PT - JOURNAL ARTICLE AU - Deane, S AU - Thomson, A TI - Obesity and the pulmonologist AID - 10.1136/adc.2005.072223 DP - 2006 Feb 01 TA - Archives of Disease in Childhood PG - 188--191 VI - 91 IP - 2 4099 - http://adc.bmj.com/content/91/2/188.short 4100 - http://adc.bmj.com/content/91/2/188.full SO - Arch Dis Child2006 Feb 01; 91 AB - Obese children have more respiratory symptoms than their normal weight peers and respiratory related pathology increases with increasing weight. Some will need specialist assessment (box 1). Obesity produces mechanical effects on respiratory system performance. Breathlessness, wheeze, and cough are not related to increased airway responsiveness and may respond more to weight loss than bronchodilator therapy. A significant number of obese children have signs and symptoms of obstructive sleep apnoea largely related to the effect of obesity on upper airway dimensions. It seems likely that unless action is taken soon,34 increasing numbers of children will experience preventable respiratory morbidity as a result of nutritional obesity.