Paul D. Scanlon, MD; Paul L. Enright, MD
To the Editors: We remain unconvinced that "obesity may contribute to chronic airflow limitation in men" as reported in a recent issue by Rubinstein and colleagues (1). Although they excluded cigarette smokers, they did not adequately account for persons with asthma. The prevalence of asthma in adults is 5% to 10%, with many persons unaware that they have asthma. Overweight persons may be more likely to overlook mild asthma symptoms, attributing breathing difficulties to obesity. The control group of hospital employees had greater access to medical care and may have been less likely to suffer from occult asthma, creating a
Scanlon PD, Enright PL. Chronic Airflow Limitation and Obesity. Ann Intern Med. ;113:993–994. doi: 10.7326/0003-4819-113-12-993_2
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Published: Ann Intern Med. 1990;113(12):993-994.
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