International Journal of Physiotherapy and Research

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Type of Article : Original Research

Year: 2015 | Volume 3 | Issue 5 | Page No. 1233-1238

Date of Publication: 11-10-2015

DOI: 10.16965/ijpr.2015.182

PHYSIOTHERAPEUTIC STUDY ANALYZING THE RELATIONSHIP BETWEEN BODY COMPOSITION AND LUNG FUNCTION

T. Ankit kaur 1, Rohit Subhedar *2, Pallavi Dave 3, Priyanka Mishra 4, Dirgha Sharma 5.
 
*1 Ex. Senior Physiotherapist, Multi Specialty Department of Physiotherapy, Bombay Hospital, Indore, India.
2 Head of the Department, Multi Specialty Department of Physiotherapy, B.H.I, India.
3 Senior Physiotherapist, Multi Specialty Department of Physiotherapy, B.H.I, India.
4 Senior Physiotherapist, Multi Specialty Department of Physiotherapy, B.H.I, India.
5 Ex. Assistant Physiotherapist, Multi Specialty Department of Physiotherapy, B.H.I, India.

Corresponding author: Dr. Rohit Subhedar, PT., Head of the Department, Multi Specialty Department of Physiotherapy, Bombay Hospital, Indore, India.
E-Mail: rohitsubhedar76@gmail.com

Abstract:

Background: Influence of body composition on lung functions is of enormous clinical importance. Impaired lung functions particularly low forced vital capacity (FVC), low forced expiratory volume in 1 s (FEV1) and FVC & FEV1 ratio are associated with increased morbidity and mortality, and it is also well recognized that severe clinical obesity is associated with impairment of lung function. The aim of our study is to observe the correlation between pulmonary function and body composition parameters on individuals with different body mass index.
Methods: 150 subjects consist of 75 males and 75 females in the age group of 40 to 60 years, were classified into normal weight, overweight and obese grade 1 groups according to the WHO guidelines. The body composition measured by using the Bioelectric Impedance based Tanita BC-418 and pulmonary functions assessed by using computerized Jaeger Master scope.
Results: Results of statistical analysis showed that the fat free mass of normal male was identified as the strongly significant predictor of variation in pulmonary function parameters such as FVC (p<0.006) and FEV 1s (p<0.008) in comparison to normal female (p>0.05). The BMI (p<0.002) and FFM (p<0.001) detected as strongly significant while TF% (p<0.05) identified as significant predictor of variation in FVC of the obese grade 1 male (Group C). It was also found that the BMI (p<0.001), TF% (p<0.004) and FFM (p<0.001) of obese grade 1 male strongly impacted the FEV 1s. The ratio (FVC/FEV 1s) was less significantly (p>0.05) by BMI FFM and TF% of obese grade 1 male.
Conclusion:  A significant positive correlation was observed between fat free mass and FCV and FEV1. Body fat percentage and trunk fat percentage had a stronger correlation than BMI.
KEY WORDS: Forced vital capacity, Forced expiratory volume in 1sec, Body mass index, Body fat percentage, Trunk fat percentage, Fat free mass.

