Evidence map›Paper›PMID 26413417›Full record

ArticleJournal of pulmonary & respiratory medicine

Weight Management Interventions in Adult and Pediatric Asthma Populations: A Systematic Review.

Nan Lv, Lan Xiao, Jun Ma

Abstract read
In one paragraph

Article in Journal of pulmonary & respiratory medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 22% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Review
  8. Bariatric surgery: a potential cure for asthma?European respiratory review : an official journal of the European Respiratory Society · 2019
    Review
  9. Review
  10. A Behavioral Family Intervention for Children with Overweight and Asthma.Clinical practice in pediatric psychology · 2018
    Article
  11. Obesity: Risk factors, complications, and strategies for sustainable long-term weight management.Journal of the American Association of Nurse Practitioners · 2017
    Review
  12. 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

3 authors at 1 institution in 1 country.

Nan LvPalo Alto Medical Foundation Research Institute, Palo Alto, USA.
Lan XiaoPalo Alto Medical Foundation Research Institute, Palo Alto, USA.
Jun MaPalo Alto Medical Foundation Research Institute, Palo Alto, USA ; Department of Medicine, Stanford University School of Medicine, Stanford, USA.
Palo Alto Institute · US

Funding

Can diet- & exercise-induced weight loss improve asthma control in obese adults?R01HL094466 · NHLBI · PALO ALTO MEDICAL FOUNDATION RES INST · PI MA, JUN · 2009 to 2013
$4.0M
A Pilot Study of the DASH Diet in Not-Well-Controlled Adult AsthmaR34HL108753 · NHLBI · PALO ALTO MEDICAL FOUNDATION RES INST · PI MA, JUN · 2012 to 2013
$691k
NHLBI NIH HHS R01 HL094466NHLBI NIH HHS R34 HL108753
6 · The paper itself

Abstract

backgroundAmple evidence suggests a dose-response relationship between increasing weight and level of asthma risk or reduced asthma control. To establish reversibility, several randomized controlled trials (RCTs) have recently been published to investigate the impact of weight management on asthma. This systematic review synthesizes evidence from these RCTs on the effects of weight management (weight loss, weight maintenance, maintenance of lost weight, or weight gain prevention) interventions on asthma outcomes in both adult and pediatric populations.

methodsWe searched Medline, CINAHL, PsychInfo, and Cochrane for studies published between 1950 and November 2014. Two researchers independently rated the included studies using the quality assessment tool for RCTs as outlined in the 2013 Obesity Treatment Guideline. Discrepancies were resolved by consensus after discussion between the raters and, if needed, with the senior author.

resultsFour RCTs in adults and 3 in children and adolescents were included. The adult studies seem to consistently support the benefit of substantial weight loss, but a threshold effect may exist such that only weight loss beyond a minimal amount will likely lead to clinically important improvement in asthma outcomes. Three of them suggest that the threshold may lie between 5-10% of weight loss. RCTs in youth suggest that modest calorie reductions alone or combined with increased physical activity, or even a healthy normocaloric diet, may lead to improved asthma outcomes. However, most RCTs reviewed were limited by small sample size, short intervention durations, and short follow-up periods.

conclusionTrial evidence shows the promise of weight loss interventions for asthma control in adults and youth. More adequately-powered, long-term RCTs are needed to elucidate the role of weight loss and other weight management interventions in asthma control and prevention. Definitive data are needed to guide clinical and public health practice to effectively address the dual epidemic of obesity and asthma.

Indexed as

AdolescentsAdultsAsthmaChildrenRandomized controlled trialWeight

Identifiers

PMID26413417
PMCPMC4582793
OpenAlexW2052523949

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.