RPM 125 (4).indb

Sao Paulo Med J. 2007;125(4):215-9. O R IG IN A L A R T IC L E Karla Luciana Magnani Antônio José Maria Cataneo Respiratory muscle strength in obese individuals and infl uence of upper-body fat distribution Department of Surgery, Faculdade de Medicina de Botucatu (FMB), Universidade Estadual Paulista (Unesp), Botucatu, São Paulo, Brazil CONTEXT AND OBJECTIVE: Pulmonary dysfunction in obese individuals may be associated with respiratory muscle impairment, and may be infl uenced by predominance of upper-body fat distribution. The objective of this study was to evaluate the strength of respiratory muscles in obese individuals and to analyze the infl uence of adipose tissue distribution. DESIGN AND SETTING: Cross-sectional study on the preoperative period prior to bariatric surgery. Research developed within the Postgraduate General Surgery Program, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (Unesp). METHOD: Respiratory muscle strength was quantifi ed by measuring maximum inspiratory and expiratory pressures (PImax and PEmax) in obese candidates for bariatric surgery. Adipose tissue distribution was assessed using the waisthip circumference ratio (WHR). PImax, PEmax and WHR were compared with normal reference values and also in groups with different body mass index (BMI). RESULTS: We evaluated 23 men and 76 women. All underwent PImax evaluation and 86 underwent PEmax. The mean BMI was 44.42 kg/m2. PImax and PEmax were within normal values; WHR showed that there was predominance of upper-body fat distribution; and there were no correlations among the variables studied. There was no signifi cant variance among the variables PImax, PEmax and WHR when the study population was divided into groups with different BMI. CONCLUSION: In the obese population studied, the excess weight did not result in impairment of respiratory muscle strength, and their predominant upper-body fat distribution also did not infl uence respiratory muscle strength.