Longitudinal association of body mass index with lung function: The CARDIA Study
2008

How Body Weight Affects Lung Function in Young Adults

Sample size: 4734 publication Evidence: high

Author Information

Author(s): Thyagarajan Bharat, Jacobs David R Jr, Apostol George G, Smith Lewis J, Jensen Robert L, Crapo Robert O, Barr R Graham, Lewis Cora E, Williams O Dale

Primary Institution: University of Minnesota

Hypothesis

Greater BMI during young adulthood is inversely related to lung function measures later in life.

Conclusion

Increasing BMI in initially thin participants was associated with stable lung function, while higher BMI led to significant lung function losses.

Supporting Evidence

  • Participants with low baseline BMI showed increases in lung function over 10 years.
  • Higher baseline BMI was associated with significant declines in lung function.
  • Weight gain negatively impacted lung function in heavier individuals.

Takeaway

If you're thin and gain a little weight, your lungs might stay healthy, but if you're already heavy and gain more weight, your lungs can get worse.

Methodology

The study followed participants from the CARDIA study over 10 years, measuring lung function and BMI at multiple time points.

Potential Biases

Potential bias due to loss of follow-up, though baseline characteristics were similar between those lost and those retained.

Limitations

The study may have biases common to longitudinal studies, such as loss to follow-up, although retention was high.

Participant Demographics

Participants were black and white men and women aged 18-30 at baseline, with a mix of education levels.

Statistical Information

P-Value

p<0.0001

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1186/1465-9921-9-31

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