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A Dyadic Growth Modeling Approach for Examining Associations Between Weight Gain and Lung Function Decline.

ABSTRACT: The relationship between body weight and lung function is complex. Using a dyadic multilevel linear modeling approach, treating body mass index (BMI; weight (kg)/height (m)2) and lung function as paired, within-person outcomes, we tested the hypothesis that persons with more rapid increase in BMI exhibit more rapid decline in lung function, as measured by forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and their ratio (FEV1:FVC). Models included random intercepts and slopes and adjusted for sociodemographic and smoking-related factors. A sample of 9,115 adults with paired measurements of BMI and lung function taken at ≥3 visits were selected from a pooled set of 5 US population-based cohort studies (1983-2018; mean age at baseline = 46 years; median follow-up, 19 years). At age 46 years, average annual rates of change in BMI, FEV1, FVC, and FEV1:FVC ratio were 0.22 kg/m2/year, -25.50 mL/year, -21.99 mL/year, and -0.24%/year, respectively. Persons with steeper BMI increases had faster declines in FEV1 (r = -0.16) and FVC (r = -0.26) and slower declines in FEV1:FVC ratio (r = 0.11) (all P values < 0.0001). Results were similar in subgroup analyses. Residual correlations were negative (P < 0.0001), suggesting additional interdependence between BMI and lung function. Results show that greater rates of weight gain are associated with greater rates of lung function loss.

SUBMITTER: Cornelius T

PROVIDER: S-EPMC7670871 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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A Dyadic Growth Modeling Approach for Examining Associations Between Weight Gain and Lung Function Decline.

Cornelius Talea T Schwartz Joseph E JE Balte Pallavi P Bhatt Surya P SP Cassano Patricia A PA Currow David D Jacobs David R DR Johnson Miriam M Kalhan Ravi R Kronmal Richard R Loehr Laura L O'Connor George T GT Smith Benjamin B White Wendy B WB Yende Sachin S Oelsner Elizabeth C EC

American journal of epidemiology 20201001 10

The relationship between body weight and lung function is complex. Using a dyadic multilevel linear modeling approach, treating body mass index (BMI; weight (kg)/height (m)2) and lung function as paired, within-person outcomes, we tested the hypothesis that persons with more rapid increase in BMI exhibit more rapid decline in lung function, as measured by forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and their ratio (FEV1:FVC). Models included random intercepts and sl ...[more]

PMID: 32286615

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A Dyadic Growth Modeling Approach for Examining Associations Between Weight Gain and Lung Function Decline.

Publications

A Dyadic Growth Modeling Approach for Examining Associations Between Weight Gain and Lung Function Decline.

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