Association between Body Mass Index (BMI) and fraction of exhaled nitric oxide (FeNO) levels in the National Health and Nutrition Examination Survey (NHANES) 2007-2010

Obesity Research & Clinical Practice
Aditya UppalapatiJoseph R Espiritu

Abstract

Obesity is characterised by chronic, low-grade systemic inflammation. Elevated FeNO levels reflect airway inflammation in various lung diseases including asthma. This is a cross-sectional analysis of data from NHANES 2007-2010. Participants younger than 20 years old with history of cough/cold symptoms in the past 7 days, smoking, exercise in the previous hour, consumption of nitric oxide rich meats/vegetables, or use of inhaled corticosteroids during the previous 2 days were excluded. BMI (in kg/m2) was divided in to 4 categories: underweight (UW) (0-18.5), Normal (N) (≥18.5 to <25), Overweight (OW) (≥25 and <30) and Obese (O) ≥30. There were a total of 149,629,652 weighted participants: UW (22,235,218), N (45,021,536), OW (5,1670,522) and O (50,199,974); 50.36% were men and 49.63% were women. The mean age increased with BMI category [p<.0001]. Mean FeNO levels (in ppb) increased with increasing BMI category: UW (12.52±1.05) N (16.25±0.64), OW (16.62±0.34), and O (16.78±0.39) [p=0.0035]. FEV1/FVC (%) decreased with increasing BMI category: UW (80.68) compared to N (78.51), OW (77.67) and O (78.72) [p=0.0014]. There is a weak yet statistically significant correlation between FeNO levels and both age, BMI. Multivariate analysis p...Continue Reading

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Citations

Jun 25, 2019·Journal of Breath Research·Marta RachelSabina Galiniak
Dec 6, 2019·Pediatric Pulmonology·Bess M FlashnerMary B Rice
Sep 25, 2017·Physiological Research·M AntosovaA Bencova
Aug 2, 2017·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·L L ToennesenV Backer
Nov 6, 2020·International Journal of General Medicine·Noor Al Khathlan, Ayad Mohammed Salem
Jul 13, 2019·The Journal of Allergy and Clinical Immunology. in Practice·Vanessa E MurphyPeter G Gibson
Mar 1, 2019·Pulmonary Pharmacology & Therapeutics·Laurent Guilleminault

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