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Increased Abdominal Perimeter Differently Affects Respiratory Function in Men and Women

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Arterial Chemoreceptors (ISAC XXI 2022)

Abstract

Obesity is a worldwide epidemic being the main cause of cardiovascular, metabolic disturbances and chronic pulmonary diseases. The increase in body weight may affect the respiratory system due to fat deposition and systemic inflammation. Herein, we evaluated the sex differences in the impact of obesity and high abdominal circumference on basal ventilation. Thirty-five subjects, 23 women and 12 men with a median age of 61 and 67, respectively, were studied and classified as overweight and obese according to body mass index (BMI) and were also divided by the abdominal circumference. Basal ventilation, namely, respiratory frequency, tidal volume, and minute ventilation, was evaluated. In normal and overweight women, basal ventilation did not change, but obese women exhibited a decrease in tidal volume. In men, overweight and obese subjects did not exhibit altered basal ventilation. In contrast, when subjects were subdivided based on the abdominal perimeter, a higher circumference did not change the respiratory frequency but induced a decrease in tidal volume and minute ventilation in women, while in men these two parameters increased. In conclusion, higher abdominal circumference rather than BMI is associated with alterations in basal ventilation in women and men.

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References

  • Alsumali A, Al-Hawag A, Bairdain S, Eguale T (2018) The impact of bariatric surgery on pulmonary function: a meta-analysis. Surg Obes Relat Dis 14:225–236

    Article  PubMed  Google Scholar 

  • Boulet L-P, Turcotte H, Boulet Dec G et al (2005) Deep inspiration avoidance and airway response to methacholine: influence of body mass index. Can Respir J 12:371–376

    Article  PubMed  Google Scholar 

  • Chait A, den Hartigh LJ (2020) Adipose tissue distribution, inflammation and its metabolic consequences, including diabetes and cardiovascular disease. Front Cardiovasc Med 7:22

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chlif M, Keochkerian D, Choquet D et al (2009) Effects of obesity on breathing pattern, ventilatory neural drive and mechanics. Respir Physiol Neurobiol 168:198–202

    Article  PubMed  Google Scholar 

  • Collins LC, Hoberty PD, Walker JF et al (1995) The effect of body fat distribution on pulmonary function tests. Chest 107:1298–1302

    Article  CAS  PubMed  Google Scholar 

  • Gómez-Ambrosi J, Silva C, Galofré JC et al (2011) Body mass index classification misses subjects with increased cardiometabolic risk factors related to elevated adiposity. Int J Obes 36:286–294

    Article  Google Scholar 

  • Jin F, Liu J, Zhang X et al (2017) Effect of continuous positive airway pressure therapy on inflammatory cytokines and atherosclerosis in patients with obstructive sleep apnea syndrome. Mol Med Rep 16:6334–6339

    Article  CAS  PubMed  Google Scholar 

  • Jones RL, Nzekwu MMU (2006) The effects of body mass index on lung volumes. Chest 130:827–833

    Article  PubMed  Google Scholar 

  • Karastergiou K, Smith SR, Greenberg AS, Fried SK (2012) Sex differences in human adipose tissues – the biology of pear shape. Biol Sex Differ 3:13

    Article  PubMed  PubMed Central  Google Scholar 

  • Leone N, Courbon D, Thomas F et al (2009) Lung function impairment and metabolic syndrome the critical role of abdominal obesity. Am J Respir Crit Care Med 179:509–516

    Article  PubMed  Google Scholar 

  • Lovejoy JC, Champagne CM, de Jonge L et al (2008) Increased visceral fat and decreased energy expenditure during the menopausal transition. Int J Obes 32(6):949–958

    Article  CAS  Google Scholar 

  • Malnick SDH, Knobler H (2006) The medical complications of obesity. QJM 99:565–579

    Article  CAS  PubMed  Google Scholar 

  • Nguyen NT, Hinojosa MW, Smith BR et al (2009) Improvement of restrictive and obstructive pulmonary mechanics following laparoscopic bariatric surgery. Surg Endosc 23:808–812

