Evidence map›Paper›PMID 27552676›Full record

ArticleAmerican journal of respiratory and critical care medicine2017

Obesity and Airway Dysanapsis in Children with and without Asthma.

Erick Forno, Daniel J Weiner, James Mullen, Gregory Sawicki, Geoffrey Kurland, Yueh Ying Han, Michelle M Cloutier, Glorisa Canino, Scott T Weiss, Augusto A Litonjua and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04142905 (Is Asthma in Subjects With Obstructive Sleep Apnoea), which is not on this map. Cited by 152 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
152citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT04142905 completednot on this mapstarted 2021, after this paper: background citation

Is Asthma in Subjects With Obstructive Sleep Apnoea (OSA) Due to Dysanapsis

TypeobservationalSponsorNorfolk and Norwich University Hospitals NHS Foundation TrustRan2021 to 2024Enrolled1ConditionsAsthma, Obstructive Sleep Apnoea (OSA), Dysanapis
3 · Its place in the literature

Who cites it

152 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. 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
  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. Obesity-Related Asthma: Structure and Inflammation.Current allergy and asthma reports · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Early dysanapsis in experimental bronchopulmonary dysplasia: implications for lifelong lung disease.American journal of physiology. Lung cellular and molecular physiology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Overweight, obesity, adiposity measures, and asthma endotypes in Puerto Rican youth.American journal of respiratory and critical care medicine · 2026
    Article
  16. Review
  17. Article
  18. Article
  19. The Developmental Origins of Asthma and COPD.Annual review of physiology · 2026
    Review
  20. 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

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Erick Forno1 Division of Pulmonary Medicine, Allergy, and Immunology, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID http://orcid.org/0000-0001-6497-9885
Daniel J Weiner1 Division of Pulmonary Medicine, Allergy, and Immunology, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh, Pittsburgh, Pennsylvania.
James Mullen1 Division of Pulmonary Medicine, Allergy, and Immunology, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh, Pittsburgh, Pennsylvania.
Gregory Sawicki2 Division of Pulmonary Diseases, Boston Children's Hospital, Boston, Massachusetts.
Geoffrey Kurland1 Division of Pulmonary Medicine, Allergy, and Immunology, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh, Pittsburgh, Pennsylvania.
Yueh Ying Han1 Division of Pulmonary Medicine, Allergy, and Immunology, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh, Pittsburgh, Pennsylvania.
Michelle M Cloutier3 Department of Pediatrics, University of Connecticut Health Center, Connecticut Children's Medical Center, Farmington, Connecticut.
Glorisa Canino4 Behavioral Sciences Research Institute, University of Puerto Rico, San Juan, Puerto Rico.
Scott T Weiss5 Channing Division of Network Medicine, Department of Medicine, Harvard Medical School, Boston, Massachusetts; and.
Augusto A Litonjua5 Channing Division of Network Medicine, Department of Medicine, Harvard Medical School, Boston, Massachusetts; and.
Juan C Celedón1 Division of Pulmonary Medicine, Allergy, and Immunology, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh, Pittsburgh, Pennsylvania.

Funding

The Genetic Epidemiology of Asthma in Costa RicaR37HL066289 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI WEISS, SCOTT T · 2007 to 2015
$14.6M
Epigenetic Variation and Childhood Asthma in Puerto RicansR01HL117191 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CELEDON, JUAN CARLOS · 2013 to 2020
$5.8M
THE GENETIC EPIDEMIOLOGY OF ASTHMA IN COSTA RICAR01HL066289 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI WEISS, SCOTT T · 2001 to 2005
$5.2M
Genes, Home Allergens and Asthma Puerto Rican ChildrenR01HL079966 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CELEDON, JUAN CARLOS · 2006 to 2010
$3.8M
Obesity and Asthma Subphenotypes and Underlying Genetic and Genomic PathwaysK08HL125666 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FORNO, ERICK · 2015 to 2018
$589k
NHLBI NIH HHS K08 HL125666NHLBI NIH HHS R01 HL066289NHLBI NIH HHS R01 HL079966NHLBI NIH HHS R01 HL117191NHLBI NIH HHS R37 HL066289
6 · The paper itself

Abstract

rationaleFor unclear reasons, obese children with asthma have higher morbidity and reduced response to inhaled corticosteroids.

objectivesTo assess whether childhood obesity is associated with airway dysanapsis (an incongruence between the growth of the lungs and the airways) and whether dysanapsis is associated with asthma morbidity.

methodsWe examined the relationship between obesity and dysanapsis in six cohorts of children with and without asthma, as well as the relationship between dysanapsis and clinical outcomes in children with asthma. Adjusted odds ratios (ORs) were calculated for each cohort and in a combined analysis of all cohorts; longitudinal analyses were also performed for cohorts with available data. Hazard ratios (HRs) for clinical outcomes were calculated for children with asthma in the Childhood Asthma Management Program. MEASUREMENTS AND MAIN

resultsBeing overweight or obese was associated with dysanapsis in both the cross-sectional (OR, 1.95; 95% confidence interval [CI], 1.62-2.35 [for overweight/obese compared with normal weight children]) and the longitudinal (OR, 4.31; 95% CI, 2.99-6.22 [for children who were overweight/obese at all visits compared with normal weight children]) analyses. Dysanapsis was associated with greater lung volumes (FVC, vital capacity, and total lung capacity) and lesser flows (FEV

conclusionsObesity is associated with airway dysanapsis in children. Dysanapsis is associated with increased morbidity among obese children with asthma and may partly explain their reduced response to inhaled corticosteroids.

Indexed as

Airway ResistanceDrug ResistanceAdministration, InhalationAdolescentAdrenal Cortex HormonesAnti-Asthmatic AgentsAsthmaCase-Control StudiesChildComorbidityFemaleForced Expiratory Flow RatesHumansLongitudinal StudiesMaleMulticenter Studies as TopicAdrenal Cortex HormonesAnti-Asthmatic Agentsairway dysanapsischildhood asthmachildhood obesitypulmonary function

Identifiers

PMID27552676
PMCPMC5328183

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Registered trials

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.