Evidence map›Paper›PMID 34656798›Full record

ArticleThe journal of allergy and clinical immunology. In practice2022

High Insulin in Early Childhood Is Associated with Subsequent Asthma Risk Independent of Body Mass Index.

Tara F Carr, Raquel Granell, Debra A Stern, Stefano Guerra, Anne Wright, Marilyn Halonen, John Henderson, Fernando D Martinez

Open access · greenAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.4field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 15 citations in OpenAlex.

  1. Heavy moms, wheezy kids: how maternal obesity harms breathing in offspring.American journal of respiratory cell and molecular biology · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Gestational diabetes and childhood lung function at age 8 to 9 years in a diverse US cohort.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Elevated Childhood Insulin-related Asthma Is a Risk Factor for Reduced Lung Function.American journal of respiratory and critical care medicine · 2023
    Article
  11. Article
  12. Article
  13. Obesity-related asthma in children and adolescents.The Lancet. Child & adolescent health · 2022
    Review
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

8 authors at 2 institutions in 2 countries.

Tara F CarrAsthma and Airway Disease Research Center, University of Arizona, Tucson, Ariz. Electronic address: Taracarr@arizona.edu.
Raquel GranellUniversity of Bristol, Avon, United Kingdom.
Debra A SternAsthma and Airway Disease Research Center, University of Arizona, Tucson, Ariz.
Stefano GuerraAsthma and Airway Disease Research Center, University of Arizona, Tucson, Ariz.
Anne WrightAsthma and Airway Disease Research Center, University of Arizona, Tucson, Ariz.
Marilyn HalonenAsthma and Airway Disease Research Center, University of Arizona, Tucson, Ariz.
John HendersonUniversity of Bristol, Avon, United Kingdom.
Fernando D MartinezAsthma and Airway Disease Research Center, University of Arizona, Tucson, Ariz.
University of Arizona · USUniversity of Bristol · GB

Funding

Early Origins of Chronic Lung Disease: Outcomes into the Fifth Decade of LifeR01HL132523 · NHLBI · UNIVERSITY OF ARIZONA · PI Stefano Guerra, Fernando D Martinez · 2016 to 2026
$15.1M
Natural History of Asthma from Birth to Early Adult LifeR01HL056177 · NHLBI · UNIVERSITY OF ARIZONA · PI GUERRA, STEFANO, MARTINEZ, FERNANDO D · 1996 to 2015
$14.4M
Medical Research Council G9815508Medical Research Council MC_PC_15018Medical Research Council MC_PC_19009NHLBI NIH HHS R01 HL056177NHLBI NIH HHS R01 HL132523Wellcome TrustWellcome Trust 102215/2/13/2
6 · The paper itself

Abstract

backgroundAsthma and obesity are major, interconnected public health challenges that usually have their origins in childhood, and for which the relationship is strengthened among those with insulin resistance.

objectiveTo determine whether high insulin in early life confers increased longitudinal risk for asthma independent of body mass index.

methodsThe study used data from the Tucson Children's Respiratory Study (TCRS) and the Avon Longitudinal Study of Parents and Children (ALSPAC). Nonfasting insulin was measured in TCRS participants at age 6 years and fasting insulin in ALSPAC participants at age 8 years. Physician-diagnosed active asthma was determined at baseline and at subsequent assessments up to age 36 years in TCRS and 17 years in ALSPAC.

resultsIn TCRS, high insulin (upper quartile) at age 6 years was associated with increased odds of having active asthma from ages 8 to 36 years compared with low insulin (odds ratio,1.98; 95% CI, 1.28-3.05; P = .002). Similarly, in ALSPAC, high insulin was associated with a significantly higher risk of active asthma from ages 11 to 17 years compared with low insulin (odds ratio, 1.59; 95% CI, 1.12-2.27; P = .009). These findings were independent of baseline body mass index in both cohorts, and were not related to other demographic and asthma risk factors nor other tested markers of systemic inflammation and metabolic syndrome.

conclusionsIn 2 separate birth cohorts, higher blood insulin level in early childhood was associated with increased risk of active asthma through adolescence and adulthood, independent of body mass index. High insulin indicates a novel mechanism for asthma development, which may be a target for intervention.

Indexed as

AsthmaAdolescentAdultBody Mass IndexChildChild, PreschoolHumansInsulinLongitudinal StudiesRisk FactorsYoung AdultInsulinAsthmaInsulinMetabolic syndromeObesity

Identifiers

PMID34656798
PMCPMC9059620
OpenAlexW3206478864

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.