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...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-12-01
|
| Series: | Obesity Science & Practice |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/osp4.533 |
| _version_ | 1818734539382456320 |
|---|---|
| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-18T00:06:58Z |
| format | Article |
| id | doaj.art-f632f0d7b593481389baed1a3f03369d |
| institution | Directory Open Access Journal |
| issn | 2055-2238 |
| language | English |
| last_indexed | 2024-12-18T00:06:58Z |
| publishDate | 2021-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obesity Science & Practice |
| spelling | doaj.art-f632f0d7b593481389baed1a3f03369d2022-12-21T21:27:46ZengWileyObesity Science & Practice2055-22382021-12-017668268910.1002/osp4.533The challenge of addressing obesity in people with poorly controlled asthmaAnne E. Dixon0Kathryn V. Blake1Emily A. DiMango2Mark T. Dransfield3Laura C. Feemster4Olivia Johnson5Gem Roy6Heather Hazucha7Jean Harvey8Meredith C. McCormack9Robert A. Wise10Janet T. Holbrook11University of Vermont Burlington Vermont USANemours Children's Health Jacksonville Florida USAColumbia University New York New York USAUniversity of Alabama Birmingham Alabama USAVeterans Affairs Puget Sound Health Care System Seattle Washington USAUniversity of Vermont Burlington Vermont USACenter for Clinical Trials Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USACenter for Clinical Trials Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USAUniversity of Vermont Burlington Vermont USACenter for Clinical Trials Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USACenter for Clinical Trials Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USACenter for Clinical Trials Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USAAbstract 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.https://doi.org/10.1002/osp4.533exerciselung functionnutritionobesityweight loss |
| spellingShingle | 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 Obesity Science & Practice exercise lung function nutrition obesity weight loss |
| title | 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_short | The challenge of addressing obesity in people with poorly controlled asthma |
| title_sort | challenge of addressing obesity in people with poorly controlled asthma |
| topic | exercise lung function nutrition obesity weight loss |
| url | https://doi.org/10.1002/osp4.533 |
| work_keys_str_mv | AT anneedixon thechallengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT kathrynvblake thechallengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT emilyadimango thechallengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT marktdransfield thechallengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT lauracfeemster thechallengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT oliviajohnson thechallengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT gemroy thechallengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT heatherhazucha thechallengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT jeanharvey thechallengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT meredithcmccormack thechallengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT robertawise thechallengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT janettholbrook thechallengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT anneedixon challengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT kathrynvblake challengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT emilyadimango challengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT marktdransfield challengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT lauracfeemster challengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT oliviajohnson challengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT gemroy challengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT heatherhazucha challengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT jeanharvey challengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT meredithcmccormack challengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT robertawise challengeofaddressingobesityinpeoplewithpoorlycontrolledasthma AT janettholbrook challengeofaddressingobesityinpeoplewithpoorlycontrolledasthma |