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Respir Med. 2017 Oct;131:199-204. doi: 10.1016/j.rmed.2017.08.030. Epub 2017 Sep 1.

The association between anthropometric measures and lung function in a population-based study of Canadian adults.

Author information

1
Dept. of Community Health and Epidemiology, Dalhousie University, Canada.
2
Dept. of Medicine, Dalhousie University, Canada.
3
Dept. of Pediatrics and Obstetrics & Gynaecology, Dalhousie University, Canada.
4
Dept. of Community Health and Epidemiology, Dalhousie University, Centre for Clinical Research, Room 423, 5790 University Ave, Halifax, Nova Scotia B3H 1V7, Canada. Electronic address: Susan.kirkland@dal.ca.

Abstract

BACKGROUND:

Decreased lung function has health impacts beyond diagnosable lung disease. It is therefore important to understand the factors that may influence even small changes in lung function including obesity, physical fitness and physical activity. The aim of this study was to determine the anthropometric measure most useful in examining the association with lung function and to determine how physical activity and physical fitness influence this association.

METHODS:

The current study used cross-sectional data on 4662 adults aged 40-79 years from the Canadian Health Measures Survey Cycles 1 and 2. Linear regression models were used to examine the association between the anthropometric and lung function measures (forced expiratory volume in 1 s [FEV1] and forced vital capacity [FVC]); R2 values were compared among models. Physical fitness and physical activity terms were added to the models and potential confounding was assessed.

RESULTS:

Models using sum of 5 skinfolds and waist circumference consistently had the highest R2 values for FEV1 and FVC, while models using body mass index consistently had among the lowest R2 values for FEV1 and FVC and for men and women. Physical activity and physical fitness were confounders of the relationships between waist circumference and the lung function measures. Waist circumference remained a significant predictor of FVC but not FEV1 after adjustment for physical activity or physical fitness.

CONCLUSIONS:

Waist circumference is an important predictor of lung function. Physical activity and physical fitness should be considered as potential confounders of the relationship between anthropometric measures and lung function.

KEYWORDS:

Body composition; Epidemiology; Population-based; Pulmonary function; Spirometry

PMID:
28947030
DOI:
10.1016/j.rmed.2017.08.030
[Indexed for MEDLINE]

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