Inhomogeneity of lung ventilation in children with obesity and its potential role in worsening asthma

<p dir="ltr">Asthma is more frequent and severe in individuals with obesity compared to those with normal weight. While inhomogeneity of lung ventilation due to distal airway obstruction is a key feature in asthma, the effect of obesity on ventilation homogeneity is unclear. We condu...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Ahmed Abushahin (17337703) (author)
مؤلفون آخرون: Mutasim Abu‐Hasan (22466755) (author), Harshita Shailesh (14779408) (author), Belavendra Antonisamy (216616) (author), Yahya Hani (3095103) (author), Abidan Muhayimana (22466758) (author), Majed Al Theyab (22466761) (author), Ibrahim Janahi (3744933) (author)
منشور في: 2025
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_version_ 1864513534556110848
author Ahmed Abushahin (17337703)
author2 Mutasim Abu‐Hasan (22466755)
Harshita Shailesh (14779408)
Belavendra Antonisamy (216616)
Yahya Hani (3095103)
Abidan Muhayimana (22466758)
Majed Al Theyab (22466761)
Ibrahim Janahi (3744933)
author2_role author
author
author
author
author
author
author
author_facet Ahmed Abushahin (17337703)
Mutasim Abu‐Hasan (22466755)
Harshita Shailesh (14779408)
Belavendra Antonisamy (216616)
Yahya Hani (3095103)
Abidan Muhayimana (22466758)
Majed Al Theyab (22466761)
Ibrahim Janahi (3744933)
author_role author
dc.creator.none.fl_str_mv Ahmed Abushahin (17337703)
Mutasim Abu‐Hasan (22466755)
Harshita Shailesh (14779408)
Belavendra Antonisamy (216616)
Yahya Hani (3095103)
Abidan Muhayimana (22466758)
Majed Al Theyab (22466761)
Ibrahim Janahi (3744933)
dc.date.none.fl_str_mv 2025-04-17T09:00:00Z
dc.identifier.none.fl_str_mv 10.14814/phy2.70257
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Inhomogeneity_of_lung_ventilation_in_children_with_obesity_and_its_potential_role_in_worsening_asthma/30405622
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Paediatrics
asthma
children
lung clearance index
lung function
obesity
ventilation inhomogeneity
dc.title.none.fl_str_mv Inhomogeneity of lung ventilation in children with obesity and its potential role in worsening asthma
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Asthma is more frequent and severe in individuals with obesity compared to those with normal weight. While inhomogeneity of lung ventilation due to distal airway obstruction is a key feature in asthma, the effect of obesity on ventilation homogeneity is unclear. We conducted a cross‐sectional study comparing lung clearance index (LCI) using multiple breath nitrogen washout technique between children with normal weight and asthma (<i>n</i> = 97), overweight/obesity and asthma (<i>n</i> = 100), overweight/obesity and no asthma (<i>n</i> = 100), and children with normal weight and no asthma (<i>n</i> = 67). Spirometry, lung volumes, and fractional exhaled nitric oxide (FeNO) were obtained for comparison. Results showed no significant difference in LCI between overweight/obesity groups and normal weight groups and no significant correlation between LCI and body mass index (BMI). However, LCI was higher in the asthma groups compared to non‐asthma groups (<i>p</i> = 0.017, <i>p</i> = 0.003). There was a significant negative correlation between LCI and FEV1% predicted, FEV1/FVC, and FEF25–75% predicted (<i>r </i>= −0.24, <i>p</i> < 0.001; <i>r </i>= −0.26, p< 0.001; r = −0.23, <i>p</i> < 0.001), and a positive correlation with RV/TLC (<i>r</i> = 0.17, p = 0.003) and FeNO (<i>r</i> = 0.29, <i>p</i>< 0.001). These findings indicate that obesity does not affect the homogeneity of lung ventilation. Therefore, alternative mechanisms should be considered to explain the association between asthma and obesity.</p><h2>Other Information</h2><p dir="ltr">Published in: Physiological Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.14814/phy2.70257" target="_blank">https://dx.doi.org/10.14814/phy2.70257</a></p>
