4.5 Article

Overweight, Obesity, and Lung Function in Children and Adults-A Meta-analysis

Journal

Publisher

ELSEVIER
DOI: 10.1016/j.jaip.2017.07.010

Keywords

Obesity; Childhood obesity; Lung function; Asthma; Meta-analysis

Funding

  1. National Institutes of Health (NIH) [HL125666]
  2. Children's Hospital of Pittsburgh of UPMC
  3. NIH [HL079966, HL117191, HL119952]
  4. Heinz Foundation

Ask authors/readers for more resources

BACKGROUND: There is conflicting evidence on the effect of obesity on lung function in adults and children with and without asthma. We aimed to evaluate the relation between overweight or obesity and lung function, and whether such relationship varies by age, sex, or asthma status. METHODS: We searched PubMed, Scopus, CINAHL, Cochrane, and EMBASE for all studies (in English) reporting on obesity status (by body mass index) and lung function, from 2005 to 2017. Main outcomes were forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), FEV1/FVC, forced expiratory flow between 25th and 75th percentile of the forced vital capacity (FEF25-75), total lung capacity (TLC), residual volume (RV), and functional residual capacity (FRC). Random-effects models were used to calculate the pooled risk estimates; each study was weighed by the inverse effect size variance. For each outcome, we compared overweight or obese (obese) subjects with those of normal weight. RESULTS: All measures of lung function were decreased among obese subjects. Obese adults showed a pattern (lower FEV1, FVC, TLC, and RV) different from obese children (more pronounced FEV1/FVC deficit with unchanged FEV1 or FVC). There were also seemingly different patterns by asthma status, in that subjects without asthma had more marked decreases in FEV1, TLC, RV, and FRC than subjects with asthma. Subjects who were obese (as compared with overweight) had even further decreased FEV1, FVC, TLC, RV, and FRC. CONCLUSIONS: Obesity is detrimental to lung function, but specific patterns differ between children and adults. Physicians should be aware of adverse effects of obesity on lung function, and weight control should be considered in the management of airway disease among the obese. (C) 2017 American Academy of Allergy, Asthma & Immunology

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Pediatrics

Sleep disorders in children with asthma

Joel Reiter, Maya Ramagopal, Alex Gileles-Hillel, Erick Forno

Summary: Asthma and sleep disorders are common in children and often coexist, with one potentially influencing the other. Children with asthma may experience complaints of poor sleep quality, insomnia, and daytime sleepiness, while also having higher rates of parasomnias. The bidirectional interaction between sleep-related breathing disorders and asthma may worsen each condition, emphasizing the importance of considering both when managing asthma in children.

PEDIATRIC PULMONOLOGY (2022)

Article Pediatrics

Severe asthma in children: Description of a large multidisciplinary clinical cohort

Maria Forero Molina, William Okoniewski, Sandeep Puranik, Shean Aujla, Juan C. Celedon, Allyson Larkin, Erick Forno

Summary: This study reviewed the electronic health records of a severe asthma clinic in a children's hospital, finding that children with severe asthma had high morbidity and healthcare utilization. The study also showed that patients with a history of hospital admissions for asthma were more likely to be nonwhite and highly atopic and have lower lung function. Following enrollment in a multidisciplinary clinic, the frequency of severe exacerbations decreased.

PEDIATRIC PULMONOLOGY (2022)

Meeting Abstract Pediatrics

IV. TOPIC SESSIONS

Erick Forno

PEDIATRIC PULMONOLOGY (2022)

Article Allergy

Initial emergency department vital signs may predict PICU admission in pediatric patients presenting with asthma exacerbation

Michael S. Freedman, Erick Forno

Summary: This study aimed to identify early predictive factors associated with pediatric intensive care unit (PICU) admission. The study found that higher heart rates and respiratory rates, and lower SpO2 within the first hour of emergency department (ED) presentation were independently associated with PICU admission. A binary predictive index using 1-hour vitals accurately predicted PICU admission, and in combination with a secondary standardized clinical asthma distress score, the positive predictive value increased significantly.

