International Journal of Research in Medical Sciences | August 2020 | Vol 8 | Issue 8 Page 2828
International Journal of Research in Medical Sciences
Kaur G et al. Int J Res Med Sci. 2020 Aug;8(8):2828-2833
www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012
Original Research Article
Effect of obesity on lung volumes among adults
Gurmeet Kaur
1
, Sandeep Kaur
2
, Geetika Gupta
3
, Rajneet Kaur
4
*
INTRODUCTION
Obesity is currently one of the major global epidemics
and is recognized as a significant and rapidly increasing
cause of morbidity and mortality.
1
It has been established
to be associated with wide range of CVS, metabolic and
endocrine complications but its respiratory consequences,
though known since long, are under-recognized.
2
Obesity as per World Health Organization is defined as
the abnormal or excessive collection of fat in the body to
the extent that health is impaired.
3
Obesity is categorized
according to body mass index (BMI). BMI is a crude
parameter to measure obesity at population level and is
calculated as weight (kgms) divided by the square of
height in meters (kg/m
2
).
Obesity can profoundly alter respiratory physiology by
several mechanisms, due to direct mechanical changes
caused by fat deposition on the chest wall and abdomen
as well as due to systemic inflammation it produces.
1
1
Department of Physiology, Govt. Medical College, Jammu, Jammu and Kashmir, India
2
Department of Physiology, Govt. Medical College, Jammu, Jammu and Kashmir, India
3
Department of Physiology, ASCOMS, Jammu, Jammu and Kashmir, India
4
Department of Physiology, Pt. Jawahar Lal Nehru Govt. Medical College, Chamba, Himachal Pradesh, India
Received: 07 July 2020
Accepted: 13 July 2020
*Correspondence:
Dr. Rajneet Kaur,
E-mail: drrajneet18@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: Obesity has long been recognized to have significant effect on respiratory functions. Many studies have
reported exponential decrease in pulmonary function test (PFT) with increasing body mass index (BMI), which is a
crude indicator of obesity. Also, the relationship between BMI and PFTs varies with age, race, geographical region
and the different obesity standards used. To the best of our knowledge, not many studies have been done to examine
the relationship between obesity and lung volumes among adults in our region, Jammu. This cross-sectional study was
carried out with the objective of evaluating the effect of obesity on lung function test in obese but otherwise healthy
adults of Jammu region.
Methods: This cross-sectional study was conducted in Jammu region on subjects selected randomly from different
colleges in the age group of 18-40 years. The study involved 300 subjects; divided into three groups of 100 each,
based on BMI into normal, overweight and obese groups. Four respiratory parameters viz. FVC (Forced Vital
Capacity), FEV1 (Forced Expiratory Volume in 1 second), FEV3 (Forced Expiratory Volume in 3 seconds), and MVV
(Maximum Voluntary Ventilation) were used to assess their lung functions.
Results: All the respiratory parameters exhibited statistically significant decrease in obese groups as compared to
normal and overweight groups.
Conclusions: The present study suggests that obesity alters the respiratory physiology by producing a restrictive
ventilatory pattern.
Keywords: Body Mass Index, Obesity, Pulmonary function tests, Restrictive ventilation
DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20203094