Evidence map›Paper›PMID 21091180›Full record

ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2011

Effect of obesity on asthma phenotype is dependent upon asthma severity.

Stacy Raviv, Anne E Dixon, Ravi Kalhan, David Shade, Lewis J Smith

Open access · greenAbstract read
In one paragraph

Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Overweight, Obesity, and Lung Function in Children and Adults-A Meta-analysis.The journal of allergy and clinical immunology. In practice
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Therapeutic ketosis decreases methacholine hyperresponsiveness in mouse models of inherent obese asthma.American journal of physiology. Lung cellular and molecular physiology · 2022
    Article
  8. Article
  9. Article
  10. Evaluation and treatment of critical asthma syndrome in children.Clinical reviews in allergy & immunology · 2015
    Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Stacy RavivDepartment of Pulmonary and Critical Care Medicine, Northshore University Health System, Evanston, IL, USA.
Anne E Dixon
Ravi Kalhan
David Shade
Lewis J Smith
Northwestern University · USJohns Hopkins University · USUniversity of Vermont · US

Funding

MULTIDISCIPLINARY CLINICAL AND TRANSLATIONAL SCIENCE (MCTS) PROGRAM (UL1)UL1RR025741 · NCRR · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GREENLAND, PHILIP · 2008 to 2011
$24.7M
Clinical Trial of Acid Reflux Therapy in AsthmaU01HL072968 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WISE, ROBERT A. · 2003 to 2007
$3.7M
NCRR NIH HHS UL1 RR025741NHLBI NIH HHS 5U01HL072968NHLBI NIH HHS U01 HL072968
6 · The paper itself

Abstract

backgroundWe recently reported that obese and non-obese patients with asthma have similar airflow limitation and bronchodilator responsiveness, but obese patients have more symptoms overall. There is limited information on the effect of obesity on asthmatics of varying severity measured by objective physiological parameters. Understanding how obesity affects asthmatics of differing severity can provide insights into the pathogenesis of asthma in the obese and a rationale for the therapeutic approach to such patients.

methodsParticipants with asthma from two American Lung Association--Asthma Clinical Research Center (ALA-ACRC) studies were grouped by tertiles of airflow obstruction (forced expiratory volume in one second (FEV(1)%) predicted, FEV(1)/forced vital capacity (FVC)) and methacholine reactivity (PC(20)FEV(1)). Within each tertile, we examined the independent effect of body mass index (BMI), divided into normal weight, overweight, and obese categories, on lung function, airway reactivity, and symptoms.

resultsOverall, both FEV(1) and FVC decreased and symptoms worsened with increasing BMI; airway reactivity was unchanged. When stratified by the degree of airflow obstruction, higher BMI was not associated with greater airway reactivity to methacholine. Higher BMI was associated with more asthma symptoms only in the least obstructed FEV(1)/FVC tertile. When stratified by degree of airway reactivity, BMI was inversely associated with FVC in all PC(20)FEV(1) tertiles. BMI was directly associated with asthma symptoms only in those with the least airway reactivity.

conclusionsObesity does not influence airway reactivity in patients with asthma and it is associated with more symptoms only in those with less severe disease.

Indexed as

Respiratory Function TestsAdultAsthmaBody Mass IndexFemaleForced Expiratory VolumeHumansMaleObesityPulmonary VentilationVital Capacity

Identifiers

PMID21091180
PMCPMC4007205
OpenAlexW2083666249

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.