Body mass index trajectories from birth to early adulthood and lung function development.


Journal

The European respiratory journal
ISSN: 1399-3003
Titre abrégé: Eur Respir J
Pays: England
ID NLM: 8803460

Informations de publication

Date de publication:
28 Oct 2024
Historique:
received: 12 02 2024
accepted: 14 09 2024
medline: 29 10 2024
pubmed: 29 10 2024
entrez: 28 10 2024
Statut: aheadofprint

Résumé

Limited studies have investigated the influence of body mass index (BMI) trajectories on lung function covering the entire growth period. We conducted a prospective study utilizing data from the Swedish BAMSE birth cohort. Latent class mixture modelling was employed to examine the diversity in BMI z-scores from birth to 24 years of age. Participants with four or more BMI z-scores were included (n=3204, 78·4%). Pre-bronchodilator (BD) spirometry was tested at 8, 16, and 24 years, while post-BD spirometry, multiple-breath nitrogen washout (for lung clearance index, LCI), and urinary metabolomics data were assessed at 24 years. Six distinct BMI development groups were identified. Compared to the stable normal BMI group, the accelerated increasing BMI group exhibited reduced pre- and post-BD FEV Early interventions aiming for normal BMI during childhood may contribute to improved lung health later in life.

Sections du résumé

BACKGROUND BACKGROUND
Limited studies have investigated the influence of body mass index (BMI) trajectories on lung function covering the entire growth period.
METHODS METHODS
We conducted a prospective study utilizing data from the Swedish BAMSE birth cohort. Latent class mixture modelling was employed to examine the diversity in BMI z-scores from birth to 24 years of age. Participants with four or more BMI z-scores were included (n=3204, 78·4%). Pre-bronchodilator (BD) spirometry was tested at 8, 16, and 24 years, while post-BD spirometry, multiple-breath nitrogen washout (for lung clearance index, LCI), and urinary metabolomics data were assessed at 24 years.
RESULTS RESULTS
Six distinct BMI development groups were identified. Compared to the stable normal BMI group, the accelerated increasing BMI group exhibited reduced pre- and post-BD FEV
CONCLUSIONS CONCLUSIONS
Early interventions aiming for normal BMI during childhood may contribute to improved lung health later in life.

Identifiants

pubmed: 39467611
pii: 13993003.00298-2024
doi: 10.1183/13993003.00298-2024
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright ©The authors 2024. For reproduction rights and permissions contact permissions@ersnet.org.

Auteurs

Gang Wang (G)

Division of Internal Medicine, Institute of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University, Sichuan, China gang.wang@ki.se.
Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.

Jenny Hallberg (J)

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Sachs' Children and Youth Hospital, Södersjukhuset, Stockholm, Sweden.

Simon Kebede Merid (SK)

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.

Ashish Kumar (A)

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.

Susanna Klevebro (S)

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Sachs' Children and Youth Hospital, Södersjukhuset, Stockholm, Sweden.

Baninia Habchi (B)

Unit of Integrative Metabolomics, Institute of Environmental Medicine Karolinska Institute, Stockholm, Sweden.

Romanas Chaleckis (R)

Unit of Integrative Metabolomics, Institute of Environmental Medicine Karolinska Institute, Stockholm, Sweden.
Department of Occupational and Environmental Health, Nagoya City University Graduate School of Medical Sciences, Nagoya , Japan.

Craig E Wheelock (CE)

Unit of Integrative Metabolomics, Institute of Environmental Medicine Karolinska Institute, Stockholm, Sweden.
Department of Respiratory Medicine and Allergy, Karolinska University Hospital, Stockholm, Sweden.

Natalia Hernandez-Pacheco (N)

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.

Sandra Ekström (S)

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Centre for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden.

Christer Janson (C)

Department of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.

Inger Kull (I)

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Sachs' Children and Youth Hospital, Södersjukhuset, Stockholm, Sweden.

Anna Bergström (A)

Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Centre for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden.

Erik Melén (E)

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Sachs' Children and Youth Hospital, Södersjukhuset, Stockholm, Sweden.

Classifications MeSH