Gain in lung function after weight reduction in severely obese children
Aim The primary objective of this prospective cohort study was to determine the effect of weight loss on pulmonary function values in extremely obese children. Methods Obese children participated in a 26-week in-hospital or outpatient multidisciplinary treatment programme. Waist circumference was me...
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| Veröffentlicht in: | Archives of disease in childhood 2012-12, Vol.97 (12), p.1039-1042 |
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| creator | van de Griendt, E J van der Baan-Slootweg, O H van Essen-Zandvliet, E E M van der Palen, J Tamminga-Smeulders, C L J Benninga, M A van Aalderen, W M C |
| description | Aim The primary objective of this prospective cohort study was to determine the effect of weight loss on pulmonary function values in extremely obese children. Methods Obese children participated in a 26-week in-hospital or outpatient multidisciplinary treatment programme. Waist circumference was measured and pulmonary function tests were performed at enrolment and after 6 months. Results The data of 112 children were analysed. The children had a mean age of 14.4 (range 8.5–18.9) years and 62.5% were girls. The mean SD score-body mass index (SDS-BMI) was +3.38 at baseline and +2.91 after the intervention. Lung function improved significantly: functional vital capacity increased by 3.08% (95% CI 1.16% to 5.00%) of the predicted value, forced expiratory volume in 1 s (FEV1) by 2.91% (95% CI 1.11% to 4.71%) of the predicted value, total lung capacity by 2.27% (95% CI 1.16% to 5.00%) of the predicted value, and expiratory reserve volume (ERV) by 14.8% (95% CI 8.66% to 20.88%) of the predicted value. The increase in ERV correlated with the reduction in SDS-BMI and with the reduction in waist circumference. FEV1 did not correlate with the reduction in either SDS-BMI or waist circumference. Conclusions Weight loss in severely obese children correlated with an improvement in lung function, especially ERV. The improvement in ERV correlated with the decrease in SDS-BMI and waist circumference. |
| doi_str_mv | 10.1136/archdischild-2011-301304 |
| format | Article |
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Methods Obese children participated in a 26-week in-hospital or outpatient multidisciplinary treatment programme. Waist circumference was measured and pulmonary function tests were performed at enrolment and after 6 months. Results The data of 112 children were analysed. The children had a mean age of 14.4 (range 8.5–18.9) years and 62.5% were girls. The mean SD score-body mass index (SDS-BMI) was +3.38 at baseline and +2.91 after the intervention. Lung function improved significantly: functional vital capacity increased by 3.08% (95% CI 1.16% to 5.00%) of the predicted value, forced expiratory volume in 1 s (FEV1) by 2.91% (95% CI 1.11% to 4.71%) of the predicted value, total lung capacity by 2.27% (95% CI 1.16% to 5.00%) of the predicted value, and expiratory reserve volume (ERV) by 14.8% (95% CI 8.66% to 20.88%) of the predicted value. The increase in ERV correlated with the reduction in SDS-BMI and with the reduction in waist circumference. FEV1 did not correlate with the reduction in either SDS-BMI or waist circumference. Conclusions Weight loss in severely obese children correlated with an improvement in lung function, especially ERV. The improvement in ERV correlated with the decrease in SDS-BMI and waist circumference.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/archdischild-2011-301304</identifier><identifier>PMID: 23076338</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Adolescent ; Asthma ; Biological and medical sciences ; Body Composition ; Body fat ; Body Mass Index ; Body Weight ; Child ; Childhood obesity ; Children ; Cohort Studies ; Demographic aspects ; Exercise ; Female ; General aspects ; Humans ; Intelligence tests ; Lung - physiopathology ; lung function ; Male ; Medical sciences ; Metabolic diseases ; Miscellaneous ; Obesity ; Obesity in children ; Obesity, Morbid - physiopathology ; Obesity, Morbid - therapy ; Patients ; Prevention and actions ; Prospective Studies ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; pulmonary function testing ; Pulmonary Ventilation ; Respiratory function ; Respiratory Function Tests ; Studies ; Weight control ; Weight loss ; Weight Loss - physiology</subject><ispartof>Archives of disease in childhood, 2012-12, Vol.97 (12), p.1039-1042</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>2014 INIST-CNRS</rights><rights>Copyright: 2012 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b526t-fc03c763a5c4714845726fd31a550f86a00306dc33a54172d36396276a8326153</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://adc.bmj.com/content/97/12/1039.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://adc.bmj.com/content/97/12/1039.