    Article  PubMed  Google Scholar 

  • Palma G, Sorice GP, Genchi VA et al (2022) Adipose tissue inflammation and pulmonary dysfunction in obesity. Int J Mol Sci 23:7349

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pankow W, Podszus T, Gutheil T et al (1998) Expiratory flow limitation and intrinsic positive end-expiratory pressure in obesity. J Appl Physiol (1985) 85:1236–1243

    Article  CAS  PubMed  Google Scholar 

  • Panotopoulos G, Ruiz JC, Raison J et al (1996) Menopause, fat and lean distribution in obese women. Maturitas 25:11–19

    Article  CAS  PubMed  Google Scholar 

  • Peralta GP, Marcon A, Carsin AE et al (2020) Body mass index and weight change are associated with adult lung function trajectories: the prospective ECRHS study. Thorax 75:313–320

    Article  PubMed  Google Scholar 

  • Preston ME, Jensen D, Janssen I, Fisher JT (2009) Effect of menopause on the chemical control of breathing and its relationship with acid-base status. Am J Physiol Regul Integr Comp Physiol 296:722–727

    Article  Google Scholar 

  • Roytblat L, Rachinsky M, Fisher A et al (2000) Raised interleukin-6 levels in obese patients. Obes Res 8:673–675

    Article  CAS  PubMed  Google Scholar 

  • Sampson MG, Grassino AE (1983) Load compensation in obese patients during quiet tidal breathing. J Appl Physiol Respir Environ Exerc Physiol 55:1269–1276

    CAS  PubMed  Google Scholar 

  • Sanchez FF, Silva CDA, Maciel MCP de S et al (2016) Overweight and obesity influence on respiratory muscle strength. Eur Respir J 48:PA1361

    Google Scholar 

  • Sari CI, Eikelis N, Head GA et al (2019) Android fat deposition and its association with cardiovascular risk factors in overweight young males. Front Physiol 10:1162

    Article  PubMed  PubMed Central  Google Scholar 

  • Svendsen OL, Hassager C, Christiansen C (1995) Age- and menopause-associated variations in body composition and fat distribution in healthy women as measured by dual-energy X-ray absorptiometry. Metabolism 44:369–373

    Article  CAS  PubMed  Google Scholar 

  • Torchio R, Gobbi A, Gulotta C et al (2009) Mechanical effects of obesity on airway responsiveness in otherwise healthy humans. J Appl Physiol (1985) 107:408–416

    Article  PubMed  Google Scholar 

  • Triebner K, Matulonga B, Johannessen A et al (2017) Menopause is associated with accelerated lung function decline. Am J Respir Crit Care Med 195:1058–1065

    Article  PubMed  Google Scholar 

  • WHO Consultation on Obesity (1998) Obesity: preventing and managing the global epidemic: report of a World Health Organization consultation on obesity, Geneva, 3–5 June 1997. https://appswhoint/iris/handle/10665/63854. Accessed 10 Nov 2022

  • Zammit C, Liddicoat H, Moonsie I, Makker H (2010) Obesity and respiratory diseases. Int J Gen Med 3:335–343

    PubMed  PubMed Central  Google Scholar 

  • Zerah F, Harf A, Perlemuter L et al (1993) Effects of obesity on respiratory resistance. Chest 103:1470–1476

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This work was funded with a grant from the Portuguese Foundation for Science and Technology (FCT) with the reference PTDC/SAU-ORG/111417/2009. JFS is supported by a contract from FCT with the reference CEEC IND/02428/2018.

We deeply thank Prof. Miguel Mota Carmo for his enormous support to the Neuronal Control of Metabolic Disturbances Research Group (NeuroMetab.Lab). He passed away during the development of this project which would never have happened without his dedication.

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Correspondence to Silvia V. Conde .

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Sacramento, J.F. et al. (2023). Increased Abdominal Perimeter Differently Affects Respiratory Function in Men and Women. In: Conde, S.V., Iturriaga, R., del Rio, R., Gauda, E., Monteiro, E.C. (eds) Arterial Chemoreceptors. ISAC XXI 2022. Advances in Experimental Medicine and Biology, vol 1427. Springer, Cham. https://doi.org/10.1007/978-3-031-32371-3_15

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