Physiological signature of late-onset nonallergic asthma of obesity

Autor: Anne E. Dixon, Ubong Peters, Ryan Walsh, Nirav Daphtary, Erick S. MacLean, Kevin Hodgdon, David A. Kaminsky, Jason H.T. Bates
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: ERJ Open Research, Vol 6, Iss 3 (2020)
Druh dokumentu: article
ISSN: 2312-0541
23120541
DOI: 10.1183/23120541.00049-2020
Popis: Introduction Obesity can lead to a late-onset nonallergic (LONA) form of asthma for reasons that are not understood. We sought to determine whether this form of asthma is characterised by any unique physiological features. Methods Spirometry, body plethysmography, multiple breath nitrogen washout (MBNW) and methacholine challenge were performed in four subject groups: Lean Control (n=11), Lean Asthma (n=11), Obese Control (n=11) and LONA Obese Asthma (n=10). The MBNW data were fitted with a novel computational model that estimates functional residual capacity (FRC), dead space volume (VD), the coefficient of variation of regional specific ventilation (CV,V′E) and a measure of structural asymmetry at the level of the acinus (sacin). Results Body mass index and waist circumference values were similar in both obese groups, and significantly greater than in lean asthmatic individuals and controls. Forced vital capacity was significantly lower in the LONA Asthma group compared with the other groups (p
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