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Impact of obesity on respiratory function
Abstract
Obesity has long been recognized as having significant effects on respiratory function. The topic has been studied for at least the last half century, and some clear patterns have emerged. Obese patients tend to have higher respiratory rates and lower tidal volumes. Total respiratory system compliance is reduced for a variety of reasons, which will be discussed. Lung volumes tend to be decreased, especially expiratory reserve volume. Spirometry, gas exchange and airway resistance all tend to be relatively well preserved when adjusted for lung volumes. Patients may be mildly hypoxaemic, possibly due to ventilation–perfusion mismatching at the base of the lungs, where microatelectasis is likely to occur. Weight loss leads to a reversal of these changes. For all of these changes, the distribution of fat, that is, upper versus lower body, may be more important than body mass index.
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Added weight on the thorax and abdomen (and also the neck) can significantly affect static and dynamic lung volumes along with respiratory mechanics, usually in a dose-response fashion.
“Added weight on the thorax and abdomen (and also the neck), can significantly affect static and dynamic lung volumes along with respiratory mechanics,92–112 usually in a dose-response fashion.”
From Pathogenesis of hyperinflation in chronic obstructive pulmonary disease (2014) · cites this paper as [92]
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Metadata
- Authors
- LITTLETON, S. W.
- Affiliations
- Rush University Medical Center (US)
- Corresponding author
- LITTLETON, STEPHEN W.
- Venue
- Respirology
- Publisher
- Wiley
- Published
- 2011-12-21
- Volume
- 17
- Issue
- 1
- Pages
- 43-49
- ISSN
- 1323-7799 (ISSN-L)
- 1440-1843
- OpenAlex
- W1513829807
- Cited by
- 398
- References
- 3
- Citations by year
- 2026: 23 · 2025: 29 · 2024: 31 · 2023: 23 · 2022: 32 · 2021: 44 · 2020: 34 · 2019: 35 · 2018: 23 · 2017: 24 · 2016: 30 · 2015: 19 · 2014: 25 · 2013: 16 · 2012: 9
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Respirology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- obesity, respiratory function, respiratory compliance, tidal volume, respiratory rate, lung volume, expiratory reserve volume, hypoxemia, ventilation-perfusion mismatch, weight loss, body fat distribution, airway resistance, gas exchange
- MeSH terms
- Airway Resistance, Dyspnea, Female, Functional Residual Capacity, Humans, Lung, Lung Volume Measurements, Male, Obesity, Pulmonary Gas Exchange, Spirometry, Tidal Volume, Weight Loss, Body Mass Index, Thoracic Wall, Body Fat Distribution
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