Evidence map›Paper›PMID 21819338›Full record

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

Effects of obstructive sleep apnea and gastroesophageal reflux disease on asthma control in obesity.

Anne E Dixon, Emmanuelle M Clerisme-Beaty, Elizabeth A Sugar, Rubin I Cohen, Jason E Lang, Ellen D Brown, Joel E Richter, Charles G Irvin, John G Mastronarde

Abstract 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 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 64 citations in OpenAlex.

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  8. Article
  9. The Role of Peptides in Asthma-Obesity Phenotype.International journal of molecular sciences · 2024
    Review
  10. Management of the pediatric patient with asthma and obesity.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2024
    Review
  11. The Role of Comorbidities in Difficult-to-Control Asthma in Adults and Children.The journal of allergy and clinical immunology. In practice · 2022
    Article
  12. Asthma and Three Colinear Comorbidities: Obesity, OSA, and GERD.The journal of allergy and clinical immunology. In practice · 2021
    Review
  13. Review
  14. Article
  15. The Effects of Obesity in Asthma.Current allergy and asthma reports · 2019
    Review
  16. Review
  17. Asthma, GERD and Obesity: Triangle of Inflammation.Indian journal of pediatrics · 2018
    Review
  18. Review
  19. Central obesity and other factors associated with uncontrolled asthma in women.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2015
    Article
  20. Obesity in asthma: approaches to treatment.Current allergy and asthma reports · 2013
    Review
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

9 authors at 4 institutions in 1 country.

Anne E DixonDepartment of Medicine, University of Vermont College of Medicine, Burlington, VT 05405, USA. dixon@vtmednet.org
Emmanuelle M Clerisme-Beaty
Elizabeth A Sugar
Rubin I Cohen
Jason E Lang
Ellen D Brown
Joel E Richter
Charles G Irvin
John G Mastronarde
University of Vermont · USJohns Hopkins University · USNorthwell Health · USThe Ohio State University · US

Funding

MULTIDISCIPLINARY TRAINING PROGRAM IN LUNG DISEASEST32HL007534 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Nadia N Hansel, Larissa A. Shimoda · 1985 to 2026
$28.3M
WEIGHT LOSS & ASTHMAP20RR015557 · NCRR · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI IRVIN, CHARLES G · 2000 to 2009
$21.4M
Clinical Trial of Acid Reflux Therapy in AsthmaU01HL072968 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WISE, ROBERT A. · 2003 to 2007
$3.7M
NCRR NIH HHS P20 RR015557NHLBI NIH HHS T32 HL007534NHLBI NIH HHS U01 HL072968NHLBI NIH HHS U01HL072968
6 · The paper itself

Abstract

backgroundObesity is a risk factor for asthma. Obese asthmatics often have poor asthma control and respond poorly to therapy. It has been suggested that co-morbidities associated with obesity, such as reflux and obstructive sleep apnea, could be important factors contributing to poor asthma control in obese patients.

objectivesThe purpose of this study was to determine if (1) reflux and/or (2) symptoms of sleep apnea contribute to poor asthma control in obesity.

methodsWe studied asthmatic subjects participating in a trial of reflux treatment. Participants underwent baseline evaluation of asthma symptoms and lung function. Overall 304 participants underwent esophageal pH probe testing; 246 participants were evaluated for obstructive sleep apnea symptoms.

resultsOf 402 participants in this trial, 51% were obese. Role of reflux in asthma control. Those with higher body mass index (BMI) reported a higher prevalence of reflux symptoms, but the prevalence of pH probe acid reflux was similar in all groups. Reflux was not associated with measures of asthma control in obese patients. Role of obstructive sleep apnea in asthma control. Symptoms and self-report of obstructive sleep apnea were more common with increasing BMI and associated with worse asthma control as measured by the Juniper Asthma Control questionnaire and Asthma Symptom Utility Index.

conclusionsOur data suggest that obstructive sleep apnea, but not gastroesophageal reflux disease, may contribute significantly to poor asthma control in obese patients.

Indexed as

ComorbidityAdultAsthmaBody Mass IndexFemaleGastroesophageal RefluxHumansMaleMiddle AgedObesityRisk FactorsSeverity of Illness IndexSleep Apnea, Obstructive

Identifiers

PMID21819338
PMCPMC3171804
OpenAlexW1963746670

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.