Evidence map›Paper›PMID 25742612›Full record

ArticleChest2015

Obesity and bronchodilator response in black and Hispanic children and adolescents with asthma.

Meghan E McGarry, Elizabeth Castellanos, Neeta Thakur, Sam S Oh, Celeste Eng, Adam Davis, Kelley Meade, Michael A LeNoir, Pedro C Avila, Harold J Farber and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in Chest, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 5% 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

62 citing papers in PubMed, 3 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Comparative response to pharmacological management of asthma in overweight/obese childrenEuropean respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Differential gene expression in nasal airway epithelium from overweight or obese youth with asthma.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2022
    Pooled it
  3. Uncovering Outcome Disparities of βJournal of the National Medical Association · 2021
    Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Associations between body weight, asthma burden, and type 2 inflammation among under-resourced children.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Obesity: Next game changer of allergic airway diseases?Clinical and translational medicine · 2025
    Review
  12. Article
  13. Article
  14. Review
  15. Pediatric asthma comorbidities: Global impact and unmet needs.The World Allergy Organization journal · 2024
    Review
  16. Article
  17. Obesity-related pediatric asthma: relationships between pulmonary function and clinical outcomes.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023
    Article
  18. Review
  19. Crosstalk between CD4American journal of respiratory and critical care medicine · 2023
    Article
  20. Review

2 more citing papers are in PubMed but not listed here.

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

20 authors at 11 institutions in 2 countries.

Meghan E McGarryDepartment of Pediatrics, University of California, San Francisco, CA. Electronic address: DrMeghanMcGarry@gmail.com.
Elizabeth CastellanosDepartment of Bioengineering and Therapeutic Sciences, University of California, San Francisco, CA.
Neeta ThakurDepartment of Medicine, University of California, San Francisco, CA.
Sam S OhDepartment of Bioengineering and Therapeutic Sciences, University of California, San Francisco, CA; Department of Medicine, University of California, San Francisco, CA.
Celeste EngDepartment of Medicine, University of California, San Francisco, CA.
Adam DavisChildren's Hospital and Research Center Oakland, Oakland, CA.
Kelley MeadeChildren's Hospital and Research Center Oakland, Oakland, CA.
Michael A LeNoirBay Area Pediatrics, Oakland, CA.
Pedro C AvilaDepartment of Allergy-Immunology, Northwestern University, Chicago, IL.
Harold J FarberDepartment of Pediatrics, Section of Pulmonology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX.
Denise SerebriskyPediatric Pulmonary Division, Jacobi Medical Center, Bronx, NY.
Emerita Brigino-BuenaventuraDepartment of Allergy and Immunology, Kaiser Permanente-Vallejo Medical Center, Vallejo, CA.
William Rodriguez-CintronVeterans Caribbean Health Care System, San Juan, Puerto Rico.
Rajesh KumarAnn and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
Kirsten Bibbins-DomingoSan Francisco General Hospital, San Francisco, CA.
Shannon M ThyneDepartment of Pediatrics, University of California, San Francisco, CA.
Saunak SenDepartment of Bioengineering and Therapeutic Sciences, University of California, San Francisco, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, CA.
Jose R Rodriguez-SantanaCentro de Neumología Pediátrica, San Juan, Puerto Rico.
Luisa N BorrellDepartment of Health Sciences, Lehman College, City University of New York, Bronx, NY.
Esteban G BurchardDepartment of Bioengineering and Therapeutic Sciences, University of California, San Francisco, CA; Department of Medicine, University of California, San Francisco, CA.
University of California, San Francisco · USBaylor College of Medicine · USCentro de Neumologia Pediatrica · PRJacobi Medical Center · USKaiser Permanente Vallejo Medical Center · USKIPP Bay Area Schools · USLehman College · USLurie Children's Hospital · USNorthwestern University · USSan Francisco General Hospital · USVA Caribbean Healthcare System · PR

