Evidence map›Paper›PMID 34881328›Full record

ArticleERJ open research2021

Spirometric phenotypes from early childhood to young adulthood: a Chronic Airway Disease Early Stratification study.

Gang Wang, Jenny Hallberg, Dimitrios Charalampopoulos, Maribel Casas Sanahuja, Robab Breyer-Kohansal, Arnulf Langhammer, Raquel Granell, Judith M Vonk, Annemiek Mian, Núria Olvera and 43 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Reply to GuoAmerican journal of respiratory and critical care medicine · 2023
    Article
  9. Evolution of Lung Function within Individuals: Clinical Insights and Data-driven Methods.American journal of respiratory and critical care medicine · 2023
    Article
  10. Early Origins of Chronic Obstructive Pulmonary Disease: Prenatal and Early Life Risk Factors.International journal of environmental research and public health · 2023
    Review
  11. Article
  12. 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

53 authors at 20 institutions in 8 countries.

Gang WangDept of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University, Sichuan, China.
Jenny HallbergDept of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Dimitrios CharalampopoulosMRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Maribel Casas SanahujaISGlobal, Barcelona, Spain.
Robab Breyer-KohansalLudwig Boltzmann Institute for Lung Health, Vienna, Austria.
Arnulf LanghammerDept of Public Health and Nursing, Faculty of Medicine and Health Sciences, HUNT Research Centre, Norwegian University of Science and Technology (NTNU), Levanger, Norway.ORCID https://orcid.org/0000-0001-5296-6673
Raquel GranellMRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Judith M VonkDept of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID https://orcid.org/0000-0001-7531-4547
Annemiek MianThe Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Núria OlveraSpanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Lisbeth Mølgaard LaustsenDept of Public Health, Environment Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.
Eva RönmarkDept of Public Health and Clinical Medicine, Section for Sustainable Health, The OLIN Unit, Umeå University, Umeå, Sweden.
Alicia AbellanISGlobal, Barcelona, Spain.ORCID https://orcid.org/0000-0001-6552-6060
Alvar AgustiInstitut d'investigacions biomediques August Pi I Sunyer, Barcelona, Spain.
Syed Hasan ArshadDavid Hide Asthma and Allergy Research Centre, Newport, UK.
Anna BergströmInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
H Marike BoezenDept of Epidemiology, University Medical Center Groningen, Groningen, The Netherlands.
Marie-Kathrin BreyerLudwig Boltzmann Institute for Lung Health, Vienna, Austria.
Otto BurghuberLudwig Boltzmann Institute for Lung Health, Vienna, Austria.
Anneli Clea BolundDept of Public Health, Environment Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.
Adnan CustovicNational Heart and Lung Institute, Imperial College London, London, UK.
Graham DevereuxLiverpool School of Tropical Medicine, Liverpool, UK.
Gavin C DonaldsonNational Heart and Lung Institute, Imperial College London, London, UK.
Liesbeth DuijtsThe Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0001-6731-9452
Ana EspluguesSpanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Rosa FanerSpanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Ferran BallesterSpanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Judith Garcia-AymerichISGlobal, Barcelona, Spain.ORCID https://orcid.org/0000-0002-7097-4586
Ulrike GehringInstitute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0003-3612-5780
Sadia HaiderNational Heart and Lung Institute, Imperial College London, London, UK.
Sylvia HartlLudwig Boltzmann Institute for Lung Health, Vienna, Austria.ORCID https://orcid.org/0000-0002-0734-0070
Helena BackmanDept of Public Health and Clinical Medicine, Section for Sustainable Health, The OLIN Unit, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0002-0553-8067
John W HollowayNIHR Southampton Biomedical Research Centre, University Hospitals Southampton NHS Foundation Trust, Southampton, UK.ORCID https://orcid.org/0000-0001-9998-0464
Gerard H KoppelmanUniversity Medical Center Groningen, Groningen Research Institute for Asthma and COPD, University of Groningen, Groningen, The Netherlands.ORCID https://orcid.org/0000-0001-8567-3252
Aitana LertxundiSpanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Turid Lingaas HolmenDept of Public Health and General Practice, HUNT Research Center, NTNU, Levanger, Norway.
Lesley LoweDivision of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester Academic Health Science Centre, NIHR, Manchester, UK.
Sara M Mensink-BoutThe Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-5381-6287
Clare S MurrayDivision of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester Academic Health Science Centre, NIHR, Manchester, UK.
Graham RobertsDavid Hide Asthma and Allergy Research Centre, Newport, UK.
Linnea HedmanDept of Public Health and Clinical Medicine, Section for Sustainable Health, The OLIN Unit, Umeå University, Umeå, Sweden.
Vivi SchlünssenDept of Public Health, Environment Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.
Torben SigsgaardDept of Public Health, Environment Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.
Angela SimpsonDivision of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester Academic Health Science Centre, NIHR, Manchester, UK.
Jordi SunyerISGlobal, Barcelona, Spain.
Maties Torrentib-salut, Area de Salut de Menorca, Menorca, Spain.
Stephen TurnerRoyal Aberdeen Children's Hospital NHS Grampian, Aberdeen, UK.ORCID https://orcid.org/0000-0001-8393-5060
Maarten Van den BergeUniversity Medical Center Groningen, Groningen Research Institute for Asthma and COPD, University of Groningen, Groningen, The Netherlands.
Roel C H VermeulenInstitute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.
Sigrid Anna Aalberg VikjordDept of Public Health and Nursing, Faculty of Medicine and Health Sciences, HUNT Research Centre, Norwegian University of Science and Technology (NTNU), Levanger, Norway.ORCID https://orcid.org/0000-0002-7202-4517
Jadwiga A WedzichaNational Heart and Lung Institute, Imperial College London, London, UK.
Anke H Maitland van der ZeeDept of Respiratory Medicine, Amsterdam University Medical Centers (UMC), University of Amsterdam.
Erik MelénDept of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-8248-0663
Aarhus University · DKImperial College London · GBUniversitat Pompeu Fabra · ESUniversity Medical Center Groningen · NLErasmus MC · NLKarolinska Institutet · SEManchester Academic Health Science Centre · GBNIHR Southampton Biomedical Research Centre · GBUmeå University · SECentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESLudwig Boltzmann Institute for Lung Vascular Research · ATNorwegian University of Science and Technology · NOSigmund Freud Privatuniversität Wien · ATUniversitat Jaume I · ESUniversity of Bristol · GBUtrecht University · NLEmma Kinderziekenhuis · NLHospital Clínic de Barcelona · ESLevanger Hospital · NOLiverpool School of Tropical Medicine · GB

