Obesity and asthma: pathophysiology and implications for diagnosis and management in primary care.
Bottom Line: The effects of obesity on asthma diagnosis, control, and exacerbation severity are increasingly recognized; however, the underlying pathophysiology of this association is poorly understood.Mainstream clinical practice has yet to adopt aggressive management of obesity as a modifiable risk factor in asthma care, as is the case with a risk factor like tobacco or allergen exposure.Our review suggests that evidence of chronic inflammatory response linking obesity and asthma indicates a need to address obesity during asthma management, possibly using patient-centered approaches such as shared decision making.
Affiliation: Department of Family Medicine, Carolinas HealthCare System, Charlotte, NC 28207, USA.Show MeSH
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Mentions: One example of a novel approach in asthma management is shared decision making (SDM) (Figure 2). SDM is a promising modality that it incorporates cultural beliefs, change theory, and health literacy by partnering with patients in understanding their asthma and developing management plans.Figure 2
Affiliation: Department of Family Medicine, Carolinas HealthCare System, Charlotte, NC 28207, USA.