Evidence map›Paper›PMID 26164807›Full record

Trial reportThe journal of allergy and clinical immunology. In practice

Airway Obstruction Worsens in Young Adults with Asthma Who Become Obese.

Robert C Strunk, Ryan Colvin, Leonard B Bacharier, Anne Fuhlbrigge, Erick Forno, Ana Maria Arbelaez, Kelan G Tantisira, Childhood Asthma Management Program Research Group

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The journal of allergy and clinical immunology. In practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Overweight, Obesity, and Lung Function in Children and Adults-A Meta-analysis.The journal of allergy and clinical immunology. In practice
    Pooled it
  2. Trial
  3. 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
  4. Pharmacogenetics of childhood uncontrolled asthma.Expert review of clinical immunology · 2025
    Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. 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
  10. Review
  11. Childhood Obesity and Respiratory Diseases: Which Link?Children (Basel, Switzerland) · 2021
    Review
  12. Article
  13. Associations between overweight and obesity and asthma outcomes in urban adolescents.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020
    Article
  14. Article
  15. Lung functional development and asthma trajectories.Seminars in immunopathology · 2020
    Review
  16. Obesity and asthma: risk, control and treatment.Postepy dermatologii i alergologii · 2018
    Review
  17. Article
  18. Obesity and asthma.The Journal of allergy and clinical immunology · 2018
    Review
  19. The effect of obesity, weight gain, and weight loss on asthma inception and control.Current opinion in allergy and clinical immunology · 2017
    Review
  20. 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

8 authors at 11 institutions in 2 countries.

Robert C StrunkDivision of Allergy, Immunology, and Pulmonary Medicine, Department of Pediatrics, Washington University School of Medicine and St. Louis Children's Hospital, St. Louis, Mo. Electronic address: Strunk@kids.wustl.edu.
Ryan ColvinDepartment of Pediatrics, Pediatric Computing Facility, Washington University School of Medicine, St. Louis, Mo.
Leonard B BacharierDivision of Allergy, Immunology, and Pulmonary Medicine, Department of Pediatrics, Washington University School of Medicine and St. Louis Children's Hospital, St. Louis, Mo.
Anne FuhlbriggeThe Channing Division of Network Medicine and the Division of Pulmonary/Critical Care Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Mass.
Erick FornoDivision of Pulmonary Medicine, Allergy, and Immunology, Department of Pediatrics, Children's Hospital of Pittsburgh and University of Pittsburgh, Pittsburgh, Pa.
Ana Maria ArbelaezDivision of Endocrinology, Department of Pediatrics, Washington University School of Medicine and St. Louis Children's Hospital, St. Louis, Mo.
Kelan G TantisiraThe Channing Division of Network Medicine and the Division of Pulmonary/Critical Care Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Mass.
Childhood Asthma Management Program Research Group
University of Colorado Denver · USHarvard University Press · USJohns Hopkins University · USUniversity of New Mexico · USUniversity of California San Diego · USWashington University in St. Louis · USUniversity of Toronto · CANational Institutes of Health · USSt. Louis Children's Hospital · USBrigham and Women's Hospital · USUniversity of Pittsburgh · US

