The Influence Of Body Mass Index (BMI) On The Lung Volume Change From Lateral To Supine Position

Author(s):  
Amy S. Jordan ◽  
Emma M. Rainbird ◽  
John Trinder ◽  
Warren R. Ruehland ◽  
Danny J. Brazzale ◽  
...  
Thorax ◽  
2019 ◽  
Vol 74 (10) ◽  
pp. 958-964 ◽  
Author(s):  
Magnus Pär Ekström ◽  
Anders Blomberg ◽  
Göran Bergström ◽  
John Brandberg ◽  
Kenneth Caidahl ◽  
...  

IntroductionBreathlessness is common in the population, especially in women and associated with adverse health outcomes. Obesity (body mass index (BMI) >30 kg/m2) is rapidly increasing globally and its impact on breathlessness is unclear.MethodsThis population-based study aimed primarily to evaluate the association of current BMI and self-reported change in BMI since age 20 with breathlessness (modified Research Council score ≥1) in the middle-aged population. Secondary aims were to evaluate factors that contribute to breathlessness in obesity, including the interaction with spirometric lung volume and sex.ResultsWe included 13 437 individuals; mean age 57.5 years; 52.5% women; mean BMI 26.8 (SD 4.3); mean BMI increase since age 20 was 5.0 kg/m2; and 1283 (9.6%) reported breathlessness. Obesity was strongly associated with increased breathlessness, OR 3.54 (95% CI, 3.03 to 4.13) independent of age, sex, smoking, airflow obstruction, exercise level and the presence of comorbidities. The association between BMI and breathlessness was modified by lung volume; the increase in breathlessness prevalence with higher BMI was steeper for individuals with lower forced vital capacity (FVC). The higher breathlessness prevalence in obese women than men (27.4% vs 12.5%; p<0.001) was related to their lower FVC. Irrespective of current BMI and confounders, individuals who had increased in BMI since age 20 had more breathlessness.ConclusionBreathlessness is independently associated with obesity and with weight gain in adult life, and the association is stronger for individuals with lower lung volumes.


CHEST Journal ◽  
2019 ◽  
Vol 156 (4) ◽  
pp. A455-A456
Author(s):  
Anna Kornafeld ◽  
Sebastian Fernandez-Bussy ◽  
Daniela Gompelmann ◽  
Gonzalo Labarca ◽  
Felix Herth

Respiration ◽  
2020 ◽  
Vol 99 (6) ◽  
pp. 477-483
Author(s):  
Sebastian Fernandez-Bussy ◽  
Anna Kornafeld ◽  
Gonzalo Labarca ◽  
David Abia-Trujillo ◽  
Neal M. Patel ◽  
...  

Author(s):  
Jyothy Anthraper ◽  
Dr. Reeny Roy

Objectives: To determine the effect of Age, Gender and its correlation on pulmonary functions of Forced Vital Capacity and Slow Vital Capacity in Group I (18-24 years) and Group II (25-30 years) with respect to Body Mass Index.  Methodology: Sixty healthy adults between 18-30 years were included in the study. Participants were subdivided into Group I (18 to 24 years) and Group II (25 to 30 years) each group having 15 males and 15 females. The parameters considered were expiratory reserve volume, tidal volume, inspiratory capacity, forced vital capacity and slow vital capacity. Spirometer RMS HELIOS 401 was used. Procedures were explained to each participant; best values from 3 maneuvers were documented and were subjected to analysis.  Results: It is noticed a significant difference in various parameters of pulmonary function. As age increases there was an increase in body mass index and the lung volume also increased. Overall males had higher pulmonary function compared to females, males in Group II (25-30 years) was better compared to males in Group I (18-24 years). With an increase in body mass index, pulmonary function was increased in males compared to females. Age, gender, age, and gender interaction effect with respect to Body Mass Index was seen.  Conclusion: Values obtained can be used as reference standard for estimation of lung volume for age group 18-30 years. In future, Spirometry can be used as a clinical assessment and management tool in the field of speech language pathology, by modifying respiratory patterns to control lung volumes, phonations and the flow of speech.


PLoS ONE ◽  
2015 ◽  
Vol 10 (5) ◽  
pp. e0127154 ◽  
Author(s):  
Fabio Cibella ◽  
Andreina Bruno ◽  
Giuseppina Cuttitta ◽  
Salvatore Bucchieri ◽  
Mario Raphael Melis ◽  
...  

2018 ◽  
Vol 34 (1) ◽  
pp. 58-69 ◽  
Author(s):  
Jonas Keiler ◽  
Ronald Seidel ◽  
Andreas Wree

Background The femoral vein diameter is a critical factor when assessing endoprosthetic valve size for the treatment of chronic venous insufficiency. To examine the previously stated correlation between body mass index and femoral vein diameter and to re-assess the anatomical and physiological demands for a valve implant for chronic venous insufficiency treatment, we measured the femoral vein diameter in 82 subjects. Method Femoral vein diameters (164 legs) were measured with B-mode sonography both in supine position at rest and in upright position during Valsalva maneuver. Result The mean femoral vein diameter differed significantly between supine position (13.6 ± 3.0 mm) and upright position (16.4 ± 2.6 mm). Males possessed a significant bigger diameter than females. A significant positive correlation between femoral vein diameter and body mass index was observed. Conclusion Assuming an increased femoral vein diameter due to obesity would further impair valve functionality by increasing distance between both valve cusps. For the development of artificial venous valves, it is crucial to consider patient- and condition-dependent vein dilation.


1965 ◽  
Vol 20 (6) ◽  
pp. 1179-1186 ◽  
Author(s):  
Emilio Agostoni ◽  
Piero Mognoni ◽  
Giorgio Torri ◽  
Franco Saracino

The static relation between lung volume and rib cage circumference has been determined over the vital capacity range in standing, sitting, and supine position. The average change of circumference over the expiratory reserve volume in the three positions was, respectively, 20.7, 30.5, and 26.5% of the total change. The patterns of the volume-circumference curves have been discussed in terms of the different mechanical features of the rib cage and of the abdomen-diaphragm according to the lung volume and the position. The volume displacement of the rib cage, DeltaVrc, and of the abdomen-diaphragm, DeltaV(ab + di), at different lung volumes, have been calculated by a geometrical approach. These results agreed with determinations of DeltaV(ab + di) over the tidal volume range obtained by immobilizing the rib cage at resting volume. Over the expiratory reserve volume, DeltaVrc, in the three positions, was, respectively, 18.9, 27.8, and 40.7% of the lung volume change; over the vital capacity, DeltaVrc was, respectively, 39.6, 37.1, and 41.1. effect of position and lung volume on the rib cage circumference; volume displacement of the rib cage and of the abdomen-diaphragm Submitted on September 14, 1964


2020 ◽  
Vol 25 (3) ◽  
pp. 446-451
Author(s):  
Tomoyuki Kamenaga ◽  
Shinya Hayashi ◽  
Shingo Hashimoto ◽  
Koji Takayama ◽  
Takaaki Fujishiro ◽  
...  

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