eu_rights_str_mv openAccess
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identifier_str_mv 10.14814/phy2.70257
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/30405622
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spelling Inhomogeneity of lung ventilation in children with obesity and its potential role in worsening asthmaAhmed Abushahin (17337703)Mutasim Abu‐Hasan (22466755)Harshita Shailesh (14779408)Belavendra Antonisamy (216616)Yahya Hani (3095103)Abidan Muhayimana (22466758)Majed Al Theyab (22466761)Ibrahim Janahi (3744933)Biomedical and clinical sciencesClinical sciencesMedical biochemistry and metabolomicsPaediatricsasthmachildrenlung clearance indexlung functionobesityventilation inhomogeneity<p dir="ltr">Asthma is more frequent and severe in individuals with obesity compared to those with normal weight. While inhomogeneity of lung ventilation due to distal airway obstruction is a key feature in asthma, the effect of obesity on ventilation homogeneity is unclear. We conducted a cross‐sectional study comparing lung clearance index (LCI) using multiple breath nitrogen washout technique between children with normal weight and asthma (<i>n</i> = 97), overweight/obesity and asthma (<i>n</i> = 100), overweight/obesity and no asthma (<i>n</i> = 100), and children with normal weight and no asthma (<i>n</i> = 67). Spirometry, lung volumes, and fractional exhaled nitric oxide (FeNO) were obtained for comparison. Results showed no significant difference in LCI between overweight/obesity groups and normal weight groups and no significant correlation between LCI and body mass index (BMI). However, LCI was higher in the asthma groups compared to non‐asthma groups (<i>p</i> = 0.017, <i>p</i> = 0.003). There was a significant negative correlation between LCI and FEV1% predicted, FEV1/FVC, and FEF25–75% predicted (<i>r </i>= −0.24, <i>p</i> < 0.001; <i>r </i>= −0.26, p< 0.001; r = −0.23, <i>p</i> < 0.001), and a positive correlation with RV/TLC (<i>r</i> = 0.17, p = 0.003) and FeNO (<i>r</i> = 0.29, <i>p</i>< 0.001). These findings indicate that obesity does not affect the homogeneity of lung ventilation. Therefore, alternative mechanisms should be considered to explain the association between asthma and obesity.</p><h2>Other Information</h2><p dir="ltr">Published in: Physiological Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.14814/phy2.70257" target="_blank">https://dx.doi.org/10.14814/phy2.70257</a></p>2025-04-17T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.14814/phy2.70257https://figshare.com/articles/journal_contribution/Inhomogeneity_of_lung_ventilation_in_children_with_obesity_and_its_potential_role_in_worsening_asthma/30405622CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/304056222025-04-17T09:00:00Z
spellingShingle Inhomogeneity of lung ventilation in children with obesity and its potential role in worsening asthma
Ahmed Abushahin (17337703)
Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Paediatrics
asthma
children
lung clearance index
lung function
obesity
ventilation inhomogeneity
status_str publishedVersion
title Inhomogeneity of lung ventilation in children with obesity and its potential role in worsening asthma
title_full Inhomogeneity of lung ventilation in children with obesity and its potential role in worsening asthma
title_fullStr Inhomogeneity of lung ventilation in children with obesity and its potential role in worsening asthma
title_full_unstemmed Inhomogeneity of lung ventilation in children with obesity and its potential role in worsening asthma
title_short Inhomogeneity of lung ventilation in children with obesity and its potential role in worsening asthma
title_sort Inhomogeneity of lung ventilation in children with obesity and its potential role in worsening asthma
topic Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Paediatrics
asthma
children
lung clearance index
lung function
obesity
ventilation inhomogeneity