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Obesity hypoventilation (HI-po-ven-tih-LA-shun) syndrome (OHS) is a breathing disorder that affects some obese people. In OHS, poor breathing results in too much carbon dioxide (hypoventilation) and too little oxygen in the blood (hypoxemia). OHS sometimes is called Pickwickian syndrome. To understand OHS, it helps to understand how the lungs work.
Common specific causes of obesity include: 1  eating a poor diet of foods high in fats and calories. 2  having a sedentary (inactive) lifestyle. 3  not sleeping enough, which can lead to hormonal changes that make you feel more hungry and crave certain high-calorie foods.