Evidence map›Paper›PMID 30838750›Full record

ArticleRespirology (Carlton, Vic.)2019

Older age and obesity are associated with increased airway closure in response to methacholine in patients with asthma.

David A Kaminsky, David G Chapman, Janet T Holbrook, Robert J Henderson, Elizabeth A Sugar, John Mastronarde, William G Teague, Michael Busk, Kaharu Sumino, Anne E Dixon and 2 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Respirology (Carlton, Vic.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Frontiers in physiology · 2022
    Article
  3. Obesity, Inflammation, and Severe Asthma: an Update.Current allergy and asthma reports · 2021
    Review
  4. Article
  5. Article
  6. The Effects of Obesity in Asthma.Current allergy and asthma reports · 2019
    Review
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

David A KaminskyPulmonary and Critical Care, University of Vermont Larner College of Medicine, Burlington, VT, USA.ORCID 0000-0002-6515-8023
David G ChapmanPulmonary and Critical Care, University of Vermont Larner College of Medicine, Burlington, VT, USA.
Janet T HolbrookDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Robert J HendersonDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Elizabeth A SugarDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
John MastronardeDivision of Pulmonary Medicine, Providence Portland Medical Center, Portland, OR, USA.
William G TeagueDivision of Pediatric Respiratory Medicine and Allergy, University of Virginia, Charlottesville, VA, USA.
Michael BuskDivision of Pulmonary Medicine, St. Vincent Hospital and Health Care Center, Inc., Indianapolis, IN, USA.
Kaharu SuminoDivision of Pulmonary and Critical Care Medicine, Washington University, St. Louis, MO, USA.
Anne E DixonPulmonary and Critical Care, University of Vermont Larner College of Medicine, Burlington, VT, USA.
Robert A WiseDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Charles G IrvinPulmonary and Critical Care, University of Vermont Larner College of Medicine, Burlington, VT, USA.
Johns Hopkins University · USUniversity of Vermont · USProvidence Portland Medical Center · USSt Vincent Hospital · USUniversity of Virginia Medical Center · USWashington University in St. Louis · US

Funding

ADalimumab Vs. conventional ImmunoSupprEssion for uveitis(ADVISE) TrialUG1EY028091 · NEI · JOHNS HOPKINS UNIVERSITY · PI HOLBROOK, JANET T., SUGAR, ELIZABETH ANN · 2018 to 2022
$9.0M
Effect of Positive Airway Pressure on Reducing Airway Reactivity in Patients wit*U01HL108730 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BUSK, MICHAEL FRANK, HOLBROOK, JANET T. · 2011 to 2013
$5.0M
Clinical Trial of Acid Reflux Therapy in AsthmaU01HL072968 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WISE, ROBERT A. · 2003 to 2007
$3.7M
Study of Acid Reflux Therapy for Children with AsthmaU01HL080450 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI HOLBROOK, JANET T. · 2006 to 2010
$2.3M
Study of Acid Reflux Therapy for Children with AsthmaU01HL080433 · NHLBI · UNIVERSITY OF VIRGINIA · PI TEAGUE, WILLIAM GERALD · 2006 to 2010
$1.8M
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
NEI NIH HHS UG1 EY028091NHLBI NIH HHS U01 HL072968NHLBI NIH HHS U01 HL080433NHLBI NIH HHS U01 HL080450NHLBI NIH HHS U01 HL089464NHLBI NIH HHS U01 HL089510NHLBI NIH HHS U01 HL108730
6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe reduction of forced expiratory volume in 1 s (FEV

methodsWe used the methacholine challenge data from participants in five studies of the ALA-ACRC to determine the closing index, defined as the contribution of airway closure to the decrease in FEV

resultsThere were a total of 936 participants with asthma, among whom the median closing index was 0.67 relative to that of a published healthy population of 0.54. A higher closing index was associated with increased age (10-year increments) (0.04, 95% CI = 0.02, 0.05, P < 0.005) and obesity (0.07, 95% CI = 0.03, 0.10, P < 0.001). There was no association between the closing index and asthma control.

conclusionOur findings confirm that airway closure in response to methacholine occurs in a large, diverse population of asthmatic participants, and that increased airway closure is associated with older age and obesity. These findings suggest that therapies targeting airway closure may be important in patients with a high closing index.

Indexed as

Administration, InhalationAdolescentAdultAge FactorsAsthmaBronchial Provocation TestsBronchoconstrictor AgentsChildFemaleForced Expiratory VolumeHumansMaleMethacholine ChlorideMiddle AgedObesityVital CapacityBronchoconstrictor AgentsMethacholine Chlorideairway closureairway hyperresponsivenessasthmamethacholineobesity

Identifiers

PMID30838750
PMCPMC9511501
OpenAlexW2921878836

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.