Changes in muscle-to-fat ratio are associated with lung function decline and airflow obstruction in the general population
2024

Muscle-to-Fat Ratio and Lung Function

Sample size: 4712 publication 10 minutes Evidence: high

Author Information

Author(s): Kim Eunwoo, Leem Ah Young, Jung Ji Ye, Kim Young Sam, Park Youngmok

Primary Institution: Yonsei University College of Medicine, Seoul, Republic of Korea

Hypothesis

The study investigates the longitudinal association between muscle-to-fat ratio and lung function among middle-aged individuals in the general population.

Conclusion

Long-term changes in the muscle-to-fat ratio are related to lung function deterioration and the incidence of airflow obstruction in the middle-aged general population.

Supporting Evidence

  • An increase in muscle-to-fat ratio is associated with improved lung function measures.
  • Participants with a higher muscle-to-fat ratio experienced less lung function decline over time.
  • An increase in muscle-to-fat ratio decreased the risk of airflow obstruction.

Takeaway

If you have more muscle and less fat, your lungs work better as you get older.

Methodology

Participants were enrolled from a community-based prospective cohort, and lung function was assessed biannually via spirometry and body composition via bioelectrical impedance analysis.

Potential Biases

Potential underdiagnosis of airflow obstruction and lack of dietary habit data.

Limitations

Airflow obstruction was defined solely based on pulmonary function tests without considering symptoms, and the causality between muscle-to-fat ratio and lung function remains unclear.

Participant Demographics

Middle-aged individuals, aged 40-69, with 45.8% men.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI, 0.68–0.87 for men; 95% CI, 0.74–0.97 for non-smoking women

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/s12931-024-03081-w

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