title: Asthma and obesity: is weight reduction the key to achieve asthma control?
abstract: OBJECTIVE
  Obesity has significant negative impact on asthma control and risk of exacerbations. The purpose of this review is to discuss recent studies evaluating the effects of weight reduction on asthma control in obese adults.
  
  
  RESULTS
  Clinical studies have shown that weight reduction in obese patients is associated with improvements in symptoms, use of controller medication, and asthma-related quality of life together with a reduction in the risk for severe exacerbations. Furthermore, several studies have also revealed improvements in lung function and airway responsiveness, and more recently it has been shown that weight reduction following bariatric surgery has positive impact on small airway function, systemic inflammation and bronchial inflammation in this group of patients, which may explain the observed improvements in symptom control and lung function.
  
  
  CONCLUSIONS
  Weight reduction in obese adults with asthma leads to an overall improvement in asthma control, including airway hyperresponsiveness and inflammation. Weight reduction should be a cornerstone in the management of obese patients with asthma.
authors.affiliation: aDepartment of Pulmonary Medicine, Hvidovre Hospital bInstitute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
authors.forename: Charlotte S
authors.initials: CS
authors.lastname: Ulrik
mesh_terms: D001249:Asthma / Q000150:complications* / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D009765:Obesity / Q000150:complications*; D011788:Quality of Life; D012129:Respiratory Function Tests; D012307:Risk Factors; D015431:Weight Loss