Fat found in overweight people’s lungs

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Fatty tissue has been found in the lungs of overweight and obese people for the first time.

Australian researchers analysed lung samples from 52 people and found the amount of fat increased in line with body mass index.

They said their findings could explain why being overweight or obese increased asthma risk.

Lung experts said it would be interesting to see if the effect could be reversed by weight loss.

Increased risk

In the study, published in the European Respiratory Journal, scientists looked at post-mortem samples of lung donated for research.

Fifteen had had no reported asthma, 21 had asthma but died of other causes and 16 died of the condition.

The scientists used dyes to carry out detailed analyses of almost 1,400 airways from the lung samples under the microscope.

The researchers found adipose (fatty) tissue in the walls of airways, with more present in people with a higher body mass index,

And they say the increase in fat appears to alter the normal structure of the airways and cause inflammation in the lungs – which could explain the increased risk of asthma in overweight or obese people.

Direct pressure

Dr Peter Noble, an associate professor at the University of Western Australia, in Perth who worked on the study, said: “Being overweight or obese has already been linked to having asthma or having worse asthma symptoms.

“Researchers have suggested that the link might be explained by the direct pressure of excess weight on the lungs or by a general increase in inflammation created by excess weight.”

But, he said, their study suggested “another mechanism is also at play”.

“We’ve found that excess fat accumulates in the airway walls, where it takes up space and seems to increase inflammation within the lungs,” Dr Noble said.

“We think this is causing a thickening of the airways that limits the flow of air in and out of the lungs and that could at least partly explain an increase in asthma symptoms.”

‘Major importance’

Prof Thierry Troosters, president of the European Respiratory Society, said: “This is an important finding on the relationship between body weight and respiratory disease because it shows how being overweight or obese might be making symptoms worse for people with asthma.

“This goes beyond the simple observation that patients with obesity need to breathe more with activity and exercise.

“The observation points at true airway changes that are associated with obesity.”

He said more research was needed to find out if this build-up of fatty tissue could be reversed through weight loss but asthma patients should be helped to achieve a healthy weight.

Dr Elizabeth Sapey, chair of the science committee at the British Thoracic Society, said this was the first time body weight had been shown to impact the structure of the airways in the lungs.

“Given the increasing incidence of obesity nationally and across the globe, the study could be of major importance in helping us understand why asthma remains a major health issue and identify new ways to improve asthma treatment,” she said.

“It is only a small study though, and we need to assess this in larger groups of patients and in other lung diseases,” Dr Sapey added.

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