Clinically, gross obesity is associated with disturbances of ventilatory function, but less severe obesity is not generally thought to have a significant effect on ventilatory function. The purpose of this report was to examine cross-sectional data to determine the effects of body composition and fat distribution on ventilatory function in 1235 adults (621 men and 614 women). Forced vital capacity (FVC) was used as a measure of ventilatory function and was adjusted for age, height, smoking, and bronchial symptoms in separate models for men and women. Body fat and fat-free mass were estimated from skinfold-thickness measurements. Adjusted FVC was not significantly associated with body mass or body mass index, but was negatively associated with percentage body fat in men (P = 0.0003) and women (P = 0.043) and positively associated with fat-free mass in men (P = 0.018) and women (P = 0.0001). Handgrip strength was positively associated with adjusted FVC in both sexes (P < 0.02), suggesting that the effect of fat-free mass may be mediated by muscular strength. Adjusted FVC was negatively associated with subscapular-skinfold thickness in both sexes (P < 0.0003) and with waist circumference (P = 0.01) and waist-to-hip ratio (P = 0.03) in men. Previous reports that considered only body mass index or body mass failed to distinguish the opposing effects of fat-free mass and fat mass on FVC.

Am J Clin Nutr 1998;68:35-41.

Key words: Respiratory function tests, body composition, body fat, fat-free mass, handgrip strength, forced vital capacity, spirometry, adults, humans

From the Department of Public Health and Community Medicine, University of Sydney, Australia; the Australian Sports Commission, Adelaide, Australia; and the School of Human Movement, Deakin University, Melbourne.