Spirometry profiles of overweight and obese individuals with unexplained dyspnea in Saudi Arabia

Background: Obesity is a common cause of dyspnea. However, the impacts of obesity on spirometry parameters, particularly among individuals with unexplained dyspnea, have not been well investigated. Objectives: This study aimed to explore the prevalence of overweight and different classes of obesity...

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Main Authors: Abdullah A. Alqarni, Abdulelah M. Aldhahir, Jaber S. Alqahtani, Rayan A. Siraj, Joud H. Aldhahri, Shahad A. Madkhli, Wanas M. Fares, Abeer A. Alqurayqiri, Mohammed M. Alyami, Abdallah Y. Naser, Hassan Alwafi
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024009666
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author Abdullah A. Alqarni
Abdulelah M. Aldhahir
Jaber S. Alqahtani
Rayan A. Siraj
Joud H. Aldhahri
Shahad A. Madkhli
Wanas M. Fares
Abeer A. Alqurayqiri
Mohammed M. Alyami
Abdallah Y. Naser
Hassan Alwafi
author_facet Abdullah A. Alqarni
Abdulelah M. Aldhahir
Jaber S. Alqahtani
Rayan A. Siraj
Joud H. Aldhahri
Shahad A. Madkhli
Wanas M. Fares
Abeer A. Alqurayqiri
Mohammed M. Alyami
Abdallah Y. Naser
Hassan Alwafi
author_sort Abdullah A. Alqarni
collection DOAJ
description Background: Obesity is a common cause of dyspnea. However, the impacts of obesity on spirometry parameters, particularly among individuals with unexplained dyspnea, have not been well investigated. Objectives: This study aimed to explore the prevalence of overweight and different classes of obesity and their effect on spirometry parameters among subjects with unexplained dyspnea in Saudi Arabia. Methods: We conducted a retrospective electronic medical record review of individuals with unexplained dyspnea who visited our pulmonary clinic between January 2016 and December 2022 and assessed the association of body mass index (BMI) with spirometry parameters. After we classified the subjects based on their BMI values, we determined the impacts of increased BMI on spirometry parameters. Results: The sample included a total of 978 subjects with unexplained dyspnea. The prevalence of overweight and obesity among our study sample was high (33 % and 47 %, respectively). All spirometry parameters: forced vital capacity (FVC) L, forced expiratory volume in 1 s (FEV1) L, forced expiratory flow at 25–75 % (FEF 25–75 %) L/sec and peak expiratory flow (PEF) L/sec were significantly lower in obese individuals with dyspnea compared to normal weight subjects. In addition, our findings showed a negative correlation between BMI and FVC, FEV1, FEF 25–75 %, and PEF. Conclusion: The high prevalence of obesity and overweight and the impairment of lung function because of high body weight among subjects with dyspnea point to the need for routine assessment and the evaluation of nutritional status in primary health care facilities for early intervention.
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spelling doaj.art-5f877a6817034b949206028333889ba42024-02-17T06:39:04ZengElsevierHeliyon2405-84402024-02-01103e24935Spirometry profiles of overweight and obese individuals with unexplained dyspnea in Saudi ArabiaAbdullah A. Alqarni0Abdulelah M. Aldhahir1Jaber S. Alqahtani2Rayan A. Siraj3Joud H. Aldhahri4Shahad A. Madkhli5Wanas M. Fares6Abeer A. Alqurayqiri7Mohammed M. Alyami8Abdallah Y. Naser9Hassan Alwafi10Department of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia; Respiratory Therapy Unit, King Abdulaziz University Hospital, Jeddah, Saudi Arabia; Corresponding author. Department of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.Respiratory Therapy Department, Faculty of Applied Medical Sciences, Jazan University, Jazan, Saudi ArabiaDepartment of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, Saudi ArabiaDepartment of Respiratory Care, College of Applied Medical Sciences, King Faisal University, Al-Ahsa, Saudi ArabiaDepartment of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi ArabiaDepartment of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi ArabiaDepartment of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi ArabiaDepartment of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi ArabiaRespiratory Therapy Department, Batterjee Medical College, Khamis Mushait, Saudi ArabiaDepartment of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, JordanDepartment of Clinical Pharmacology and Toxicology, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi ArabiaBackground: Obesity is a common cause of dyspnea. However, the impacts of obesity on spirometry parameters, particularly among individuals with unexplained dyspnea, have not been well investigated. Objectives: This study aimed to explore the prevalence of overweight and different classes of obesity and their effect on spirometry parameters among subjects with unexplained dyspnea in Saudi Arabia. Methods: We conducted a retrospective electronic medical record review of individuals with unexplained dyspnea who visited our pulmonary clinic between January 2016 and December 2022 and assessed the association of body mass index (BMI) with spirometry parameters. After we classified the subjects based on their BMI values, we determined the impacts of increased BMI on spirometry parameters. Results: The sample included a total of 978 subjects with unexplained dyspnea. The prevalence of overweight and obesity among our study sample was high (33 % and 47 %, respectively). All spirometry parameters: forced vital capacity (FVC) L, forced expiratory volume in 1 s (FEV1) L, forced expiratory flow at 25–75 % (FEF 25–75 %) L/sec and peak expiratory flow (PEF) L/sec were significantly lower in obese individuals with dyspnea compared to normal weight subjects. In addition, our findings showed a negative correlation between BMI and FVC, FEV1, FEF 25–75 %, and PEF. Conclusion: The high prevalence of obesity and overweight and the impairment of lung function because of high body weight among subjects with dyspnea point to the need for routine assessment and the evaluation of nutritional status in primary health care facilities for early intervention.http://www.sciencedirect.com/science/article/pii/S2405844024009666ObesityRespiratory symptomsLung functionOverweightSpirometryDyspnea
spellingShingle Abdullah A. Alqarni
Abdulelah M. Aldhahir
Jaber S. Alqahtani
Rayan A. Siraj
Joud H. Aldhahri
Shahad A. Madkhli
Wanas M. Fares
Abeer A. Alqurayqiri
Mohammed M. Alyami
Abdallah Y. Naser
Hassan Alwafi
Spirometry profiles of overweight and obese individuals with unexplained dyspnea in Saudi Arabia
Heliyon
Obesity
Respiratory symptoms
Lung function
Overweight
Spirometry
Dyspnea
title Spirometry profiles of overweight and obese individuals with unexplained dyspnea in Saudi Arabia
title_full Spirometry profiles of overweight and obese individuals with unexplained dyspnea in Saudi Arabia
title_fullStr Spirometry profiles of overweight and obese individuals with unexplained dyspnea in Saudi Arabia
title_full_unstemmed Spirometry profiles of overweight and obese individuals with unexplained dyspnea in Saudi Arabia
title_short Spirometry profiles of overweight and obese individuals with unexplained dyspnea in Saudi Arabia
title_sort spirometry profiles of overweight and obese individuals with unexplained dyspnea in saudi arabia
topic Obesity
Respiratory symptoms
Lung function
Overweight
Spirometry
Dyspnea
url http://www.sciencedirect.com/science/article/pii/S2405844024009666
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