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Dtsch Med Wochenschr 2006; 131(8): 393-397
DOI: 10.1055/s-2006-932532
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Pneumologie / Endokrinologie
© Georg Thieme Verlag Stuttgart · New York

Die Adipositas-induzierte respiratorische Dysfunktion bei Kindern und Jugendlichen

Obesity-induced respiratory dysfunction in children and juvenilesJ. Lecheler1 , A. v. Egmond-Fröhlich2
  • 1CJD Asthmazentrum Berchtesgarden
  • 2Kinder-Rehaklinik Bad Kösen
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Publikationsverlauf

eingereicht: 16.8.2005

akzeptiert: 12.1.2006

Publikationsdatum:
15. Februar 2006 (online)

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Zusammenfassung

Die Häufigkeit von Adipositas steigt seit einer Generation in der Bevölkerung ebenso an wie die Häufigkeit von Asthma bronchiale. Epidemiologische Untersuchungen lassen vermuten, dass es kausale Verknüpfungen zwischen diesen beiden Krankheitsbildern gibt.

Die Einschränkungen der Lungenfunktion von Adipositas Betroffener lassen jedoch auch einen anderen Schluss zu: Verminderte Flussraten in der Spirometrie sind in Relation zur gleichsinnig verminderten Vitalkapazität zu sehen, ein pathologischer Ausfall in Hyperreagibilitätstests auf eine funktionelle Veränderung der glatten Muskulatur in den Atemwegen adipöser Patienten zurückzuführen („Bronchial Latching”).

Diese Adipositas-induzierte bronchiale Dysfunktion, die durch erhebliche subjektive Beschwerden (vor allem Belastungsdyspnoe) beeindrucken kann, ist demnach nicht auf eine asthmatypische Veränderung an den Atemwegen zurückzuführen und bedarf keiner antiinflammatorischen oder bronchospasmolytischen Therapie. Körperliches Training und Gewichtsreduktion sind dagegen ein kausaler Behandlungsansatz.

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Dr. Josef Lecheler

CJD Asthmazentrum Berchtesgaden

83471 Berchtesgaden

Telefon: 08652/6000-111

Fax: 08652/6000-273

eMail: Josef.Lecheler@cjd.de