Abstract

Chronic obstructive pulmonary disease (COPD) represented as inflammatory complication of chronic bronchitis which is characterized by oxidative stress driven phenotypic changes likely enlarged alveoli and increased mucus along with tightened smooth muscle which exaggerate pathological consequences such as breathing problems. The association between COPD and obesity as a metabolic disorder following a variety of environmental stressors include lifestyle change (e.g., diet and e-smoking or marijuana) and air pollution are less likely to be evaluated. People who are suffering with COPD developed extensive suffocation and difficulty breathing, which ultimately leads to fatal conditions in severe cases, for example lung cancer, heart attack, and stroke. Previous studies showed metabolic disorder like obesity appeared as a risk determinant to COPD like breathing problem or deep vein thrombosis and its genetic modification resulted from abnormality of molecular dynamics turned out key trigger in case of immune alteration and inflammation following exposure of several environmental factors which could be linked with comorbidity in secondary chronic diseases pairing with other metabolic disorders (e.g., diabetes, heart disease, cancer or fatty liver disease). Lifestyle changes along with physical activities and management of the diet is worth to reduce COPD symptomatic firing. However, environmental factors like air pollution or particle matter owing to industrialization and urbanization include a variety of dust within indoor life, certain type of e-smoke also triggers the establishment of emphysema and enhances the progression of COPD aligned with molecular alteration in the lung tissue or interaction between different organs. Prediction and prevention skills as key tools of health management and evaluation in case of COPD remains unclear. Integrative care includes clinic assessment (e.g., the body mass index, diets, and metabolic profile using survey following physician guidance) could be coupled cellular and topological interaction between obesity and COPD supplemented with advanced functional and genetic variation utilize human genomics study like single nucleotide polymorphism (SNP). To understand the impact of environmental risk better (e.g., air pollution or particle matter) on pathogenesis of disease or onset of the disease underlying the pulmonary system stratified lifestyle, age, metabolic disorders, diets, and medications, we envision exploring risks such as disease barrier and social determinants along with detection tools which may assess molecular dynamics and their alteration following stress might be associated with COPD in the pathogenesis. Environmental stressors (e.g., air pollution, particle matter, food addictive chemicals, and stress) as epigenetic modifiers could attribute to early phase of COPD onset and pathogenesis which reflect the molecular dynamics and redirection of networking pathways depending on gut immunity. Profiling of secondary metabolites is worth to explicate intervention of metabolism cascade owing to alter molecular sensitivity and connectivity. Utilized multi-dimensional omics such as metabolomics, genomics with exome sequencing, and epigenomics, prevention and prediction skills could visualize a new angle of disease diagnostic under the platform of integrative health care and surveillance supporting to patient’s quality of life.

Highlights

  • Chronic obstructive pulmonary disease or COPD is a distinctive group of respiratory disorders and public burden related disease of the lungs where the patients usually have conditions such as emphysema or chronic bronchitis or both simultaneously [1, 2]

  • This review aims to understand the potential impact of Diet and Obesity on COPD about health intervention between metabolic disorder and risk assessment

  • A systematic survey has revealed an average increase in the overall population who have become susceptible to the development of obesity, which has increased the total number of patients having chronic obstructive pulmonary diseases (COPD) [16]

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Summary

Introduction

Chronic obstructive pulmonary disease or COPD is a distinctive group of respiratory disorders and public burden related disease of the lungs where the patients usually have conditions such as emphysema or chronic bronchitis or both simultaneously [1, 2]. Obesity is one of the leading health risks for the development of chronic obstructive pulmonary disease [13, 16, 17, 19]. In mal-nourished individuals with COPD, nutritional intervention improves muscular strength, pulmonary function, physical performance, and overall quality of life [5, 10] It becomes one of the fundamental strategies to implement interventions to disrupt the development of chronic obstructive pulmonary diseases based on the factors that promote the establishment of obesity and improper diet [12]. Less analytical research is done over the specific interventions and lifestyle alterations that must be integrated to mitigate the problem associated with the influence of obesity and diet on chronic obstructive pulmonary diseases [37, 38]. The intervention focused on molecular alteration, including metabolism dysfunction and inflammation, generic vulnerability, and lifestyle following exposure to various environmental stressors

Potential risk as Environmental stressor
Pathogenesis of COPD in Obese Patients
Intervention
Alternative to lifestyle changes
Visualization of COPD pathogenesis with functional connectivity
Impact of metabolic disorder on COPD and its genetic modification
Future Perspectives
Findings
Conclusion
Full Text
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