Analysis of pulmonary function tests, BMI and blood pressure

Main Article Content

Andrea Lebreiro Guimaraes Venerabile
Gláucia Macedo de Lima
Ingrid David Marins Giuliani
Manuela Barros de Alarcão Bento
Ingrid dos Anjos Teixeira

Abstract

Objectives: Asthma, obesity and hypertension are conditions with high prevalence today, which increase morbidity and mortality of pediatric patients in the future. This study aims to determine the prevalence of obstructive ventilatory defects (OVD), bronchial hyper-reactivity (BHR), abnormal blood pressure at rest, hypertensive peak during exercise testing, correlating these variables with BMI. Methods: Cross-sectional, retrospective, descriptive and analytical study. Were evaluated 537 asthmatics of Asthma Pole of Municipal Hospital of Piedade, who performed pulmonary function tests, bronchoconstriction exercise test on a treadmill and bronchodilator test with salbutamol, from 1999 to 2009. Chi-square and relative risk with confidence interval 95% (CI) of 95% were performed. Results: BHR in 344 of the 537 patients evaluated (64%), altered pressure in 46 of the 422 patients analyzed (10.9%), hypertensive peak in 53 of the 420 patients studied (12.6%). Conclusions: Asthmatics with high BMI are 2.87 times more at risk of having their PA changed at rest and 3.84 times more risk for hypertensive peak physical exercise (p < 0.001). Asthmatics with BHR is 1.97 times more at risk of having OVD (p <0.001). Conclusions: Analysis of asthmatic with pulmonary function tests showed elevated BMI associated with elevated blood pressure.

Downloads

Download data is not yet available.
👁 Abstract Views: 0📥 PDF (Português (Brasil)) Downloads: 0

Article Details

How to Cite
Venerabile, A. L. G., Lima, G. M. de, Giuliani, I. D. M., Bento, M. B. de A., & Teixeira, I. dos A. (2026). Analysis of pulmonary function tests, BMI and blood pressure. Revista De Pediatria SOPERJ, 16(2), 26–30. Retrieved from https://revistadepediatriasoperj.org.br/rps/article/view/367
Section
Artigo Original

References

1. Guedes DP, Paula IG, Guedes JERP, Stanganelli LCR. Prevalência de sobrepeso e obesidade em crianças e adolescentes: estimativas relacionadas ao sexo, à idade e à classe socioeconômica. Rev Bras Educ Fís

Esp 2006; 20(3): 151-63.

2. Sinaiko A. Obesity, insulin resistance and the metabolic syndrome. J Pediatr (Rio J). 2007; 83(1): 3-5.

3. Sutherland ER, Martin RJ. Distal lung inflammation in asthma. Ann Allergy Asthma Immuno. 2002; 89: 119-124.

4. Sociedade Brasileira de Pneumologia e Tisiologia. Diretrizes para o Manejo da Asma. J Bras Pneumol 2012; 38(Supl 1): S1-S46.

5. Cintra IP, Passos MA, Fisberg M, Machado HC. Evolution of body mass index in two historical series of adolescents. J Pediatr 2007; 83(2): 157-162.

6. Madeira IR, Carvalho CN, Gazolla FM, Pinto LW, Borges MA, Bordallo MA. Impact of obesity on metabolic syndrome components and adipokines in prepubertal children. J Pediatr 2009; 85 (3): 261-268.

7. Shore SA. Obesity and asthma: Possible mechanisms. J Allergy Clin Immunol 2008; 121: 1087-93.

8. Camilo DF, Ribeiro JD, Toro AD, Baracat EC, Barros Filho AA. Obesity and asthma: association or coincidence? J Pediatr 2010; 86(1): 6-14.

9. Boran P, Tokuc G, Pisgin B, Oktem S, Yegin Z, Bostan O. Impact of obesity on ventilatory function. J Pediatr 2007; 83(2): 171-176.

10. Drumond SC, Fontes MJF, Assis I, Duarte MA, Lamounier JA, Orlandi LCL, et al. Comparação entre três equações de referência para a espirometria em crianças e adolescentes com diferentes índices de massa corpórea. J Bras Pneumol 2009; 35(5): 415-422.

11. Cieslak F, Milano GE, Lopes WA, Radominski RB, Rosário Filho NA, Leite N. O efeito da obesidade sobre parâmetros espirométricos em adolescentes submetidos à broncoprovocação por exercício. Acta Scientiarum. Health Sciences 2010; 32(1): 43-50.

12. Ford ES. The epidemiology of obesity and asthma. The Journal of Allergy and Clinical Immunology 2005; 115(5): 897-909.

13. Christofaro DG, Fernandes RA, Polito MD, Romanzini M, Ronque ER, Gobbo LA, et al. A comparison between overweight cutoff points for detection of high blood pressure in adolescents. J Pediatr 2009; 85(4): 353-358.

14. Becker MMC, Silva OB, Moreira IEG, Victor EG. Pressão arterial em adolescentes durante teste ergométrico. Arq Bras Cardiol 2007; 88(3): 329-333.

15. Rodrigues AN, Perez AJ, Carletti L, Bissoli NS, Abreu G. The association between cardiorespiratory fitness and cardiovascular risk in adolescents. RJ Pediatr 2007; 83(5): 429-435.

16. Carletti L, Rodrigues NA, Perez AJ, Vassallo DV. Resposta da pressão arterial ao esforço em adolescentes: influência do sobrepeso e obesidade. Arq Bras Cardiol 2008; 91(1): 1-10.

17. Sociedade Brasileira de Pneumologia e Tisiologia. Diretrizes para Testes de Função Pulmonar. J Pneumol 2002; 28(Supl 3).

18. Lurbe E, Cifkova R, Cruickshankd JK, Dillon MJ, Ferreira I, Invitti C, et al. Management of high blood pressure in children and adolescents: recommendations of the European Society of Hypertension. J Hypertens 2009; 27(9): 1719-1742.

19. Conde WL, Monteiro CA. Body mass index cutoff points for evaluation of nutritional status in Brazilian children and adolescents. J Pediatr 2006; 82: 266-72.

20. Almeida CA, Pinho AP, Ricco RG, Elias CP. Abdominal circumference as an indicator of clinical and laboratory parameters associated with obesity in children and adolescents: comparison between two reference tables. J Pediatr 2007; 83(2): 181-185.

21. Kuschnir MC, Mendonça GA. Risk factors associated with arterial hypertension in adolescents. J Pediatr 2007; 83(4): 335-342.

22. Rodrigues JC, Takahashi A, Olmos FMA, Souza JB, Bussamra MHF, Cardieri JM. Efeito do índice de massa corpórea na gravidade da asma e na reatividade brônquica induzida pelo exercício em crianças asmáticas com sobrepeso e obesas. Rev Paul Pediatr 2007; 25(3): 207-13.