Asthma and obesity: is weight reduction the key to achieve asthma control?

TY - JOUR

T1 - Asthma and obesity

T2 - is weight reduction the key to achieve asthma control?

AU - Ulrik, Charlotte S

PY - 2016/1

Y1 - 2016/1

N2 - PURPOSE OF REVIEW: Obesity has significant negative impact on asthma control and risk of exacerbations. The purpose of this review is to discuss recent studies evaluating the effects of weight reduction on asthma control in obese adults.RECENT FINDINGS: Clinical studies have shown that weight reduction in obese patients is associated with improvements in symptoms, use of controller medication, and asthma-related quality of life together with a reduction in the risk for severe exacerbations. Furthermore, several studies have also revealed improvements in lung function and airway responsiveness, and more recently it has been shown that weight reduction following bariatric surgery has positive impact on small airway function, systemic inflammation and bronchial inflammation in this group of patients, which may explain the observed improvements in symptom control and lung function.SUMMARY: Weight reduction in obese adults with asthma leads to an overall improvement in asthma control, including airway hyperresponsiveness and inflammation. Weight reduction should be a cornerstone in the management of obese patients with asthma.

AB - PURPOSE OF REVIEW: Obesity has significant negative impact on asthma control and risk of exacerbations. The purpose of this review is to discuss recent studies evaluating the effects of weight reduction on asthma control in obese adults.RECENT FINDINGS: Clinical studies have shown that weight reduction in obese patients is associated with improvements in symptoms, use of controller medication, and asthma-related quality of life together with a reduction in the risk for severe exacerbations. Furthermore, several studies have also revealed improvements in lung function and airway responsiveness, and more recently it has been shown that weight reduction following bariatric surgery has positive impact on small airway function, systemic inflammation and bronchial inflammation in this group of patients, which may explain the observed improvements in symptom control and lung function.SUMMARY: Weight reduction in obese adults with asthma leads to an overall improvement in asthma control, including airway hyperresponsiveness and inflammation. Weight reduction should be a cornerstone in the management of obese patients with asthma.

KW - Asthma

KW - Humans

KW - Obesity

KW - Quality of Life

KW - Respiratory Function Tests

KW - Risk Factors

KW - Weight Loss

U2 - 10.1097/MCP.0000000000000226

DO - 10.1097/MCP.0000000000000226

M3 - Review

C2 - 26574719

SN - 1070-5287

VL - 22

SP - 69

EP - 73

JO - Current Opinion in Pulmonary Medicine

JF - Current Opinion in Pulmonary Medicine

IS - 1

ER -