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3196,23571,27924,27925,77472,77503</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26674111$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23076338$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van de Griendt, E J</creatorcontrib><creatorcontrib>van der Baan-Slootweg, O H</creatorcontrib><creatorcontrib>van Essen-Zandvliet, E E M</creatorcontrib><creatorcontrib>van der Palen, J</creatorcontrib><creatorcontrib>Tamminga-Smeulders, C L J</creatorcontrib><creatorcontrib>Benninga, M A</creatorcontrib><creatorcontrib>van Aalderen, W M C</creatorcontrib><title>Gain in lung function after weight reduction in severely obese children</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><description>Aim The primary objective of this prospective cohort study was to determine the effect of weight loss on pulmonary function values in extremely obese children. Methods Obese children participated in a 26-week in-hospital or outpatient multidisciplinary treatment programme. Waist circumference was measured and pulmonary function tests were performed at enrolment and after 6 months. Results The data of 112 children were analysed. The children had a mean age of 14.4 (range 8.5–18.9) years and 62.5% were girls. The mean SD score-body mass index (SDS-BMI) was +3.38 at baseline and +2.91 after the intervention. Lung function improved significantly: functional vital capacity increased by 3.08% (95% CI 1.16% to 5.00%) of the predicted value, forced expiratory volume in 1 s (FEV1) by 2.91% (95% CI 1.11% to 4.71%) of the predicted value, total lung capacity by 2.27% (95% CI 1.16% to 5.00%) of the predicted value, and expiratory reserve volume (ERV) by 14.8% (95% CI 8.66% to 20.88%) of the predicted value. The increase in ERV correlated with the reduction in SDS-BMI and with the reduction in waist circumference. FEV1 did not correlate with the reduction in either SDS-BMI or waist circumference. Conclusions Weight loss in severely obese children correlated with an improvement in lung function, especially ERV. The improvement in ERV correlated with the decrease in SDS-BMI and waist circumference.</description><subject>Adolescent</subject><subject>Asthma</subject><subject>Biological and medical sciences</subject><subject>Body Composition</subject><subject>Body fat</subject><subject>Body Mass Index</subject><subject>Body Weight</subject><subject>Child</subject><subject>Childhood obesity</subject><subject>Children</subject><subject>Cohort Studies</subject><subject>Demographic aspects</subject><subject>Exercise</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Intelligence tests</subject><subject>Lung - physiopathology</subject><subject>lung function</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Miscellaneous</subject><subject>Obesity</subject><subject>Obesity in children</subject><subject>Obesity, Morbid - physiopathology</subject><subject>Obesity, Morbid - therapy</subject><subject>Patients</subject><subject>Prevention and actions</subject><subject>Prospective Studies</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>pulmonary function testing</subject><subject>Pulmonary Ventilation</subject><subject>Respiratory function</subject><subject>Respiratory Function Tests</subject><subject>Studies</subject><subject>Weight control</subject><subject>Weight loss</subject><subject>Weight Loss - physiology</subject><issn>0003-9888</issn><issn>1468-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkcFu1DAQhi1ERZfCK6BICIlLqMfj2M6xCrAgqvYCvVpex9nN4nWKnQB9e7xk2aJeQLJkaeabmX_mJ6QA-gYAxbmJdtP2yW5635aMApRIASl_RBbAhcohzh-TBaUUy1opdUqeprSlFJhS-IScMqRSIKoFWS5NH4r8_BTWRTcFO_ZDKEw3ulj8cP16MxbRtdMczlxy3110_q4YVi654reE6MIzctIZn9zzw39Gvrx_97n5UF5eLz82F5flqmJiLDtL0ebRprJcAle8kkx0LYKpKtopYbJiKlqLmeAgWYsCa8GkMAqZgArPyOu5720cvk0ujXqX7-C8N8ENU9KgaokKalH_GwVZV8AkUxl9-QDdDlMMeZHcMN-MU0n3VDlTa-Od7oMdwuh-jnbw3q2dzns21_oCgXGGku21qpm3cUgpuk7fxn5n4p0Gqvc-6r991Hsf9exjLn1xEDStdq49Fv4xLgOvDoBJ1vgummD7dM8JITnkGUfNfcpaj3kTv2ohUVb66qbR9OrtsroRjf6UeZz51W77_3J_AZKlxMA</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>van de Griendt, E J</creator><creator>van der Baan-Slootweg, O H</creator><creator>van Essen-Zandvliet, E E M</creator><creator>van der Palen, J</creator><creator>Tamminga-Smeulders, C L J</creator><creator>Benninga, M A</creator><creator>van Aalderen, W M C</creator><general>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</general><general>BMJ Publishing Group</general><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88I</scope><scope>8A4</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>7TS</scope></search><sort><creationdate>20121201</creationdate><title>Gain in lung function after weight reduction in severely obese children</title><author>van de Griendt, E J ; van der Baan-Slootweg, O H ; van Essen-Zandvliet, E E M ; van der Palen, J ; Tamminga-Smeulders, C L J ; Benninga, M A ; van