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Non-linear association of anthropometric measurements and pulmonary function

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机构: [1]Capital Med Univ,Beijing Tongren Hosp,Beijing,Peoples R China [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 [4]Univ Lleida, Hosp Univ Arnau de Vilanova, Inst Recerca Biomed Lleida IRBLleida, Endocrinol & Nutr Dept,Obes Diabet & Metab Res Gr, Lleida, Catalonia, Spain
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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.

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出版当年[2020]版:
大类 | 3 区 综合性期刊
小类 | 3 区 综合性期刊
最新[2023]版:
大类 | 2 区 综合性期刊
小类 | 2 区 综合性期刊
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出版当年[2019]版:
Q1 MULTIDISCIPLINARY SCIENCES
最新[2023]版:
Q1 MULTIDISCIPLINARY SCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Capital Med Univ,Beijing Tongren Hosp,Beijing,Peoples R China
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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
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