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QUESTION: In obese patients with asthma, does weight loss improve lung function and health status and alleviate symptoms?
Design
Randomised (allocation concealed*), unblinded,* controlled trial with 1 year follow up.
Setting
Outpatient clinic in Helsinki, Finland.
Patients
38 patients who were 18–60 years of age (mean age 49 y, 76% women), had a body mass index of 30 to 42, had asthma with a spontaneous diurnal variation or a bronchodilator response of ≥15%, and were non-smokers. Exclusion criteria were pregnancy; history of bulimia or anorexia; other severe disease, including heart, thyroid, liver, or gallbladder disorders; insulin or systemic steroid treatment; or history of food allergy or intolerance to any element of the intervention diet. Follow up was complete.
Intervention
Patients were allocated to a weight loss group (n=19) or …
Footnotes
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Sources of funding: Finnish Culture Foundation; Association of the Pulmonary Disabled; Wilhelm and Else Stockmann Foundation.
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For correspondence: Dr B Stenius-Aarniala, Department of Medicine, University Central Hospital, PL 340 Helsinki, FIN-00029 HYKS, Finland.