weight loss can improve DH in obese patients with asthma that is associated with a decrease in abdominal fat. Moreover, a minimum of 5% in weight loss delays the onset of DH and expiratory flow limitation besides inducing a clinical improvement in asthma quality of life and clinical control.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Asma / Redução de Peso / Mecânica Respiratória / Pulmão / Obesidade Tipo de estudo: Diagnostic_studies Aspecto: Patient_preference Limite: Adult / Female / Humans / Middle aged Idioma: En Revista: J Appl Physiol (1985) Assunto da revista: FISIOLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Asma / Redução de Peso / Mecânica Respiratória / Pulmão / Obesidade Tipo de estudo: Diagnostic_studies Aspecto: Patient_preference Limite: Adult / Female / Humans / Middle aged Idioma: En Revista: J Appl Physiol (1985) Assunto da revista: FISIOLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos