Evidence map›Paper›PMID 29369684›Full record

ArticleAmerican journal of respiratory and critical care medicine2018

Respiratory Symptoms in Young Adults and Future Lung Disease. The CARDIA Lung Study.

Ravi Kalhan, Mark T Dransfield, Laura A Colangelo, Michael J Cuttica, David R Jacobs, Bharat Thyagarajan, Raul San Jose Estepar, Rola Harmouche, Jorge Onieva Onieva, Samuel Y Ash and 8 more

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 3 pooled it
6.8field-weighted citation impact, top 3% 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

67 citing papers in PubMed, 3 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Article
  7. Article
  8. Progenitor Resilience and the Early Onset of Chronic Lung Diseases: NHLBI workshop report.American journal of respiratory cell and molecular biology · 2026
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  10. Global disparities in chronic dyspnoea prevalence in population-based studies: a comprehensive literature review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  11. Pre-COPD: Impact on prevention, detection, and treatment.Presse medicale (Paris, France : 1983) · 2026
    Review
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Associations between life-course FEVThe Lancet. Respiratory medicine · 2025
    Article
  18. Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 8 institutions in 1 country.

Ravi Kalhan1 Division of Pulmonary and Critical Care Medicine and.ORCID 0000-0003-2443-0876
Mark T Dransfield3 Division of Pulmonary, Allergy, and Critical Care Medicine and.
Laura A Colangelo2 Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Michael J Cuttica1 Division of Pulmonary and Critical Care Medicine and.
David R Jacobs4 Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota.
Bharat Thyagarajan5 Department of Pathology and Laboratory Medicine, University of Minnesota School of Medicine, Minneapolis, Minnesota.
Raul San Jose Estepar6 Applied Chest Imaging Laboratory, Department of Radiology, and.
Rola Harmouche6 Applied Chest Imaging Laboratory, Department of Radiology, and.
Jorge Onieva Onieva6 Applied Chest Imaging Laboratory, Department of Radiology, and.
Samuel Y Ash6 Applied Chest Imaging Laboratory, Department of Radiology, and.
Yuka Okajima6 Applied Chest Imaging Laboratory, Department of Radiology, and.
Carlos Iribarren8 Division of Preventive Medicine, University of Alabama-Birmingham, Birmingham, Alabama.
Stephen Sidney8 Division of Preventive Medicine, University of Alabama-Birmingham, Birmingham, Alabama.
Cora E Lewis9 Department of Preventive Medicine and Environmental Health, University of Kentucky College of Public Health, Lexington, Kentucky.
David M Mannino10 Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Kiang Liu2 Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Lewis J Smith1 Division of Pulmonary and Critical Care Medicine and.
George R Washko6 Applied Chest Imaging Laboratory, Department of Radiology, and.
Northwestern University · USKaiser Permanente · USUniversity of Alabama at Birmingham · USUniversity of Minnesota · USBrigham and Women's Hospital · USPulmonary and Allergy Associates · USPulmonary and Critical Care Associates · USUniversity of Kentucky · US

Funding

Transitions from Impaired Respiratory Health to Lung DiseaseR01HL122477 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI RAVI KALHAN · 2014 to 2026
$17.3M
RESPIRATORY RESEARCHT32HL007633 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI George R Washko · 1985 to 2026
$14.9M
UAB Mentoring Program in COPD Patient Oriented ResearchK24HL140108 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DRANSFIELD, MARK T · 2018 to 2022
$439k
NHLBI NIH HHS HHSN268200900041CNHLBI NIH HHS HHSN268201300025CNHLBI NIH HHS HHSN268201300026CNHLBI NIH HHS HHSN268201300027CNHLBI NIH HHS HHSN268201300028CNHLBI NIH HHS HHSN268201300029CNHLBI NIH HHS K24 HL140108NHLBI NIH HHS R01 HL122477NHLBI NIH HHS T32 HL007633
6 · The paper itself

Abstract

rationaleThere are limited data on factors in young adulthood that predict future lung disease.

objectivesTo determine the relationship between respiratory symptoms, loss of lung health, and incident respiratory disease in a population-based study of young adults.

methodsWe examined prospective data from 2,749 participants in the CARDIA (Coronary Artery Risk Development in Young Adults) study who completed respiratory symptom questionnaires at baseline and 2 years later and repeated spirometry measurements over 30 years. MEASUREMENTS AND MAIN

resultsCough or phlegm, episodes of bronchitis, wheeze, shortness of breath, and chest illnesses at both baseline and Year 2 were the main predictor variables in models assessing decline in FEV

conclusionsPersistent respiratory symptoms in young adults are associated with accelerated decline in lung function, incident obstructive and restrictive physiology, and greater odds of future radiographic emphysema.

Indexed as

AdultAsthmaFemaleFollow-Up StudiesHumansLung DiseasesMaleOdds RatioProspective StudiesPulmonary Disease, Chronic ObstructivePulmonary EmphysemaRespiratory Function TestsRespiratory SoundsRisk FactorsSurveys and QuestionnairesYoung Adultchronic obstructive pulmonary diseaserespiratory epidemiologyrespiratory function testsrespiratory symptoms

Identifiers

PMID29369684
PMCPMC6835093
OpenAlexW2791134090

What OpenQuestion holds

Textmetadata
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.