Evidence map›Paper›PMID 41022283›Full record

ArticleAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2026

Associations between body weight, asthma burden, and type 2 inflammation among under-resourced children.

David Thompson, Cynthia M Visness, Robert A Wood, George T O'Connor, Rachel G Robison, Gurjit K Khurana Hershey, Carolyn M Kercsmar, Jeffrey Chambliss, Andrew H Liu, Christine Johnson and 8 more

Abstract read
In one paragraph

Article in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 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. 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

18 authors.

David ThompsonDivision of Respiratory and Sleep Medicine, Department of Pediatrics, Albert Einstein College of Medicine, New York, New York.
Cynthia M VisnessRho, Inc, Durham, North Carolina.
Robert A WoodPediatric Allergy and Immunology Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
George T O'ConnorPulmonary Center, Boston University School of Medicine, Boston, Massachusetts.
Rachel G RobisonAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Gurjit K Khurana HersheyDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Carolyn M KercsmarPediatric Asthma Pulmonology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Jeffrey ChamblissUniversity of Texas Southwestern Medical Center, Dallas, Texas.
Andrew H LiuBreathing Institute, Children's Hospital Colorado, Aurora, Colorado.
Christine JohnsonDepartment of Medicine, Henry Ford Health System, Detroit, Michigan.
Stephanie Lovinsky-DesirDepartment of Pediatrics, Columbia University Medical Center, New York, New York.
Leonard B BacharierDepartment of Medicine, Center for Asthma Research, Vanderbilt University Medical Center, Nashville, Tennessee.
James E GernPediatric Allergy, Asthma, and Immunology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Daniel J JacksonPediatric Allergy, Asthma, and Immunology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
William W BusseDivision of Allergy, Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Peter J GergenNational Institute of Allergy and Infectious Diseases, Bethesda, Maryland.
Stephen J TeachChildren's National Hospital, Washington, DC.
Deepa RastogiDivision of Respiratory and Sleep Medicine, Department of Pediatrics, Albert Einstein College of Medicine, New York, New York. Electronic address: deepa.rastogi@einsteinmed.edu.

Funding

Inner City Asthma consortium 3 (ICAC3)UM1AI114271 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI GERN, JAMES E., JACKSON, DANIEL J · 2014 to 2021
$79.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
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
Project-005UL1TR001430 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BAIR-MERRITT, MEGAN H, CENTER, DAVID M. · 2015 to 2024
$52.3M
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
Childhood Asthma in Urban Settings Leadership Center Administrative Supplement for URECA Yr4UM1AI160040 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI James E. Gern, DANIEL J JACKSON · 2021 to 2026
$41.1M
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
UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
New Approaches for Empowering Studies of Asthma in Populations of African DescentR01HL104608 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BARNES, KATHLEEN C, KENNY, EIMEAR ELIZABETH · 2011 to 2022
$23.1M
YOGA INDUCED CHANGES IN BRAIN GABA LEVELSM01RR000533 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI ANTMAN, KAREN · 1985 to 2008
$19.4M
NCATS NIH HHS TL1 TR002388NCATS NIH HHS UL1 TR000040NCATS NIH HHS UL1 TR000075NCATS NIH HHS UL1 TR000077NCATS NIH HHS UL1 TR000150NCATS NIH HHS UL1 TR000451NCATS NIH HHS UL1 TR001079NCATS NIH HHS UL1 TR001105NCATS NIH HHS UL1 TR001430NCRR NIH HHS M01 RR000052NCRR NIH HHS M01 RR000071NCRR NIH HHS M01 RR000533NCRR NIH HHS UL1 RR024156NCRR NIH HHS UL1 RR025771NCRR NIH HHS UL1 RR025780NHLBI NIH HHS R01 HL104608NHLBI NIH HHS R01 HL141849NHLBI NIH HHS T32 HL007605NIAID NIH HHS HHSN272200900052CNIAID NIH HHS HHSN272201000052INIAID NIH HHS R21 AI166744NIAID NIH HHS UM1 AI114271NIAID NIH HHS UM1 AI160040NIGMS NIH HHS T32 GM007197NIH HHS UG3 OD023282
6 · The paper itself

Abstract

backgroundOverweight/obesity is a risk factor for asthma, particularly in under-resourced children, and contributes to higher disease burden. Type 2 (T2) inflammation, a key characteristic of asthma endotypes, has been inconsistently associated with burden of obesity-related asthma, which may be due to limited overlap between different T2 features, including elevated total serum IgE level, eosinophilia, and allergen sensitization.

objectiveTo investigate the effects of different T2 features on association of overweight/obesity with asthma burden in under-resourced children.

methodsAmong 2160 children aged 6 to 20 years from 4 Inner-City Asthma Consortium cohorts, the association of overweight/obesity with asthma burden (unscheduled visits, hospitalizations, exacerbations, asthma control, and pulmonary function) and the effect of T2 features (total IgE level higher than age-specific cutoffs, total eosinophils > 300 cells/µL, or sensitization to ≥2 allergens) on the association were investigated.

resultsThe odds (odds ratio [95% CI]) of unscheduled visits were higher among those with overweight/obesity (1.35 [1.04-1.75]) and allergen sensitization (1.35 [1.02-1.80]), hospitalizations were higher among those with elevated total IgE level (2.17 [1.27-3.69]) and eosinophilia (2.80 [1.56-5.21]), and poor asthma control was higher among those with elevated total IgE level (1.27 [1.09-1.41]). Overweight/obesity and all T2 features were associated with lower forced expiratory volume in 1 second/forced vital capacity ratio. There was no synergistic or clinically significant mediating influence of any of T2 features on the association of overweight/obesity with asthma burden.

conclusionAmong under-resourced children with asthma, overweight/obesity and T2 inflammation are largely independently associated with unscheduled visits and pulmonary function deficits. T2 inflammation, but not overweight/obesity, is associated with poor control and hospitalizations.

Indexed as

AsthmaBody WeightInflammationOverweightPediatric ObesityAdolescentAllergensChildEosinophilsFemaleHospitalizationHumansImmunoglobulin EMaleObesityRisk FactorsAllergensImmunoglobulin E

Identifiers

PMID41022283
PMCPMC12576922

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