Ann Rehabil Med.  2015 Dec;39(6):888-896. 10.5535/arm.2015.39.6.888.

Obesity and Pulmonary Function in Polio Survivors

Affiliations
  • 1Department of Rehabilitation Medicine, Ewha Womans University School of Medicine, Seoul, Korea. suhtwins@hanmail.net
  • 2Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea.

Abstract


OBJECTIVE
To examine the correlation between obesity and pulmonary function in polio survivors.
METHODS
This study was conducted based on a questionnaire survey and physical examination. The questionnaire included gender, age, paralyzed regions, physical activity levels, and accompanying diseases. The physical examination included measuring body mass index, waist circumference, muscle power, total fat amount, body fat percentage, and lean body mass. In addition, pulmonary function was tested based on forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), ratio of FEV1 to FVC, and chest circumference. Five university hospitals and a local health clinic participated in this study.
RESULTS
Pearson and partial correlation coefficients that used data collected from 73 polio survivors showed that obesity had a negative correlation with pulmonary function.
CONCLUSION
This study found that pulmonary function has a negative correlation with obesity for polio survivors. Therefore, it is necessary to develop specialized exercise programs to help polio survivors reduce their weight and strengthen their respiratory muscles.

Keyword

Poliomyelitis; Obesity; Pulmonary function

MeSH Terms

Adipose Tissue
Body Mass Index
Forced Expiratory Volume
Hospitals, University
Humans
Motor Activity
Obesity*
Physical Examination
Poliomyelitis*
Respiratory Muscles
Survivors*
Thorax
Vital Capacity
Waist Circumference

Figure

  • Fig. 1 Scatter plot of BFP and pulmonary function. (a) FVC and (b) FEV1. BFP, body fat percentage; FVC, forced expiratory vital capacity; FEV1, forced expiratory volume in 1 second.