Funding

Understanding Asthma EndotypesU19AI077439 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI David J Erle · 2008 to 2026
$41.1M
ZOLENDRONIC ACID IN CHILDREN W/ SEVERE OSTEOGENESIS IMPERFECTAM01RR000188 · NCRR · BAYLOR COLLEGE OF MEDICINE · PI LOUIS, CHRYSTAL U · 1985 to 2011
$30.6M
New Approaches for Empowering Studies of Asthma in Populations of African DescentR01HL104608 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BARNES, KATHLEEN C, KENNY, EIMEAR ELIZABETH · 2011 to 2022
$23.1M
CLINICAL, PHARMACOLOGY, DRUG ACTION &PHARMACOKINETICST32GM007546 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Radojka Savic · 1985 to 2026
$8.9M
Social Interventions to address disparities In young adult tobacco useP60MD006902 · NIMHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BIBBINS-DOMINGO, KIRSTEN · 2012 to 2016
$6.4M
Gene-environments and Admixture in Latino Asthmatics (GALA 2)R01ES015794 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BURCHARD, ESTEBAN GONZALEZ · 2008 to 2012
$5.4M
Whole Genome Analyses for Asthma in Latino PopulationsR01HL088133 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BURCHARD, ESTEBAN GONZALEZ · 2008 to 2012
$3.8M
Case-control Association Studies and Genetic ConfoundingR01HL078885 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BURCHARD, ESTEBAN GONZALEZ · 2005 to 2009
$1.9M
NCRR NIH HHS M01 RR000188NCRR NIH HHS M01-RR00188NHLBI NIH HHS R01 HL078885NHLBI NIH HHS R01-HL078885NHLBI NIH HHS R01 HL088133NHLBI NIH HHS R01-HL088133NHLBI NIH HHS R01 HL104608NHLBI NIH HHS R01-HL104608NIAID NIH HHS U19 AI077439NIAID NIH HHS U19-AI077439NIEHS NIH HHS R01 ES015794NIEHS NIH HHS R01-ES015794NIGMS NIH HHS T32 GM007546NIGMS NIH HHS T32-GM007546NIGMS NIH HHS T32-GM00754635NIMHD NIH HHS P60 MD006902NIMHD NIH HHS P60-MD006902
6 · The paper itself

Abstract

backgroundObesity is associated with poor asthma control, increased asthma morbidity, and decreased response to inhaled corticosteroids. We hypothesized that obesity would be associated with decreased bronchodilator responsiveness in children and adolescents with asthma. In addition, we hypothesized that subjects who were obese and unresponsive to bronchodilator would have worse asthma control and would require more asthma controller medications.

methodsIn the Study of African Americans, Asthma, Genes, and Environments (SAGE II) and the Genes-environments and Admixture in Latino Americans (GALA II) study, two identical, parallel, case-control studies of asthma, we examined the association between obesity and bronchodilator response in 2,963 black and Latino subjects enrolled from 2008 to 2013 using multivariable logistic regression. Using bronchodilator responsiveness, we compared asthma symptoms, controller medication usage, and asthma exacerbations between nonobese (< 95th% BMI) and obese (≥ 95th% BMI) subjects.

resultsThe odds of being bronchodilator unresponsive were 24% (OR, 1.24; 95% CI, 1.03-1.49) higher among obese children and adolescents compared with their not obese counterparts after adjustment for age, race/ethnicity, sex, recruitment site, baseline lung function (FEV1/FVC), and controller medication. Bronchodilator-unresponsive obese subjects were more likely to report wheezing (OR, 1.38; 95% CI, 1.13-1.70), being awakened at night (OR, 1.34; 95% CI, 1.09-1.65), using leukotriene receptor inhibitors (OR, 1.33; 95% CI, 1.05-1.70), and using inhaled corticosteroid with long-acting β2-agonist (OR, 1.37; 95% CI, 1.05-1.78) than were their nonobese counterpart. These associations were not seen in the bronchodilator-responsive group.

conclusionsObesity is associated with bronchodilator unresponsiveness among black and Latino children and adolescents with asthma. The findings on obesity and bronchodilator unresponsiveness represent a unique opportunity to identify factors affecting asthma control in blacks and Latinos.

Indexed as

Black PeopleHispanic or LatinoAdministration, InhalationAdolescentAdrenal Cortex HormonesAlbuterolAsthmaBlack or African AmericanBronchodilator AgentsCase-Control StudiesChildCross-Sectional StudiesFemaleHumansLeukotriene AntagonistsLogistic ModelsAdrenal Cortex HormonesAlbuterolBronchodilator AgentsLeukotriene Antagonists

Identifiers

PMID25742612
PMCPMC4451713
OpenAlexW2144905493

What OpenQuestion holds

Textmetadata
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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.