Aalderen, W M C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b526t-fc03c763a5c4714845726fd31a550f86a00306dc33a54172d36396276a8326153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Asthma</topic><topic>Biological and medical sciences</topic><topic>Body Composition</topic><topic>Body fat</topic><topic>Body Mass Index</topic><topic>Body Weight</topic><topic>Child</topic><topic>Childhood obesity</topic><topic>Children</topic><topic>Cohort Studies</topic><topic>Demographic aspects</topic><topic>Exercise</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Intelligence tests</topic><topic>Lung - physiopathology</topic><topic>lung function</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Miscellaneous</topic><topic>Obesity</topic><topic>Obesity in children</topic><topic>Obesity, Morbid - physiopathology</topic><topic>Obesity, Morbid - therapy</topic><topic>Patients</topic><topic>Prevention and actions</topic><topic>Prospective Studies</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>pulmonary function testing</topic><topic>Pulmonary Ventilation</topic><topic>Respiratory function</topic><topic>Respiratory Function Tests</topic><topic>Studies</topic><topic>Weight control</topic><topic>Weight loss</topic><topic>Weight Loss - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van de Griendt, E J</creatorcontrib><creatorcontrib>van der Baan-Slootweg, O H</creatorcontrib><creatorcontrib>van Essen-Zandvliet, E E M</creatorcontrib><creatorcontrib>van der Palen, J</creatorcontrib><creatorcontrib>Tamminga-Smeulders, C L J</creatorcontrib><creatorcontrib>Benninga, M A</creatorcontrib><creatorcontrib>van Aalderen, W M C</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Education Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><jtitle>Archives of disease in childhood</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van de Griendt, E J</au><au>van der Baan-Slootweg, O H</au><au>van Essen-Zandvliet, E E M</au><au>van der Palen, J</au><au>Tamminga-Smeulders, C L J</au><au>Benninga, M A</au><au>van Aalderen, W M C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gain in lung function after weight reduction in severely obese children</atitle><jtitle>Archives of disease in childhood</jtitle><addtitle>Arch Dis Child</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>97</volume><issue>12</issue><spage>1039</spage><epage>1042</epage><pages>1039-1042</pages><issn>0003-9888</issn><eissn>1468-2044</eissn><coden>ADCHAK</coden><abstract>Aim The primary objective of this prospective cohort study was to determine the effect of weight loss on pulmonary function values in extremely obese children. Methods Obese children participated in a 26-week in-hospital or outpatient multidisciplinary treatment programme. Waist circumference was measured and pulmonary function tests were performed at enrolment and after 6 months. Results The data of 112 children were analysed. The children had a mean age of 14.4 (range 8.5–18.9) years and 62.5% were girls. The mean SD score-body mass index (SDS-BMI) was +3.38 at baseline and +2.91 after the intervention. Lung function improved significantly: functional vital capacity increased by 3.08% (95% CI 1.16% to 5.00%) of the predicted value, forced expiratory volume in 1 s (FEV1) by 2.91% (95% CI 1.11% to 4.71%) of the predicted value, total lung capacity by 2.27% (95% CI 1.16% to 5.00%) of the predicted value, and expiratory reserve volume (ERV) by 14.8% (95% CI 8.66% to 20.88%) of the predicted value. The increase in ERV correlated with the reduction in SDS-BMI and with the reduction in waist circumference. FEV1 did not correlate with the reduction in either SDS-BMI or waist circumference. Conclusions Weight loss in severely obese children correlated with an improvement in lung function, especially ERV. The improvement in ERV correlated with the decrease in SDS-BMI and waist circumference.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><pmid>23076338</pmid><doi>10.1136/archdischild-2011-301304</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; BMJ Journals - NESLi2 |
| subjects | Adolescent Asthma Biological and medical sciences Body Composition Body fat Body Mass Index Body Weight Child Childhood obesity Children Cohort Studies Demographic aspects Exercise Female General aspects Humans Intelligence tests Lung - physiopathology lung function Male Medical sciences Metabolic diseases Miscellaneous Obesity Obesity in children Obesity, Morbid - physiopathology Obesity, Morbid - therapy Patients Prevention and actions Prospective Studies Public health. Hygiene Public health. Hygiene-occupational medicine pulmonary function testing Pulmonary Ventilation Respiratory function Respiratory Function Tests Studies Weight control Weight loss Weight Loss - physiology |
| title | Gain in lung function after weight reduction in severely obese children |
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