The challenge of addressing obesity in people with poorly controlled asthma

Abstract Objective There is a high prevalence of obesity in people with asthma, and obesity is associated with poorly controlled asthma. Significant weight loss might improve asthma control: the purpose of this study was to investigate patient characteristics and factors that might affect implementa...

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Autores principales:	Anne E. Dixon, Kathryn V. Blake, Emily A. DiMango, Mark T. Dransfield, Laura C. Feemster, Olivia Johnson, Gem Roy, Heather Hazucha, Jean Harvey, Meredith C. McCormack, Robert A. Wise, Janet T. Holbrook
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	exercise lung function nutrition obesity weight loss Internal medicine RC31-1245
Acceso en línea:	https://doaj.org/article/f632f0d7b593481389baed1a3f03369d
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spelling	oai:doaj.org-article:f632f0d7b593481389baed1a3f03369d2021-12-01T08:57:17ZThe challenge of addressing obesity in people with poorly controlled asthma2055-223810.1002/osp4.533https://doaj.org/article/f632f0d7b593481389baed1a3f03369d2021-12-01T00:00:00Zhttps://doi.org/10.1002/osp4.533https://doaj.org/toc/2055-2238Abstract Objective There is a high prevalence of obesity in people with asthma, and obesity is associated with poorly controlled asthma. Significant weight loss might improve asthma control: the purpose of this study was to investigate patient characteristics and factors that might affect implementation of a weight loss and/or roflumilast intervention, to target both obesity and asthma. Methods A cross‐sectional study of people with obesity and poorly controlled asthma performed at 13 sites across the United States. Results One hundred and two people participated in this study. Median BMI was 37 (IQR 35–42). The majority, 55%, were African American and 76% were female. Fifty two percent had very poorly controlled asthma. Most participants were quite sedentary (70% reported being inactive or participating only in light‐intensity activities according to the Stanford Brief Activity Survey). Participants reported significant impairments related to physical function on the Impact of Weight on Quality of Life‐Lite questionnaire (median score 67 [IQR 41–84]). Thirty‐five percent of participants reported mild, and 2 % moderate, depressive symptoms as assessed by the Patient Health Questionnaire‐9. Conclusions Poorly controlled asthma and obesity often affect minority populations and are associated with significant impairments in health related to physical function and low levels of physical activity that might complicate efforts to lose weight. Interventions targeted at poorly controlled asthma associated with obesity in the United States need to address factors complicating health in underserved communities, such as increasing opportunities for physical activity, while also managing activity limitations related to the combination of asthma and obesity.Anne E. DixonKathryn V. BlakeEmily A. DiMangoMark T. DransfieldLaura C. FeemsterOlivia JohnsonGem RoyHeather HazuchaJean HarveyMeredith C. McCormackRobert A. WiseJanet T. HolbrookWileyarticleexerciselung functionnutritionobesityweight lossInternal medicineRC31-1245ENObesity Science & Practice, Vol 7, Iss 6, Pp 682-689 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	exercise lung function nutrition obesity weight loss Internal medicine RC31-1245
spellingShingle	exercise lung function nutrition obesity weight loss Internal medicine RC31-1245 Anne E. Dixon Kathryn V. Blake Emily A. DiMango Mark T. Dransfield Laura C. Feemster Olivia Johnson Gem Roy Heather Hazucha Jean Harvey Meredith C. McCormack Robert A. Wise Janet T. Holbrook The challenge of addressing obesity in people with poorly controlled asthma
description	Abstract Objective There is a high prevalence of obesity in people with asthma, and obesity is associated with poorly controlled asthma. Significant weight loss might improve asthma control: the purpose of this study was to investigate patient characteristics and factors that might affect implementation of a weight loss and/or roflumilast intervention, to target both obesity and asthma. Methods A cross‐sectional study of people with obesity and poorly controlled asthma performed at 13 sites across the United States. Results One hundred and two people participated in this study. Median BMI was 37 (IQR 35–42). The majority, 55%, were African American and 76% were female. Fifty two percent had very poorly controlled asthma. Most participants were quite sedentary (70% reported being inactive or participating only in light‐intensity activities according to the Stanford Brief Activity Survey). Participants reported significant impairments related to physical function on the Impact of Weight on Quality of Life‐Lite questionnaire (median score 67 [IQR 41–84]). Thirty‐five percent of participants reported mild, and 2 % moderate, depressive symptoms as assessed by the Patient Health Questionnaire‐9. Conclusions Poorly controlled asthma and obesity often affect minority populations and are associated with significant impairments in health related to physical function and low levels of physical activity that might complicate efforts to lose weight. Interventions targeted at poorly controlled asthma associated with obesity in the United States need to address factors complicating health in underserved communities, such as increasing opportunities for physical activity, while also managing activity limitations related to the combination of asthma and obesity.
format	article
author	Anne E. Dixon Kathryn V. Blake Emily A. DiMango Mark T. Dransfield Laura C. Feemster Olivia Johnson Gem Roy Heather Hazucha Jean Harvey Meredith C. McCormack Robert A. Wise Janet T. Holbrook
author_facet	Anne E. Dixon Kathryn V. Blake Emily A. DiMango Mark T. Dransfield Laura C. Feemster Olivia Johnson Gem Roy Heather Hazucha Jean Harvey Meredith C. McCormack Robert A. Wise Janet T. Holbrook
author_sort	Anne E. Dixon
title	The challenge of addressing obesity in people with poorly controlled asthma
title_short	The challenge of addressing obesity in people with poorly controlled asthma
title_full	The challenge of addressing obesity in people with poorly controlled asthma
title_fullStr	The challenge of addressing obesity in people with poorly controlled asthma
title_full_unstemmed	The challenge of addressing obesity in people with poorly controlled asthma
title_sort	challenge of addressing obesity in people with poorly controlled asthma
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/f632f0d7b593481389baed1a3f03369d
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The challenge of addressing obesity in people with poorly controlled asthma

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