Evidence map›Paper›PMID 40842367›Full record

ArticleAllergy2026

Natural History of Airway Hyperresponsiveness and Its Association With Asthma Traits.

Sophie Carra, Hongmei Zhang, Ramesh J Kurukulaaratchy, Syed Hasan Arshad

Abstract read
In one paragraph

Article in Allergy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Sophie CarraClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Hongmei ZhangDivision of Epidemiology, Biostatistics, and Environmental Health Sciences, School of Public Health, University of Memphis, Memphis, Tennessee, USA.
Ramesh J KurukulaaratchyClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Syed Hasan ArshadClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID 0000-0001-5988-235X

Funding

Epidemiology of asthma: risk and prognosis in a cohort from birth to adolescenceR01HL082925 · NHLBI · ST. MARY'S HOSPITAL NEWPORT · PI ARSHAD, SYED HASAN · 2007 to 2010
$1.7M
Asthma and Lung UKNational Institute of Heart Lung BloodNHLBI NIH HHS R01 HL082925
6 · The paper itself

Abstract

backgroundThe natural history of airway hyperresponsiveness (AHR) from childhood to adulthood and its association with asthma status are poorly understood. We aim to define the natural history of AHR in relation to asthma characteristics such as symptoms, atopy and lung function to improve our understanding of the changes in AHR with asthma pathophysiology during adolescence.

methodsMethacholine bronchial challenge test (BCT) was undertaken in the Isle of Wight whole population birth cohort at 10 years (n = 783), 18 years (n = 585) and 26 years (n = 86). Data on wheeze, lung function, and atopy were collected at each time point. Definite AHR was defined as methacholine concentration provoking a 20% decrease in Forced Expiratory Volume in 1 s (PC

resultsAHR prevalence was 21.6% (169/783) at 10 years and 5% (29/585) at 18 years of age (p < 0.01). In 406 participants, where methacholine BCT was performed at both 10 and 18 years, 80.9% of those with AHR at age 10 became negative at 18 years. At a population level, AHR trajectory was in the opposite direction to that of asthma (14.7% at age 10 to 17.6% at age 18; p = 0.004), atopy (26.9% at age 10 to 41.5% at age 18; p < 0.001) and airway obstruction (FEV

conclusionThe natural history of AHR is characterised by a marked decrease in prevalence during adolescence, in contrast to asthma and other asthma characteristics. Age should be considered when interpreting AHR as an asthma defining trait.

Indexed as

AsthmaRespiratory HypersensitivityAdolescentAdultAge FactorsBronchial Provocation TestsChildFemaleHumansLongitudinal StudiesMaleMethacholine ChloridePrevalenceUnited KingdomYoung AdultMethacholine Chlorideairway hyperresponsivenessasthmabronchial challenge testmethacholinewheeze

Identifiers

PMID40842367
PMCPMC12773667

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Registered trials

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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.