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Johns Hopkins Health Alert

Thick Waist? Trouble Breathing!

Is there any relationship between waist circumference and lung function? A recent report suggests there is.

If you're experiencing shortness of breath, your doctor may ask you to use a treadmill or stationary bicycle to evaluate your shortness of breath and determine whether it's caused by a lung problem, heart disease, or simply by being out of shape.

Now a report published in the American Journal of Clinical Nutrition (Volume 85, page 35) suggests that your waist size is a good predictor of how impaired your lung function is.

Previous studies showed that obesity -- not normal weight or overweight -- is associated with asthma and chronic obstructive pulmonary disease (COPD). But findings from this study hold true regardless of weight. The researchers studied 1,674 adults, measuring their height, weight, and lung function. They found that the greater a person's waist circumference, the worse his or her lung function was.

Although doctors commonly use body mass index (BMI) -- a measure of weight in relation to height -- as a predictor of a person's lung function, this study suggests that waist circumference is a better predictor. One reason is that some normal-weight people may have a high BMI simply because they have more muscle mass than fat mass.

Why is waist circumference related to lung impairment? The most likely reason, say the researchers, is that pressure in the abdomen pushes on the diaphragm. So if you find yourself getting a bit thick around the waist, consider that losing a few inches may result in better breathing.

Posted in Lung Disorders on October 16, 2008
Reviewed July 2009

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The views expressed here do not constitute medical advice, and do not represent the position of Johns Hopkins Medicine or MediZine LLC, which has no responsibility for any comments posted on this site.




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