Evidence map›Paper›PMID 30079758›Full record

ArticleAmerican journal of respiratory and critical care medicine2019

Longitudinal Phenotypes of Respiratory Health in a High-Risk Urban Birth Cohort.

Leonard B Bacharier, Avraham Beigelman, Agustin Calatroni, Daniel J Jackson, Peter J Gergen, George T O'Connor, Meyer Kattan, Robert A Wood, Megan T Sandel, Susan V Lynch and 7 more

2 registry-linked trialsAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
19.1field-weighted citation impact, top 1% 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.

NCT00114881 completednot on this map

Urban Environment and Childhood Asthma (URECA)

TypeobservationalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2005 to 2024Enrolled560ConditionsAsthma, Allergy
NCT05110755 completednot on this mapstarted 2021, after this paper: background citation

Correlation of Physical Activity and Respiratory Health in COPD Patient

TypeobservationalSponsorRiphah International UniversityRan2021 to 2021Enrolled140ConditionsChronic Obstructive Pulmonary Disease
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Machine learning-derived asthma and allergy trajectories in children: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Asthma, bronchial hyperresponsiveness, allergy and lung function development until early adulthood: A systematic literature review.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2021
    Pooled it
  3. The association of allergic sensitization patterns in early childhood with disease manifestations and immunological reactivity at 10 years of age.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2019
    Trial
  4. TheBMJ open respiratory research · 2026
    Observational
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. The Impact of the Indoor Environment on Childhood Asthma.Current allergy and asthma reports · 2025
    Review
  12. Article
  13. Article
  14. Viral and non-viral episodes of wheezing in early life and the development of asthma and respiratory phenotypes among urban children.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Unanswered questions on the use of biologics in pediatric asthma.The World Allergy Organization journal · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 8 institutions in 1 country.

Leonard B Bacharier1 Department of Pediatrics, Washington University School of Medicine and St. Louis Children's Hospital, St. Louis, Missouri.
Avraham Beigelman1 Department of Pediatrics, Washington University School of Medicine and St. Louis Children's Hospital, St. Louis, Missouri.
Agustin Calatroni2 Rho Federal Systems Division, Inc., Chapel Hill, North Carolina.
Daniel J Jackson3 Department of Pediatrics, University of Wisconsin-Madison, Madison, Wisconsin.
Peter J Gergen4 National Institute of Allergy and Infectious Diseases, Rockville, Maryland.
George T O'Connor5 Department of Medicine and.
Meyer Kattan6 Department of Pediatrics, Columbia University, New York, New York.
Robert A Wood7 Department of Pediatrics, Johns Hopkins University Medical Center, Baltimore, Maryland; and.
Megan T Sandel8 Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts.
Susan V Lynch9 Department of Medicine, University of California, San Francisco, San Francisco, California.
Kei E Fujimura9 Department of Medicine, University of California, San Francisco, San Francisco, California.
Douglas W Fadrosh9 Department of Medicine, University of California, San Francisco, San Francisco, California.
Clark A Santee9 Department of Medicine, University of California, San Francisco, San Francisco, California.
Homer Boushey9 Department of Medicine, University of California, San Francisco, San Francisco, California.
Cynthia M Visness2 Rho Federal Systems Division, Inc., Chapel Hill, North Carolina.
James E Gern3 Department of Pediatrics, University of Wisconsin-Madison, Madison, Wisconsin.
NIAID sponsored Inner-City Asthma Consortium
University of California, San Francisco · USRho (United States) · USSt. Louis Children's Hospital · USUniversity of Wisconsin–Madison · USBoston University · USColumbia University · USJohns Hopkins University · USNational Institute of Allergy and Infectious Diseases · US

