Obesity May Increase the Incidence of Asthma in Women but Not in Men: Longitudinal Observations from the Canadian National Population Health Surveys

To investigate the possibility of gender specificity for the effect of body mass index (BMI) on development of asthma, the authors used the longitudinal data from the first and second cycles of the National Population Health Survey, conducted in Canada in 1994-1995 and 1996-1997, respectively. Data from 9,149 subjects (4,266 men and 4,883 women) aged 20-64 years who reported no asthma at baseline were used in this analysis. The 2-year cumulative incidence of asthma was estimated by using a bootstrap procedure to take sampling weights and design effects into account. During the 2-year study period, 1.6% of the men and 2.9% of the women developed asthma. Average changes in body weight and BMI over the 2-year observation period were relatively small and were not associated with asthma incidence. However, baseline BMI was a significant predictor for asthma incidence in women. The adjusted odds ratio for women whose baseline BMI was at least 30.0 kg/m(2) versus 20.0-24.9 kg/m(2) was 1.9 (95% confidence interval: 1.1, 3.4), whereas the corresponding odds ratio of 1.1 (95% confidence interval: 0.3, 3.6) for men was not significantly different from unity. The authors concluded that obesity was related to development of asthma in women but not in men.