People with asthma are at an elevated risk of becoming obese, finds a new study.
Many studies showed that obesity might be a risk factor for developing asthma, but new research reveals that the vice versa may also be true. People with asthma are more likely to become obese. The findings of the study are presented in the meeting European Respiratory Society International Congress 2018. The new research indicates that those who develop asthma as adults and those who have non-allergic asthma are at the greatest risk of obesity.
‘The association between asthma and obesity is more complicated than earlier thought, and more research is required to understand better and tackle these two growing health challenges.’
The research was presented by Dr. Subhabrata Moitra, a European Respiratory Society research fellow at ISGlobal - the Barcelona Institute for Global Health (a center supported by the "la Caixa" Foundation), Spain. He explained: "We already know that obesity can be a trigger for asthma, perhaps via a physiological, metabolic or inflammatory change."Until now there has been very little research on whether the reverse is true whether asthma can lead to obesity. In this study, we have enough people, and we have followed them for long enough to observe the relationship between these two conditions."
The research was part of the European Community Respiratory Health Survey and included 8,618 people from 12 countries who were not obese at the start of the research. This means they all had a body mass index of less than 30kg/m2.
Participants were considered to have asthma if they reported ever having asthma and had an asthma attack or were woken up by an attack of shortness of breath in the previous 12 months, or if they were currently taking asthma medication.
The study began recruiting in the 1990s, and participants were followed up after ten years and again after 20 years. The researchers examined the relationships between having asthma at the start of the study and the likelihood of being obese ten years later. They also studied people who had developed asthma after ten years in the study and their risk of obesity by 20 years. Researchers considered other risk factors, including age, sex, country and physical activity.
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The increase in the risk of obesity was even greater in people whose asthma began in adulthood. It was also greater in people who had asthma but did not suffer from allergies.
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"Our findings suggest the relationship between the two conditions is more complicated than we previously realized. It's important that we do more work to pick this apart. For example, we do not know why having asthma increases the risk of developing obesity or whether different asthma treatments have any effect on this risk."
Professor Guy Brusselle from Ghent University in Belgium is Chair of the European Respiratory Society Science Council and was not involved in the study. He said: "With the right medication, many people with asthma gain good control of their symptoms. However, there is no cure for asthma, and there is still a lot we do not know about its causes and its effects on the rest of the body. This research is an important step in helping us untangle the relationship between obesity and asthma, but it also raises new questions about why the two are linked and what can be done to help patients."
Source-Eurekalert