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The effect of adiposity measured by dual-energy X-ray absorptiometry on lung function
Open accessAbstract
Respiratory function is impaired in obesity but there are limitations with body mass index and skin-fold thickness in assessing this effect. The present authors hypothesised that the regional distribution of body fat and lean mass, as measured by dual-energy X-ray absorptiometry (DXA), might be more informative than conventional measurements of total body fat. In total, 107 subjects (55 female, 51.4%) aged 20–50 yrs with no respiratory disease were recruited. Respiratory function tests, anthropometric measurements and a DXA scan were performed. Partial correlation and linear regression analyses were used to explore the effect of adiposity and lean body mass on respiratory function. The majority of respiratory function parameters were significantly correlated with DXA and non-DXA measurements of body fat. Neither thoracic nor abdominal fat had a greater effect. There were some differences in the effect of adiposity between the sexes. Respiratory function was negatively associated with lean body mass in females but positively associated in males. This disappeared after adjustment in females but remained in males. The effects of thoracic and abdominal body fat on respiratory function are comparable but cannot be separated from one another.
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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,92–112 usually in a dose-response fashion.”
From Pathogenesis of hyperinflation in chronic obstructive pulmonary disease (2014) · cites this paper as [95]
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Metadata
- Authors
- Sutherland, T. J. T., Goulding, A., Grant, A. M., Cowan, J. O., Williamson, A., Williams, S. M., Skinner, M. A., & Taylor, D. R.
- Affiliations
- University of Otago (NZ)
- Venue
- European Respiratory Journal
- Publisher
- European Respiratory Society (ERS)
- Published
- 2008-03-19
- Volume
- 32
- Issue
- 1
- Pages
- 85-91
- ISSN
- 0903-1936 (ISSN-L)
- 1399-3003
- OpenAlex
- W2125810224
- Cited by
- 125
- References
- 20
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 11 · 2023: 3 · 2022: 4 · 2021: 6 · 2020: 9 · 2019: 3 · 2018: 4 · 2017: 5 · 2016: 10 · 2015: 10 · 2014: 10 · 2013: 12 · 2012: 9
- FWCI
- 5.21
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Respiratory Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Body Composition Measurement Techniques
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- obesity, adiposity, lung function, dual-energy X-ray absorptiometry, abdominal fat, lean body mass, body mass index, sex differences, respiratory function
- MeSH terms
- Adult, Female, Humans, Male, Middle Aged, Pulmonary Ventilation, Cohort Studies, Absorptiometry, Photon, Adiposity
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