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Allergy, Asthma & Clinical Immunology
Published in: Allergy, Asthma & Clinical Immunology 1/2015

Open Access 01-12-2015 | Research

Central obesity and other factors associated with uncontrolled asthma in women

Authors: Albertina Varandas Capelo, Vania Matos de Fonseca, Maria Virgínia Marques Peixoto, Sonia Regina de Carvalho, Larissa Garcia Guerino

Published in: Allergy, Asthma & Clinical Immunology | Issue 1/2015

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Abstract

Background

Asthma remains an uncontrolled disease. The Comorbidities, particularly obesity, and several other factors have been identified as being individually associated with asthma control, and these factors vary among different countries and between sexes. Studies have suggested that the harmful effects of these factors are greatest among women. The aim of the present study was to identify associated factors with uncontrolled asthma in women at the outpatient clinic of a Federal University Hospital in Rio de Janeiro, Brazil.

Methods

Cross-sectional study with asthmatic women, older than 18 years old. All subjects were included according to stringent criteria. The study used a structured questionnaire with data about demographic variables, education level, comorbid conditions, and disease history. Anthropometric and spirometric measurements were obtained. Asthma control was assessed by three different tools: the Asthma Control Test (ACT), the Asthma Control Questionnaire (ACQ) and the Global Initiative for Asthma (GINA) criteria.

Results

A total of 124 women were included, and 57%, 38% and 21% were totally controlled according to ACT, ACQ and GINA criteria, respectively. A total of 31.5% were obese. According to the CI (Conicity Index) and WC (waist circumference) respectively, 84% and 68% were centrally obese. There was no association between asthma control and age, education, duration of the disease or BMI (Body Mass Index) in the three models, but there was a significant association between central obesity and asthma control with the ACQ and GINA assessment tools, controlling for explanatory variables such as GERD (gastroesophageal reflux disease). Pre-bronchodilator percent predicted forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) were significantly associated with age and FVC was also associated with central obesity.

Conclusions

Asthma remains uncontrolled in women despite treatment, and central obesity seems to have a negative influence on the control of the disease. We believe that women should be studied as a separate group and suggest prospective studies with assessment of fat distribution and biomarkers, controlling for possible comorbidities associated with asthma control.
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Metadata
Title
Central obesity and other factors associated with uncontrolled asthma in women
Authors
Albertina Varandas Capelo
Vania Matos de Fonseca
Maria Virgínia Marques Peixoto
Sonia Regina de Carvalho
Larissa Garcia Guerino
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Allergy, Asthma & Clinical Immunology / Issue 1/2015
Electronic ISSN: 1710-1492
DOI
https://doi.org/10.1186/s13223-015-0076-y

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