Harvard study links obesity to asthma
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An asthma patient
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April 26, 1998
Web posted at: 10:50 a.m. EDT (1450 GMT)
BOSTON (CNN) -- People who suffer from obesity are three
times more likely to develop asthma, according to a study by
Harvard Medical School.
For years, doctors have suspected a link between obesity and
asthma. The presumption was always that asthma develops
first, and that the respiratory limitations it causes makes
it difficult for sufferers to exercise, which leads to
obesity.
The Harvard study, by Dr. Carlos A. Camargo Jr., was designed
to prove the theory. Instead, Camargo found that obesity
develops first.
"What we found is that the heavier you are ... the more
likely you are to get asthma," Camargo told CNN.
Both obesity and asthma are on the rise in developed nations.
In the United States, where health officials say one in three
people are obese, the rate of asthma rose 61 percent from
1982 to 1994.
An estimated 15 million U.S. citizens suffer from asthma.
The condition kills an estimated 5,000 people a year.
Camargo followed 89,061 nurses between 1991 and 1995, noting
their weight and height from the start of the study. Age,
race, smoking and physical activity were factored into the
study. Camargo found that 1,652 of the nurses developed
asthma.
The findings only apply to adults. A study on a correlation
between asthma and obesity in children is under way.
The study did not determine how obesity increases the risk of
asthma, but Camargo speculates that excess weight compresses
the airways, making them smaller and therefore more reactive
to cold and other asthma triggers.
Critics say Camargo's study is useful, but that it raises
more questions than it answers. More studies are needed to
back up his findings, critics say.
"The explanation about compressing airways seems too
simplistic," said Dr. Ronald M. Ferdman, an asthma specialist
at Childrens Hospital Los Angeles.
Others in the field wondered about a possible genetic link
between asthma and obesity, and suggested more data be
collected about the exercise habits of asthma sufferers.
The Harvard study is the first to link obesity and asthma.
The results are to be presented this week at the
international conference of the American Thoracic Society and
the American Lung Association to be held in Chicago.
Correspondent Elizabeth Cohen and The Associated Press contributed to this report.