Asthma

  • Rowing_Ant

    Posts: 1504

    Mar 18, 2013 10:17 AM GMT
    So here we go with a long rambly post.

    my other half purchased a new house in December. It is.....a "money pit". The plaster needs replacing as it is rotting; there is rising damp and mouldy wall paper; the floors are covered with ancient shagpile carpet. The air is stale as there is no ventillation...

    And, being Asthmatic this has played bally hell with it. Ive gone from hardly noticing I have Asthma to being wheezy, having had two attacks and being told by my GP and Asthma Nurse to move out. Which is nice.

    Anyhoo. Ive seen the Asthma Specialist at the hospital and she says to get my Asthma under control I need to lower my BMI and body fat %. She is of the opinion there is a direct correlation between Asthma and high BMI and body fat. Whilst I can see that if you are fat, I cannot make the link in my head if you have a high BMI from lean muscle ( and we all know BMI is a bit dodgy).

    She has told me to loose weight (Im curently 73kg - she wants me sub 70kg) and also reduce my body fat % to 15% or less. She has told me to stop Hypertrophy training and to do Cardio.

    Is this right? Ive spoken to a colleague who agrees that BMI is dodgy and if I want to keep on with Hypertrophy should do and the body fat will come off; Dropping below 15% he says is achievable.

    I was also recommended to do Cadio training relevant to keeping Asthma under control but given nothing else other than that. Any advice?
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    Mar 18, 2013 2:25 PM GMT
    How long have you been seeing this asthma specialist? I'm not a respiratory therapist but normally, a high BMI related to high body fat results in sleep apnea. I just don't understand how a high BMI is related to bronchospasm. Maybe you need to get a different opinion.
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    Mar 18, 2013 2:38 PM GMT
    Is you asthma specialist adverse to prescribing you any controller medications?

    Upping cardio is always good for asthmatics as it increases lung capacity, but it doesn't help that much if your lungs are under environmental assault at your BFs house.

    I've been dealing with asthma since I was a young child, and the meds available today are way better than when I was younger.
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    Mar 18, 2013 2:43 PM GMT
    I've heard only very little about asthma and obesity (not that I'm saying you're obese because you aren't).
    Generally some will say that in obese people, their lungs are under-expanded, taking smaller breaths, overtime their lungs become more narrow and are more susceptible to irritation that can induce asthma.
    That or I'm thinking maybe she's making a link through inflammation since obesity and asthma have both been linked to inflammation.

    I don't know if she's leading towards that a higher BMI leaves you more susceptible to inflammation and thus more susceptible to asthma?

    Again though the only things I've seen that relate BMI to asthma is in obesity so if you're BMI is well under 30, I'm not sure how effective her management will be.

    Anyway it might sound like you are having environmental induced asthma from what you posted and so maybe a air humidifier/cleanser machine might help.
    Reducing your BMI might help dealing with asthma outside that house, but if there are allergens in the house that are inducing your asthma, losing weight won't help you there lol since it's more of a reaction to foreign particles.

    I'd probably agree with Erik101 and get another opinion.

    ______________________

    Side note:
    I have to agree with the poster beneath me in that the BMI is not always an accurate measure of body fat.
    Muscle weighs more than fat so a muscular person may have a BMI that would classify them as 'obese' when they aren't.
  • Medjai

    Posts: 2671

    Mar 18, 2013 3:08 PM GMT
    I am not a professional, but it sounds like she is operating off the old idea that high BMI means fat, without taking muscle mass into account. If you're uncomfortable with her recommendation, you are free to get a second opinion or further explanation,
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    Mar 18, 2013 3:20 PM GMT
    I have to agree that it seems she is still operating from the old paradigm that high BMI equals fat. Being obese certainly increases inflammatory cytokines in the body and may be linked to a worsening of asthma in susceptible individuals. In this case, I don't think changing your exercise routine is going to result in a magic ability to tolerate environmental irritants like molds and mildews. That being said a regular mix of cardio and weight training is good for you period and regular intense cardio can tame down an overactive immune system a little bit. But I highly doubt it would be enough to significantly reverse the aggravation of your asthma. To me the cause and solution are pretty obvious, you're going to have to minimize your exposure to that house while significant improvements in the air quality are made, or move out. As good as our medications might be these days, the ability to control symptoms well while chronically exposed to highly irritating environmental toxins is still pretty limited. While we may be able to control the airway spasms with bronchodilators, the overall control and the impact on your health and markers of inflammation will probably continue to worsen without changes being made in your environment. All that being said, I'm not an MD, just a medical research student; so as always talk with a healthcare provider you trust and when in doubt get a second opinion. If the first two conflict get a third.
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    Mar 18, 2013 3:59 PM GMT
    i had a horrible asthma since i was 3 years old

    my dad made a plan ,he made a garden full of edible greenies , fruits & herbs & everytime i feel suffucated , i go in my garden & its 5 years I lost my asthma severity

    replace all asbestos if possible , google a list of garden weeds , grasses that cause asthma , do a little excercise, clean dusty window panes ,& everything everyday


    it solves 90% of asthma problem.
    indian curries lower the asthma with many spices

    tell me the report
  • Rowing_Ant

    Posts: 1504

    Mar 18, 2013 6:24 PM GMT
    Thanks for the advice!!

    Ive spoken to a colleague who is a personal trainer and like me he says that BMI is rubbish because he would also be Obese. He recommends I do Cardio to lower my body fat % and that the reduction my Asthma Specialist would like to see is perfectly possible and might help.

    I am currently using a Steroid Inhaler (two puffs in the morning) and a Salbutomol inhaler as a reliever. I am finding the more I do cardio the better my peak flow is and the easier to breathe it is. I have got a list as long as my arm of alterations to make to my living environmenet, but my BF cannot afford to do any of them, and is basically ignoring them because of that. I've told him its a dumping issue.
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    Mar 18, 2013 8:39 PM GMT
    Have you considered getting a HEPA air filter for the bedroom at your BFs house? It could help to lessen any symptoms you have when you're over there, and is a good interim solution for as long as the renovations take.
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    Mar 18, 2013 9:49 PM GMT
    I've suffered from asthma from a very young age. Even with a controller medication and your albuterol inhaler, if you can't change the environment things will not get better. In fact, over time things could get worse. Especially at night when your sleeping.

    Weight can play a roll in breathing difficulty but it doesn't look like you are heavy at all.
  • Rowing_Ant

    Posts: 1504

    Mar 18, 2013 10:17 PM GMT
    Sorry to hear that. My asthma since I was diagnosed ten years ago has been hardly noticeable. Nothing. Yet since htis house move and all the stress Ive been hardly able to breathe. The problem is, since moving in with my BF in his....wreck...of a house....is its home and either I leave him and the house and have to find my own place (Im out of work at hte mo) or stay here and dont get any better. ARGH
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    Mar 18, 2013 10:38 PM GMT
    I know that you are kind of between a rock and a hard place right now but breathing really isn't something that you should mess with. The longer you expose yourself to the allergens the worse it could get. If your not careful you could go into full status asthmaticus which isn't good at all.
  • Rowing_Ant

    Posts: 1504

    Mar 19, 2013 10:08 AM GMT
    Well I'm going home to my moms today or tomorrow for a few days to see how things improve. I find it a lot easier at my BFs with the windows open and heating off. (with the heating off, the smell of damp and mould especially downstairs is disgusting)
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    Mar 23, 2013 3:23 PM GMT
    Rowing_Ant saidSo here we go with a long rambly post.

    my other half purchased a new house in December. It is.....a "money pit". The plaster needs replacing as it is rotting; there is rising damp and mouldy wall paper; the floors are covered with ancient shagpile carpet. The air is stale as there is no ventillation...

    And, being Asthmatic this has played bally hell with it. Ive gone from hardly noticing I have Asthma to being wheezy, having had two attacks and being told by my GP and Asthma Nurse to move out. Which is nice.