JOURNAL OF ASTHMA (2023)

Article Allergy

Multi-ancestry genome-wide association study of asthma exacerbations

Esther Herrera-Luis, Victor E. Ortega, Elizabeth J. Ampleford, Yang Yie Sio, Raquel Granell, Emmely de Roos, Natalie Terzikhan, Ernesto Elorduy Vergara, Natalia Hernandez-Pacheco, Javier Perez-Garcia, Elena Martin-Gonzalez, Fabian Lorenzo-Diaz, Simone Hashimoto, Paul Brinkman, Andrea L. Jorgensen, Qi Yan, Erick Forno, Susanne J. Vijverberg, Ryan Lethem, Antonio Espuela-Ortiz, Mario Gorenjak, Celeste Eng, Ruperto Gonzalez-Perez, Jose M. Hernandez-Perez, Paloma Poza-Guedes, Olaia Sardon, Paula Corcuera, Greg A. Hawkins, Annalisa Marsico, Thomas Bahmer, Klaus F. Rabe, Gesine Hansen, Matthias Volkmar Kopp, Raimon Rios, Maria Jesus Cruz, Francisco-Javier Gonzalez-Barcala, Jose Maria Olaguibel, Vicente Plaza, Santiago Quirce, Glorisa Canino, Michelle Cloutier, Victoria Del Pozo, Jose R. Rodriguez-Santana, Javier Korta-Murua, Jesus Villar, Uros Potocnik, Camila Figueiredo, Michael Kabesch, Somnath Mukhopadhyay, Munir Pirmohamed, Daniel B. Hawcutt, Erik Melen, Colin N. Palmer, Steve Turner, Anke H. Maitland-van der Zee, Erika von Mutius, Juan C. Celedon, Guy Brusselle, Fook Tim Chew, Eugene Bleecker, Deborah Meyers, Esteban G. Burchard, Maria Pino-Yanes

Summary: This multi-ancestry study identified novel suggestive regulatory loci for asthma exacerbations, located in genomic regions participating in inflammation and host defense, revealing the genetic basis of asthma exacerbations.

PEDIATRIC ALLERGY AND IMMUNOLOGY (2022)

Editorial Material Critical Care Medicine

UnloCKing the Role of Creatine Kinase in Childhood Asthma

Erick Forno, Paul D. Robinson

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2023)

Article Public, Environmental & Occupational Health

Air Quality Index and Childhood Asthma: A Pilot Randomized Clinical Trial Intervention

Franziska J. Rosser, Scott D. Rothenberger, Yueh-Ying Han, Erick Forno, Juan C. Celedon

Summary: This study examined the effects of adding the Air Quality Index and recommendations to asthma action plans for children with asthma. The results showed that adding the Air Quality Index led to improved asthma control, but may decrease outdoor activity.

AMERICAN JOURNAL OF PREVENTIVE MEDICINE (2023)

Article Critical Care Medicine

Race and Ethnicity in Pulmonary Function Test Interpretation An Official American Thoracic Society Statement

Nirav R. Bhakta, Christian Bime, David A. Kaminsky, Meredith C. McCormack, Neeta Thakur, Sanja Stanojevic, Aaron D. Baugh, Lundy Braun, Stephanie Lovinsky-Desir, Rosemary Adamson, Jonathan Witonsky, Robert A. Wise, Sean D. Levy, Robert Brown, Erick Forno, Robyn T. Cohen, Meshell Johnson, John Balmes, Yolanda Mageto, Cathryn T. Lee, Refiloe Masekela, Daniel J. Weiner, Charlie G. Irvin, Erik R. Swenson, Margaret Rosenfeld, Richard M. Schwartzstein, Anurag Agrawal, Enid Neptune, Juan P. Wisnivesky, Victor E. Ortega, Peter Burney

Summary: The use of race and ethnicity in pulmonary function test (PFT) interpretation is being questioned due to concerns of perpetuating false fixed differences between races and masking the effects of differential exposures. The American Thoracic Society (ATS) recommended replacing race and ethnicity-specific reference equations with race-neutral average equations, accompanied by a broader re-evaluation of how PFTs are used in clinical, employment, and insurance decisions. Further research and education are also recommended to better understand the impact of this change and improve the evidence for PFT use.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2023)

Article Allergy

Low parental numeracy and severe asthma exacerbations in a prospective study of Puerto Rican youth

Amanda Gutwein, Yueh-Ying Han, Angel Colon-Semidey, Maria Alvarez, Edna Acosta-Perez, Erick Forno, Glorisa Canino, Andrea Apter, Juan C. Celedon

Summary: This study investigates the association between low parental numeracy and childhood asthma exacerbations. The results show that persistently low parental numeracy is associated with asthma exacerbations in Puerto Rican youth. However, there is no significant correlation between low numeracy and changes in lung function.

ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY (2023)

Article Pediatrics

Exposure to violence and asthma in Puerto Rican youth with high Th2 immunity

Kristina Gaietto, Yueh-Ying Han, Erick Forno, Edna Acosta-Perez, Anna Marsland, Gregory E. Miller, Franziska J. Rosser, Wei Chen, Glorisa Canino, Juan C. Celedon

Summary: Exposure to violence (ETV) and violence-related distress are associated with an increased risk of asthma in children and adolescents with high Th2 immunity. These findings suggest that ETV and violence-related distress may be important determinants of asthma in youth with high Th2 immunity.

PEDIATRIC PULMONOLOGY (2023)

Article Multidisciplinary Sciences

Genetic polymorphism (rs6587666) in FLG protects from eczema in admixed Brazilian children population with high African ancestry

Raimon Rios, Thiago Magalhaes da Silva, Agostino Strina, Erick Forno, Ryan Costa, Juan C. Celedon, Mauricio L. Barreto, Camila Alexandrina Figueiredo

Summary: Genetic variants in filaggrin (FLG) are associated with eczema, and the association is modified by African ancestry. The T allele of SNP rs6587666 in FLG is negatively associated with eczema, and this association is influenced by the degree of African ancestry.

HELIYON (2023)

Review Pediatrics

Composite predictive models for asthma exacerbations or asthma deterioration in pediatric asthmatic patients: A systematic review of the literature

Carlos E. E. Rodriguez-Martinez, Monica P. P. Sossa-Briceno, Erick Forno

Summary: The objective of this review was to systematically identify and evaluate the composite predictive models developed for predicting which children are at high risk for future asthma exacerbations or asthma deterioration. A total of 17 composite predictive models were identified, of which 41.2% fulfilled all the quality criteria. These models can help clinicians identify high-risk children and target specific interventions to prevent exacerbations or deterioration of asthma.

PEDIATRIC PULMONOLOGY (2023)

Article Pediatrics

Odds of COVID-19-associated asthma exacerbations in children higher during Omicron wave

Kristina Gaietto, Nicholas Bergum, Franziska Rosser, Oliver Snyder, Natalia Acevedo-Torres, Leigh Anne DiCicco, Gabriella Butler, Sherry Rauenswinter, Jennifer Iagnemma, David Wolfson, Yueh-Ying Han, Traci M. Kazmerski, Erick Forno

Summary: This study aimed to determine the association of COVID-19 variant waves with asthma exacerbations in children. The proportion of children with asthma experiencing an asthma exacerbation was higher during the Omicron wave compared to prior waves. These findings provide additional support for vaccination and prevention efforts.

PEDIATRIC PULMONOLOGY (2023)

Meeting Abstract Critical Care Medicine

Transcriptome-Wide Analysis of Nasal Epithelium Predicts Time to First Severe Exacerbation in Childhood Asthma

M. Yue, Z. Xu, F. J. Rosser, Y. Han, W. Chen, E. Forno, J. C. Celedon

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2022)

Review Respiratory System

Asthma in the Americas: An Update

Erick Forno, Diego D. Brandenburg, Jose A. Castro-Rodriguez, Carlos A. Celis-Preciado, Fernando Holguin, Christopher Licskai, Stephanie Lovinsky-Desir, Marcia Pizzichini, Alejandro Teper, Connie Yang, Juan C. Celedon

Summary: Asthma in the Americas has different prevalence, morbidity, and mortality rates across the region. There is a need for research and health policies to improve the prevention, diagnosis, and management of pediatric and adult asthma. Attention should be given to regional differences in resources and risk factors, including indoor pollutants, tobacco use, and psychosocial stress.

ANNALS OF THE AMERICAN THORACIC SOCIETY (2022)

No Data Available