References

  1. Cheryl M, Salome, King GG, Berend N. Physiology of obesity and effects on lung function. J Appl Physiol. 2010;108:206-211.
  2. Ray C, Sue D, Bray G, Hansen J, Wasserman K. Effects of obesity on respiratory function. Am Rev Respir Dis. 1983;128:501-506.
  3. van Huisstede, A., Cabezas, M.C., Birnie, E., van de Geijn, G.J., Rudolphus, A., Mannaerts, G. et al, Systemic inflammation and lung function impairment in morbidly obese subjects with the metabolic syndrome. J Obes. 2013;2013:131349. http://dx.doi.org/10.1155/2013/131349
  4. Chen Y, Horne SL, Dosman JA. Body weight and weight gain related to pulmonary function decline in adults: a Six-year  follow-up study. Thorax 1993;48:375-380.
  5. De Lorenzo A, Petrone-De Luca P, Sasso GF, Carbonelli MG, Rossi P, Brancati A. Effects of weight loss on body composition and pulmonary function. Respiration 1999;66:407-412.
  6. Hakala K, Mustajoki P, Aittomaki J, Sovijarvi AR. Effect of weight loss and body position on pulmonary function and gas exchange abnormalities in morbid obesity. Int J Obes Relat Metab Disord 1995;19:343-346.
  7. Baumgartner RN, Stauber PM, McHugh D, Koehler KM, Garry PJ.Cross-sectional age differences in body composition in persons + years of age. J Gerontol 1995;50:M307–16
  8. Kehayias JJ, Fiatarone MA, Zhuang H, Roubenoff R. Total body and body fat: relevance to aging. Am J Clin Nutr 1997;904-10.
  9. Zamboni M, Armellini F, Harris T, et al. Effects of age on body fat and cardiovascular risk factors in women. Am J Clin Nutr 1997;66:111–5.
  10. Zamboni M, Armellini F, Milani MP, et al. Body fat distribution in pre- and post-menopausal women: metabolic and anthropometric variables and their inter-relationships. Int J Obes Relat Metab Disord 1992;16:495–504.
  11. Gallagher D, Visser M, De Meersman RE, et al. Appendicular skeletal muscle mass: effects of age, gender, and ethnicity. J Appl Physiol 1997;83:229-39.
  12. Poehlman ET, Toth MJ, Gardner AW. Changes in energy balance and body composition at menopause: a controlled longitudinal study. Ann Intern Med 1995;123:673-5.
  13. ockman MS. Aging of the respiratory system. In: Hazzard WR, Bierman EL, Blass JP, Ettinger WH Jr, Halter JB (eds). Principles of Geriatric Medicine and Gerontology. New York, NY: McGraw-Hill; 1994: 499–507.
  14. Beaty TH, Newill CA, Cohen BH, Tockman MS, Bryant SH, Spurgeon HA. Effects of pulmonary function on mortality. J Chronic Dis 1985;8:703-10.
  15. Nishimura Y, Tsutsumi M, Nakata H, Tsunenari T, Maeda H, Yokoyama M. Relationship between respiratory muscle strength and lean body mass in men with COPD. Chest 1995;107:1232-6.
  16. Collins LC, Hoberty PD, Walker JF, Fletcher EC, Peiris AN. The effect of body composition on pulmonary function tests. Chest 1995;107:1298–302.
  17. Lazarus R, Sparrow D, Weiss ST. Effects of obesity and fat distribution on pulmonary function: the Normative Aging Study. Chest. 1997;111:891-8.
  18. McClean KM, Kee F, Young IS, Elborn JS. Obesity and the lung: 1. Epidemiology. Thorax. 2008;63:649-654. [PubMed]
  19. Ochs-Balcom HM, Grant BJ, Muti P, et al. Pulmonary function and abdominal adiposity in the general population. Chest. 2006;129:853–862. [PubMed]
  20. Babb TG, Ranasinghe KG, Comeau LA, Semon TL, Schwartz B. Dyspnoea on exertion in obese women. Am J Respir Crit Care Med. 2008;178:116–123. [PubMed]
  21. Naimark A, Cherniack RM. Compliance of the respiratory system and its components in health and obesity. J Appl Physiol 15: 377–382, 1960.
  22. Pelosi P, Croci M, Ravagnan I, Vicardi P, Gattinoni L,Total respiratory system, lung, and chest wall mechanics in sedated-paralyzed postoperative morbidly obese patients. Chest 109: 144–151, 1996.
  23. Krystyna Rożek-Piechura, Zofia Ignasiak, Teresa Sławińska, Jerzy Piechura, Tomasz Ignasiak. Respiratory function, physical activity and body composition in adult rural population. Annals of Agricultural and Environmental Medicine 2014;21(2):369–374.
  24. Hedenstierna G, Santesson J, Breathing mechanics, dead space and gas exchange in the extremely obese, breathing spontaneously and during anaesthesia with intermittent positive pressure ventilation. Acta Anaesthesiol Scand  1976;20:284–254.
  25. Pelosi P, Croci M, Ravagnan I, Tredici S, Pedoto A, Lissoni A, Gattinoni L. The effects of body mass on lung volumes, respiratory mechanics, and gas exchange during general anesthesia. Anesth Analg. 1998;87:654–660.
  26. Sharp JT, Henry JP, Swaeny SK, Meadows WR, Pietras RJ. The total work of breathing in normal and obese men. J Clin Invest. 1964;43:728-739.
  27. Maiolo C, Mohamed EI, Carbonelli MG. Body composition and respiratory function. Acta Diabetol. 2003;40:S32– 8.
  28. Lazarus R, Gore CJ, Booth M, Owen N. Effects of body composition and fat distribution on ventilatory function in adults. Am J Clin Nutr 1998; 68:35-41.
  29. Santana H, Zoico E, Turcato E, et al. Relation between body composition, fat distribution, and lung function in elderly men. Am J Clin Nutr 2001;73:827-31.
  30. Amara CE, Koval JJ, Paterson DH, Cunningham DA. Lung function in older humans: the contribution of body composition, physical activity and smoking. Ann Human Biol 2001;28:522-36.
  31. Mohamed EI, Maiolo C, Iacopino L, Pepe M, Di Daniele N, De Lorenzo A. The impact of body-weight components on forced spirometry in health Italians. Lung 2002;180:149-59.
  32. Cotes JE, Chinn DJ, Reed JW. Body mass, fat percentage, and fat free Mass as reference variables for lung function: effects on terms for age and sex. Thorax 2001; 56:839-44.

 

Ankit kaur, Rohit Subhedar, Pallavi Dave, Priyanka Mishra, Dirgha Sharma. PHYSIOTHERAPEUTIC STUDY ANALYZING THE RELATIONSHIP BETWEEN BODY COMPOSITION AND LUNG FUNCTION. Int J Physiother Res 2015;3(5):1233-1238. DOI: 10.16965/ijpr.2015.182

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