Funding

ZOPOLRESTAT PHARMACOKINETICS IN DIABETICS WITH VARYING RENAL FUNCTIONM01RR000051 · NCRR · UNIVERSITY OF COLORADO DENVER · PI KOSMISKI, LISA A. · 1985 to 2008
$52.6M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
ZINC THERAPY FOR SCLERODERMA--PHASE I STUDYM01RR002719 · NCRR · JOHNS HOPKINS UNIVERSITY · PI EARLEY, CHRISTOPHER J · 1986 to 2007
$20.2M
Molecular Basis of Pediatric DiseaseK12HD052892 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TERENCE S. DERMODY · 2007 to 2026
$6.5M
CAMPCS/3U01HL075408 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI TONASCIA, JAMES A · 2003 to 2010
$4.9M
CAMP Continuation Study/Phase 3U01HL075419 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI FUHLBRIGGE, ANNE L · 2003 to 2010
$2.0M
CAMP Continuation Study/Phase 3U01HL075409 · NHLBI · ASTHMA, INC. · PI WILLIAMS, PAUL V · 2003 to 2010
$1.6M
CAMP Continuation Study/Phase 3U01HL075417 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI ADKINSON, N FRANKLIN · 2003 to 2010
$1.4M
CAMP Contiunation Study/Phase 3U01HL075416 · NHLBI · NATIONAL JEWISH HEALTH · PI SZEFLER, STANLEY J. · 2003 to 2010
$1.4M
CAMP Continuation Study/Phase 3U01HL075415 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ZEIGER, ROBERT S · 2003 to 2010
$1.3M
GENOMICS AND PHARMACOGENOMICS OF SYMPTOMS IN ASTHMAR01NR013391 · NINR · BRIGHAM AND WOMEN'S HOSPITAL · PI TANTISIRA, KELAN G · 2011 to 2013
$1.3M
CAMP Continuation Study/Phase 3U01HL075232 · NHLBI · WASHINGTON UNIVERSITY · PI STRUNK, ROBERT · 2003 to 2010
$1.3M
NCATS NIH HHS UL1 TR001082NCRR NIH HHS M01 RR000051NCRR NIH HHS M01RR00051NCRR NIH HHS M01 RR002719NCRR NIH HHS M01RR0099718-24NCRR NIH HHS M01RR02719-14NCRR NIH HHS RR00036NHLBI NIH HHS K08 HL125666NHLBI NIH HHS N01 HR016044NHLBI NIH HHS N01-HR-16044NHLBI NIH HHS N01-HR-16045NHLBI NIH HHS N01-HR-16046NHLBI NIH HHS N01-HR-16047NHLBI NIH HHS N01-HR-16048NHLBI NIH HHS N01-HR-16049NHLBI NIH HHS N01-HR-16050NHLBI NIH HHS N01-HR-16051NHLBI NIH HHS N01-HR-16052NHLBI NIH HHS U01 HL075232NHLBI NIH HHS U01HL075232NHLBI NIH HHS U01 HL075407NHLBI NIH HHS U01HL075407NHLBI NIH HHS U01 HL075408NHLBI NIH HHS U01HL075408NHLBI NIH HHS U01 HL075409NHLBI NIH HHS U01HL075409NHLBI NIH HHS U01 HL075415NHLBI NIH HHS U01HL075415NHLBI NIH HHS U01 HL075416NHLBI NIH HHS U01HL075416NHLBI NIH HHS U01 HL075417NHLBI NIH HHS U01HL075417NHLBI NIH HHS U01 HL075419NHLBI NIH HHS U01HL075419NHLBI NIH HHS U01 HL075420NHLBI NIH HHS U01HL075420NICHD NIH HHS K12 HD052892NINR NIH HHS R01 NR013391
6 · The paper itself

Abstract

backgroundFew studies have examined how developing obesity in early adulthood affects the course of asthma.

objectiveWe analyzed lung function and asthma impairment and risk among nonobese children with asthma, comparing those who were obese in young adulthood with those who remained nonobese.

methodsWe carried out the post hoc analysis of 771 subjects with mild to moderate asthma who were not obese (pediatric definition, body mass index [BMI] < 95th percentile) when enrolled in the Childhood Asthma Management Program at ages 5-12 years. The subjects were then followed to age 20 years or more. For visits at ages 20 years or more, spirometry values as percent predicted and recent asthma symptom scores and prednisone exposure were compared between 579 subjects who were nonobese at all visits and 151 who were obese (adult definition of BMI ≥ 30 kg/m(2)) on at least 1 visit (median number of visits when obese = 4, IQR 2-7).

resultsCompared with participants who were nonobese (BMI 23.4 ± 2.6 kg/m(2)), those who became obese (BMI 31.5 ± 3.8 kg/m(2)) had significant decreases in forced expiratory volume in the first second (FEV1)/forced vital capacity (FVC) (P < .0003) and FEV1 (P = .001), without differences in FVC (P = .15) during visits at ages 20 years or more. For each unit increase of BMI, FEV1 percent predicted decreased by 0.29 (P = .0009). The relationship between BMI and lung function was not confounded by sex or BMI at baseline. Asthma impairment (symptom scores) and risk (prednisone use) did not differ between the 2 groups.

conclusionBecoming obese in early adulthood was associated with increased airway obstruction, without impact on asthma impairment or risk.

Indexed as

AdolescentAdultAirway ObstructionAsthmaBody Mass IndexBudesonideChildChild, PreschoolDisease ProgressionFemaleFollow-Up StudiesHumansMaleNedocromilObesityRespiratory Function TestsBudesonideNedocromilChildhood asthmaChildhood obesityObese asthmaPulmonary function

Identifiers

PMID26164807
PMCPMC4568157
OpenAlexW1591471995

What OpenQuestion holds

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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.