Funding

Transplantation GroupUM2AI117870 · NIAID · RHO FEDERAL SYSTEMS DIVISION, INC. · PI DAVID, GLORIA · 2015 to 2023
$208.1M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Inner City Asthma consortium 3 (ICAC3)UM1AI114271 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI GERN, JAMES E., JACKSON, DANIEL J · 2014 to 2021
$79.4M
Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
ZIPRASIDONE (GEODON) AUGMENTATION IN SEROTONIN REUPTAKE INHIBITOR-RESISTANT OBM01RR000071 · NCRR · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI KOLEVZON, ALEXANDER · 1985 to 2009
$41.5M
ZINC AND CA EDTA THERAPY OF PLUMBISMM01RR000052 · NCRR · JOHNS HOPKINS UNIVERSITY · PI VINING, EILEEN PATRICE · 1985 to 2007
$37.3M
Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
YOGA INDUCED CHANGES IN BRAIN GABA LEVELSM01RR000533 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI ANTMAN, KAREN · 1985 to 2008
$19.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025771 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CENTER, DAVID M. · 2008 to 2011
$17.6M
Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI Catherine A Calder · 2017 to 2026
$5.2M
NCATS NIH HHS UL1 TR000040NCATS NIH HHS UL1 TR001079NCATS NIH HHS UL1 TR002345NCRR NIH HHS M01 RR000052NCRR NIH HHS M01 RR000071NCRR NIH HHS M01 RR000533NCRR NIH HHS UL1 RR024156NCRR NIH HHS UL1 RR024992NCRR NIH HHS UL1 RR025771NIAID NIH HHS HHSN272200900052CNIAID NIH HHS HHSN272201000052INIAID NIH HHS N01 AI025482NIAID NIH HHS N01 AI025496NIAID NIH HHS UM1 AI114271NIAID NIH HHS UM2 AI117870NICHD NIH HHS P2C HD042849
6 · The paper itself

Abstract

rationaleCharacterization of patterns of wheezing and allergic sensitization in early life may allow for identification of specific environmental exposures impacting asthma development.

objectivesTo define respiratory phenotypes in inner-city children and their associations with early-life environmental exposures.

methodsData were collected prospectively from 442 children in the URECA (Urban Environment and Childhood Asthma) birth cohort through age 7 years, reflecting symptoms (wheezing), aeroallergen sensitization, pulmonary function, and body mass index. Latent class mixed models identified trajectories of wheezing, allergic sensitization, and pulmonary function. Cluster analysis defined nonoverlapping groups (termed phenotypes). Potential associations between phenotypes and early-life environmental exposures were examined. MEASUREMENTS AND MAIN

resultsFive phenotypes were identified and mainly differentiated by patterns of wheezing and allergic sensitization (low wheeze/low atopy; low wheeze/high atopy; transient wheeze/low atopy; high wheeze/low atopy; high wheeze/high atopy). Asthma was most often present in the high-wheeze phenotypes, with greatest respiratory morbidity among children with frequent wheezing and allergic sensitization. These phenotypes differentially related to early-life exposures, including maternal stress and depression, antenatal environmental tobacco smoke, house dust microbiome, and allergen content (all P < 0.05). Prenatal smoke exposure, maternal stress, and depression were highest in the high-wheeze/low-atopy phenotype. The high-wheeze/high-atopy phenotype was associated with low household microbial richness and diversity. Early-life aeroallergen exposure was low in high-wheeze phenotypes.

conclusionsPatterns of wheezing, allergic sensitization, and lung function identified five respiratory phenotypes among inner-city children. Early-life environmental exposure to stress, depression, tobacco smoke, and indoor allergens and microbes differentially associate with specific phenotypes.

Indexed as

AsthmaChildChild, PreschoolCluster AnalysisEnvironmental ExposureFemaleHumansHypersensitivity, ImmediateInfantInfant, NewbornLongitudinal StudiesMalePhenotypeProspective StudiesRespiratory Function TestsRespiratory Soundschildhood asthmaenvironmental exposuresphenotypes

Identifiers

PMID30079758
PMCPMC6353010
OpenAlexW2885973840

What OpenQuestion holds

Textmetadata
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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.