Reference

1. Jubelt B. Post-Polio Syndrome. Curr Treat Options Neurol. 2004; 6:87–93. PMID: 14759341.
Article
2. Kidd D, Howard RS, Williams AJ, Heatley FW, Panayiotopoulos CP, Spencer GT. Late functional deterioration following paralytic poliomyelitis. QJM. 1997; 90:189–196. PMID: 9093596.
Article
3. Kling C, Persson A, Gardulf A. The ADL ability and use of technical aids in persons with late effects of polio. Am J Occup Ther. 2002; 56:457–461. PMID: 12125836.
Article
4. Nollet F, Horemans H, Beelen A. A multicenter, randomized, double-blinded trial of pyridostigmine in postpolio syndrome. Neurology. 2000; 55:899–901. PMID: 10994028.
Article
5. Stolwijk-Swuste JM, Beelen A, Lankhorst GJ, Nollet F. CARPA Study Group. The course of functional status and muscle strength in patients with late-onset sequelae of poliomyelitis: a systematic review. Arch Phys Med Rehabil. 2005; 86:1693–1701. PMID: 16084828.
6. Tjensvoll AB, Gilhus NE. The post-poliomyelitis syndrome: a real complication: a poliomyelitis material from the Haukeland hospital. Tidsskr Nor Laegeforen. 1997; 117:510–513. PMID: 9148448.
7. Trojan DA, Cashman NR. Post-poliomyelitis syndrome. Muscle Nerve. 2005; 31:6–19. PMID: 15599928.
Article
8. Sue DY. Obesity and pulmonary function: more or less? Chest. 1997; 111:844–845. PMID: 9106556.
9. Stevenson FH, Wilson AB, Bottomley AH, Airey DM. Rehabilitation of respiratory function after poliomyelitis. J Bone Joint Surg Br. 1963; 45:326–336.
Article
10. Howard RS, Wiles CM, Spencer GT. The late sequelae of poliomyelitis. Q J Med. 1988; 66:219–232. PMID: 3200962.
11. Chang KH, Lai CH, Chen SC, Hsiao WT, Liou TH, Lee CM. Body composition assessment in Taiwanese individuals with poliomyelitis. Arch Phys Med Rehabil. 2011; 92:1092–1097. PMID: 21704790.
Article
12. Choi JK, Paek D, Lee JO. Normal predictive values of spirometry in Korean population. Tuberc Respir Dis. 2005; 58:230–242.
Article
13. Swallow EB, Reyes D, Hopkinson NS, Man WD, Porcher R, Cetti EJ, et al. Quadriceps strength predicts mortality in patients with moderate to severe chronic obstructive pulmonary disease. Thorax. 2007; 62:115–120. PMID: 17090575.
Article
14. Clark CJ, Cochrane LM, Mackay E, Paton B. Skeletal muscle strength and endurance in patients with mild COPD and the effects of weight training. Eur Respir J. 2000; 15:92–97. PMID: 10678627.
Article
15. Couser JI Jr, Martinez FJ, Celli BR. Pulmonary rehabilitation that includes arm exercise reduces metabolic and ventilatory requirements for simple arm elevation. Chest. 1993; 103:37–41. PMID: 8417932.
Article
16. Berry MJ, Rejeski WJ, Adair NE, Zaccaro D. Exercise rehabilitation and chronic obstructive pulmonary disease stage. Am J Respir Crit Care Med. 1999; 160:1248–1253. PMID: 10508815.
Article
17. Beauchamp MK, Janaudis-Ferreira T, Goldstein RS, Brooks D. Optimal duration of pulmonary rehabilitation for individuals with chronic obstructive pulmonary disease - a systematic review. Chron Respir Dis. 2011; 8:129–140. PMID: 21596893.
Article
18. Jubber AS. Respiratory complications of obesity. Int J Clin Pract. 2004; 58:573–580. PMID: 15311557.
Article
19. Janssen I, Katzmarzyk PT, Ross R. Body mass index, waist circumference, and health risk: evidence in support of current National Institutes of Health guidelines. Arch Intern Med. 2002; 162:2074–2079. PMID: 12374515.
20. Pistelli F, Bottai M, Viegi G, Di Pede F, Carrozzi L, Baldacci S, et al. Smooth reference equations for slow vital capacity and flow-volume curve indexes. Am J Respir Crit Care Med. 2000; 161(3 Pt 1):899–905. PMID: 10712340.
Article
21. Fabris De Souza SA, Faintuch J, Greve JW, Cecconello I. Role of body mass index in pulmonary function of morbidly obese subjects. Chest. 2007; 132(4 Suppl):613–614.
Article
22. Sin DD, Jones RL, Man SF. Obesity is a risk factor for dyspnea but not for airflow obstruction. Arch Intern Med. 2002; 162:1477–1481. PMID: 12090884.
Article
23. Mannino DM, Doherty DE, Sonia Buist A. Global Initiative on Obstructive Lung Disease (GOLD) classification of lung disease and mortality: findings from the Atherosclerosis Risk in Communities (ARIC) study. Respir Med. 2006; 100:115–122. PMID: 15893923.
Article
24. Lin WY, Yao CA, Wang HC, Huang KC. Impaired lung function is associated with obesity and metabolic syndrome in adults. Obesity (Silver Spring). 2006; 14:1654–1661. PMID: 17030977.
Article
25. Polio Australia Incorporated. The late effects of polio: introduction to clinical practice. Kew East: Polio Australia Incorporated;2012.
26. Choi KS, Han JH, Hwang SK, Kang BS. The effects of body fat rate on pulmonary function and oxygen uptake in adult obesity men. Korean J Sports Med. 1998; 16:71–79.
27. Ray RM, Senders CW. Airway management in the obese child. Pediatr Clin North Am. 2001; 48:1055–1063. PMID: 11494638.
Article
28. Harik-Khan RI, Wise RA, Fleg JL. The effect of gender on the relationship between body fat distribution and lung function. J Clin Epidemiol. 2001; 54:399–406. PMID: 11297889.
Article
29. Wise RA, Enright PL, Connett JE, Anthonisen NR, Kanner RE, Lindgren P, et al. Effect of weight gain on pulmonary function after smoking cessation in the Lung Health Study. Am J Respir Crit Care Med. 1998; 157(3 Pt 1):866–872. PMID: 9517604.
Article
30. McDonnell WF, Seal E Jr. Relationships between lung function and physical characteristics in young adult black and white males and females. Eur Respir J. 1991; 4:279–289. PMID: 1864343.
31. Korea Health Industry Development Institute. Ministry of Health and Welfare. Report on 2011 Korea National Health and Nutrition Examination Survey. Seoul: Ministry of Health and Welfare;2012.
32. Dean E, Ross J, Road JD, Courtenay L, Madill KJ. Pulmonary function in individuals with a history of poliomyelitis. Chest. 1991; 100:118–123. PMID: 2060329.
Article
33. Klefbeck B, Lagerstrand L, Mattsson E. Inspiratory muscle training in patients with prior polio who use part-time assisted ventilation. Arch Phys Med Rehabil. 2000; 81:1065–1071. PMID: 10943756.
Article
34. Bottai M, Pistelli F, Di Pede F, Carrozzi L, Baldacci S, Matteelli G, et al. Longitudinal changes of body mass index, spirometry and diffusion in a general population. Eur Respir J. 2002; 20:665–673. PMID: 12358345.
Article
35. Santana AN, Souza R, Martins AP, Macedo F, Rascovski A, Salge JM. The effect of massive weight loss on pulmonary function of morbid obese patients. Respir Med. 2006; 100:1100–1104. PMID: 16243500.
Article
36. Leith DE, Bradley M. Ventilatory muscle strength and endurance training. J Appl Physiol. 1976; 41:508–516. PMID: 985393.
Article
Full Text Links
  • ARM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr