Study [ref.] | Study design | Region of study | Study size n | Age at follow up time years | BMI percentile | Asthma control in 12 months/6 months | Asthma exacerbations in 12 months/6 months | Overweight/ Obesity % | Well-controlled asthma % | Hospitalisation % | ED visits % | OCS use % |
BREATHE | Cross-sectional | UK, Scotland | 1318 | 4–18 | Obesity | OCS use; hospitalisation due to asthma | 13.4 | 15.2 | 25.9 | |||
PACMAN | Cross-sectional | Netherlands | 648 | 4–12 | Obesity | ACQ | OCS use; ED visits | 10.3 | 59.0 | 6.2 | 5.1 | |
PAGES | Cross-sectional | UK, Scotland | 422 | 4–17 | Obesity | ACT | OCS use; hospitalisation due to asthma | 15.4 | 36.2 | 14.3 | 39.4 | |
Sasaki [11] | Cross-sectional | Japan | 3066 | 6–11 | Obesity | ACT | 11.8 | 85.4 | ||||
Lang [12] | Cross-sectional | USA | 56 | 10–17 | Overweight; obesity | ACQ | 62.5 (overweight); 41.1 (obesity) | 37.5 | ||||
Lang [15] | Multicentre clinical trial# | USA | 306 | Obesity | ACQ | 31 | 33.7 | |||||
Lang [16] | Multicentre clinical trial# | USA | 107 | 6–17 | Obesity | ACQ | 23.4 | 71 | ||||
Kattan [17] | Randomised clinical trial# | USA | 368 | 12–20 | Obesity | ACT | 35.1 | 89.1 | ||||
Borrell [14] | Cross-sectional | USA | 2174 | 8–19 | Overweight; obesity | Asthma control¶ | 35.6 | 17.6 | ||||
Sah [24] | Cross-sectional | USA | 269 | Obesity | Hospitalisation due to asthma; ED visits+ | 24.9 | 32.7 | 15.6 | ||||
Schatz [19] | Cohort | USA | 10 700 | 5–17 | Obesity | OCS use§ | 28.1 | 11.7 | ||||
Quinto [20] | Cohort | USA | 32 321 | 5–17 | Overweight; obesity | Hospitalisation and ED visits due to asthma; OCS use | 19.3 (overweight); 30.0 (obesity) | NA | NA | NA | ||
Luder [23] | Cross-sectional | USA | 209 | 2–18 | Overweight | Hospitalisation due to asthmaƒ; ED visits## | 39.7 | 23.9 | 72.2 | |||
Hom [21] | Cohort | USA | 183 | 6–18 | Overweight | Hospitalisation due to asthma; ED visits¶¶ | 59.0 | 36.1 | 30.1 |
#: findings in these three studies are the results of post hoc analyses of data from randomised clinical trials not specifically designed to assess the effect of obesity on asthma outcomes; ¶: asthma control based on NHLBI guidelines (meeting at least three criteria has been defined as poor asthma control); +: one time emergency department (ED) visit over the preceding 12 months; §: within last 7 days of asthma exacerbations diagnosis; ƒ: ≥3 times hospitalisation per year; ##: ≥10 ED visits during the past year; ¶¶: ≥1 ED visits during the past 30 days. BMI: body mass index; OCS: oral corticosteroid; ACQ: Asthma Control Questionnaire; ACT: Asthma Control Test; NA: not available.