Contemporary management techniques of asthma in obese patients. (3rd March 2020)

• Record Type: Journal Article
• Authors: Althoff, Meghan; Holguin, Fernando
• Is Part Of: Expert review of respiratory medicine. Volume 14:Number 3(2020)
• Page Start: 249
• Page End: 257
• Publication Date: 2020-03-03
• Subjects: Asthma -- obesity -- treatment -- oxidative stress -- diet; Respiratory organs -- Diseases -- Periodicals; Respiratory organs -- Diseases -- Treatment -- Periodicals; 616.2005
• DOI: 10.1080/17476348.2020.1706486
• Languages: English
• ISSNs: 1747-6348

Abstract

ABSTRACT: Introduction : Obesity-associated asthma represents a heterogeneous group of clinical phenotypes, including an adult-onset phenotype. These patients often have difficult to control symptoms and often are less likely to respond to conventional asthma therapies. Areas covered : This review covers the effects of lifestyle interventions, including diet and weight loss, effect asthma outcomes and how obesity-associated asthma responds to conventional approaches to asthma management. Expert opinion : Management of obesity-associated asthma should include lifestyle modifications aimed at weight reduction, management of other co-morbidities, and limiting systemic steroids. As many of these patients have non-Th2 asthma, long-acting muscarinic antagonists and macrolides may be potentially helpful. Medications to treat metabolic syndrome.