Funding

Medical Research Council G0601361Medical Research Council MR/K002449/1Medical Research Council MR/K002449/2Medical Research Council MR/S002359/1Medical Research Council MR/S025340/1
6 · The paper itself

Abstract

backgroundThe prevalences of obstructive and restrictive spirometric phenotypes, and their relation to early-life risk factors from childhood to young adulthood remain poorly understood. The aim was to explore these phenotypes and associations with well-known respiratory risk factors across ages and populations in European cohorts.

methodsWe studied 49 334 participants from 14 population-based cohorts in different age groups (≤10, >10-15, >15-20, >20-25 years, and overall, 5-25 years). The obstructive phenotype was defined as forced expiratory volume in 1 s (FEV

resultsThe prevalence of obstructive and restrictive phenotypes varied from 3.2-10.9% and 1.8-7.7%, respectively, without clear age trends. A diagnosis of asthma (adjusted odds ratio (aOR=2.55, 95% CI 2.14-3.04), preterm birth (aOR=1.84, 1.27-2.66), maternal smoking during pregnancy (aOR=1.16, 95% CI 1.01-1.35) and family history of asthma (aOR=1.44, 95% CI 1.25-1.66) were associated with a higher prevalence of obstructive, but not restrictive, phenotype across ages (5-25 years). A higher current body mass index (BMI was more often observed in those with the obstructive phenotype but less in those with the restrictive phenotype (aOR=1.05, 95% CI 1.03-1.06 and aOR=0.81, 95% CI 0.78-0.85, per kg·m

conclusionObstructive and restrictive phenotypes were found to be relatively prevalent during childhood, which supports the early origins concept. Several well-known respiratory risk factors were associated with the obstructive phenotype, whereas only low BMI was associated with the restrictive phenotype, suggesting different underlying pathobiology of these two phenotypes.

Identifiers

PMID34881328
PMCPMC8646001
OpenAlexW3202062440

What OpenQuestion holds

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LicenceCC BY-NC
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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.