Evidence map›Paper›PMID 28737966›Full record

Trial reportThe Journal of asthma : official journal of the Association for the Care of Asthma2018

Effect of obesity on sinonasal disease in asthma.

S Kanagalingam, S S Shehab, D A Kaminsky, R A Wise, J E Lang, A E Dixon

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of asthma : official journal of the Association for the Care of Asthma, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Promising treatment biomarkers in asthma.Frontiers in drug safety and regulation · 2023
    Review
  4. BMI as a risk factor for the development of chronic rhinosinusitis: a prospective population-based study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Article
  5. Article
  6. The Effects of Obesity in Asthma.Current allergy and asthma reports · 2019
    Review
  7. Role of Obesity in Otorhinolaryngologic Diseases.Current allergy and asthma reports · 2019
    Review
  8. 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

6 authors at 3 institutions in 1 country.

S Kanagalingama Department of Medicine , University of Vermont , Burlington , Vermont , USA.
S S Shehaba Department of Medicine , University of Vermont , Burlington , Vermont , USA.
D A Kaminskya Department of Medicine , University of Vermont , Burlington , Vermont , USA.
R A Wiseb Department of Medicine , Johns Hopkins University , Baltimore , Maryland , USA.
J E Langc Department of Pediatrics , Duke University School of Medicine , Durham , North Carolina , USA.
A E Dixona Department of Medicine , University of Vermont , Burlington , Vermont , USA.
University of Vermont · USDuke University · USJohns Hopkins Medicine · US

Funding

Non-Allergic Late-Onset Asthma of Obesity: Pathophysiology and TherapyR01HL130847 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI BATES, JASON HT, DIXON, ANNE E · 2016 to 2019
$2.3M
Study of Asthma and Nasal Steroids (STAN)U01HL089510 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WISE, ROBERT A. · 2009 to 2013
$1.7M
Study of Asthma and Nasal SteriodsU01HL089464 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI DIXON, ANNE E · 2009 to 2013
$1.5M
NHLBI NIH HHS R01 HL130847NHLBI NIH HHS U01 HL089464NHLBI NIH HHS U01 HL089510
6 · The paper itself

Abstract

objectiveSinonasal disease can contribute to poor asthma control. There are reports that link obesity with an increased prevalence of sinonasal disease, but no studies evaluating the severity of sinonasal disease in obese asthmatics, and how this impacts asthma control. The purpose of the current study was to determine if obesity is associated with increased severity of sinonasal disease, and/or affects response to nasal corticosteroid treatment in asthma.

methodsThis study included 236 adults participating in a 24-week randomized, double-masked, placebo-controlled study of nasal mometasone for the treatment of poorly controlled asthma. Sinonasal disease severity was assessed using validated questionnaires, and compared in participants of differing BMIs. Eosinophilic inflammation was assessed using markers in nasal lavage, serum and exhaled nitric oxide. Response to treatment was compared in different BMI groups.

resultsObesity had no effect on the severity of sinonasal disease symptoms in asthmatics (Sino-Nasal Outcome Test 22 (SNOT 22) score [mean ± SD] 35.4 ± 18.5, 40.2 ± 22.8, and 39.1 ± 21.7, p = 0.43, in lean, overweight and obese participants), nor on nasal, bronchial or systemic markers of allergic inflammation. Nasal steroids had some limited effects on symptoms, lung function and inflammatory markers in lean participants, but no detectable effect was found in obese patients.

conclusionsObesity does not affect severity of sinonasal disease in patients with asthma; the association of sinonasal disease symptoms with increased asthma severity and markers of Type 2 inflammation are consistent across all BMI groups. The response of obese patients to nasal corticosteroids requires further study.

Indexed as

AsthmaNose DiseasesObesityAdultAnti-Asthmatic AgentsDouble-Blind MethodFemaleHumansMaleMiddle AgedMometasone FuroateRespiratory Function TestsSeverity of Illness IndexYoung AdultAnti-Asthmatic AgentsMometasone FuroateasthmacorticosteroidObesityrhinitissinusitis

Identifiers

PMID28737966
PMCPMC5799040
OpenAlexW2736849682

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.