    Anyhoo. Ive seen the Asthma Specialist at the hospital and she says to get my Asthma under control I need to lower my BMI and body fat %. She is of the opinion there is a direct correlation between Asthma and high BMI and body fat. Whilst I can see that if you are fat, I cannot make the link in my head if you have a high BMI from lean muscle ( and we all know BMI is a bit dodgy).

    She has told me to loose weight (Im curently 73kg - she wants me sub 70kg) and also reduce my body fat % to 15% or less. She has told me to stop Hypertrophy training and to do Cardio.

    Is this right? Ive spoken to a colleague who agrees that BMI is dodgy and if I want to keep on with Hypertrophy should do and the body fat will come off; Dropping below 15% he says is achievable.

    I was also recommended to do Cadio training relevant to keeping Asthma under control but given nothing else other than that. Any advice?


    I too have asthma, although it isn't as serious as yours apparently is. I have a few thoughts.

    Are you on any meds? For what it's worth, whenever I get an upper respiratory infection, even a mild cold, I immediately go on Advair (an inhaled med). It helps a lot and usually within about 24-48 hours.

    Regarding weight, yes, this can be a problem. I used to be overweight and carry excessive fat, but took weight off and reduced fat (thanks, in part, to doing a lot of speed walking) after my pulmonologist recommended that I lose weight, because I also had borderline sleep apnea.

    I'm not certain that there is a positive correlation between asthma and high body fat, but certainly the latter makes it harder to breathe. In the event you do little or no cardio, you might find cardio beneficial, although I hardly think this requires suspending all hypertrophy work, especially when you consider that the latter is shown to help reduce fat.

    Of course, as you noted, weight as measured solely by BMI, is not the be all and end all. Has your body fat been scientifically measured? If not, perhaps you should have it done and/or get a second opinion about losing weight. In addition, if you or the health professionals with whom you consult, suspect sleep apnea you should be tested for this.

    Also, sometimes I suffer from allergies, specifically airborne allergens, such as dust, mold, etc. This can cause significant breathing problems, postnasal drip, coughing, etc. Maybe this is part of your problem. A good air filter has sometimes helped me. You might consider this. In addition, I think it is vital that you work hard on reducing dust, mold, etc. in your home. If you do have allergies and they are persistent, you may with to consult with an allergist.

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    Mar 24, 2013 6:39 PM GMT
    Unintended said
    justin_pal said

    I'm not certain that there is a positive correlation between asthma and high body fat, but certainly the latter makes it harder to breathe. In the event you do little or no cardio, you might find cardio beneficial, although I hardly think this requires suspending all hypertrophy work, especially when you consider that the latter is shown to help reduce fat.



    There is a proven correlation to Asthma and obesity and one that is fairly strong.

    That's it. There's a correlation, but it's not a causation.
    The majority of people with high BMIs don't get (much) exercise or fresh air, or eat healthful foods.

    Having a high body fat will impair lung function, which is already limited by your asthma.

    You say that your attacks were due to the environmental factors (your guy's house), and the specialist is looking to minimize any other factors that might contribute to your asthma and/or impair lung function.
  • Hyperion

    Posts: 12

    Apr 09, 2013 7:23 AM GMT
    Even if you were obese, which I don't think you are, clearly it is the change in your environment that has cause the acute decompensation of your asthma. Unfortunately asthma is largely influenced by where you live. Exposing yourself to allergens that you are hypersensitive to is problematic and unwise. Sure weight probably plays a role for you, but it's obviously associated with your move. Sorry to say....

    As for BMI, it's a general tool and has its uses. Anyone with half a brain knows who it works for and when it likely is misleading.

    Hope things get better for you...
  • nperson91

    Posts: 29

    Aug 16, 2013 9:33 PM GMT
    I have asthma too. It doesn't affect my cardio, though. If you push through it, your body will get stronger and your asthma won't bother you as much. The only time my asthma really gets crazy is when I get a cold or something. Other than that, keep running! Being active is probably the best thing to fight against it naturally.