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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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Health Alerts registered users may post comments and share experiences here at their own discretion. We regret that questions on individual health concerns to the Johns Hopkins editors cannot be answered in this space.

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.


I don't have a study to back me up but I can tell you from having COPD that it is absolutly true that your waist is the best predictor. I can assure you that even a "healthy person" would agree with this. If you think about the 2 large dinners you ate over a holiday because you had more than one invatation, after all we don't want to hurt anyones fellings. Have you noticed ther is a lot of groaning going on and a lot of clothes being loosed!!! Oh I overdid it you here someone say followed by a deep sigh, finding yourself agreeing_______ BUT it is a much more serious issue for people with COPD because depending on your level of severity we are already below, in some cases as much as 40-50% below normal so it becomes "and I speak for myself" a very important factor. I did STOP SMOKING but I need to start working harder on what and how much I eat. I have been from site to site and have gotten a lot of good information but in the end you need a good attitude and determanation. Remember quality is priceless. Thanks to web sits like this one we can all gain a little knowledge and understanding to live a better life. Thanks, Roger

Posted by: hopeful57 | July 31, 2010



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