This study examined the association of anthropometric measurements [body mass index (BMI), waist circumference (WC), percentage body fat (PBF), body roundness index (BRI) and A Body Shape Index (ABSI)] with pulmonary function using a United States national cohort. This cross-sectional study included 7346 participants. The association between anthropometric measurements and pulmonary function was assessed by multivariable linear regression. Where there was evidence of non-linearity, we applied a restricted cubic spline to explore the non-linear association. All analyses were weighted to represent the U.S. population and to account for the intricate survey design. After adjusting for age, race, education, smoking, and physical activity, both underweight and obesity were associated with reduced forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC). Furthermore, the associations between BMI and FEV1, as well as FVC, were reversed U-shape in both males and females. Similar non-linear association shape occurred in WC, PBF, BRI and ABSI. Conclusion: BMI, WC, PBF, BRI, ABSI are non-linearly associated with pulmonary function. Reduced pulmonary function is a risk factor for future all-cause mortality and cardiovascular events; thus, this nonlinearity may explain the U-shape or J-shape association of BMI with overall mortality and cardiovascular events.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [82070851, 81870556, 81670738, 81930019]; Beijing Municipal Administration of Hospital`s Youth Program [QML20170204]; Excellent Talents in Dongcheng District of Beijing; Instituto de Salud Carlos III (Fondo de Investigacion Sanitaria)Instituto de Salud Carlos IIIEuropean Commission [PI 15/00260, PI18/00640]; European UnionEuropean Commission; European Union, European Regional Development Fund (Fondo Europeo de Desarrollo Regional, FEDER, "Una manera de hacer Europa")
第一作者机构:[1]Capital Med Univ,Beijing Tongren Hosp,Beijing,Peoples R China
共同第一作者:
通讯作者:
通讯机构:[2]Capital Med Univ,Beijing Tongren Hosp,Dept Endocrinol,Beijing,Peoples R China[3]Capital Med Univ,Beijing Tongren Hosp,Dept Opthalmol,Beijing,Peoples R China
推荐引用方式(GB/T 7714):
Zhang Rui-Heng,Zhou Jian-Bo,Cai Yao-Hua,et al.Non-linear association of anthropometric measurements and pulmonary function[J].SCIENTIFIC REPORTS.2021,11(1):doi:10.1038/s41598-021-93985-0.
APA:
Zhang, Rui-Heng,Zhou, Jian-Bo,Cai, Yao-Hua,Shu, Lin-Ping,Yang, Jinkui...&Lecube, Albert.(2021).Non-linear association of anthropometric measurements and pulmonary function.SCIENTIFIC REPORTS,11,(1)
MLA:
Zhang, Rui-Heng,et al."Non-linear association of anthropometric measurements and pulmonary function".SCIENTIFIC REPORTS 11..1(2021)