Endotyping pediatric obesity-related asthma: Contribution of anthropometrics, metabolism, nutrients, and CD4


Journal

The Journal of allergy and clinical immunology
ISSN: 1097-6825
Titre abrégé: J Allergy Clin Immunol
Pays: United States
ID NLM: 1275002

Informations de publication

Date de publication:
10 2022
Historique:
received: 09 11 2021
revised: 12 04 2022
accepted: 26 04 2022
pubmed: 3 6 2022
medline: 12 10 2022
entrez: 2 6 2022
Statut: ppublish

Résumé

Obesity-related complications including visceral fat, metabolic abnormalities, nutrient deficiencies, and immune perturbations are interdependent but have been individually associated with childhood asthma. We sought to endotype childhood obesity-related asthma by quantifying contributions of obesity-related complications to symptoms and pulmonary function. Multiomics analysis using Similarity Network Fusion followed by mediation analysis were performed to quantify prediction of obese asthma phenotype by different combinations of anthropometric, metabolic, nutrient, and T Two clusters (n = 28 and 26) distinct in their anthropometric (neck and midarm circumference, waist to hip ratio [WHR], and body mass index [BMI] z score), metabolic, nutrient, and T Anthropometric, metabolic, nutrient, and immune perturbations have individual but interdependent contributions to obese asthma phenotype, with the most consistent effect of WHR, highlighting the role of truncal adiposity in endotyping childhood obesity-related asthma.

Sections du résumé

BACKGROUND
Obesity-related complications including visceral fat, metabolic abnormalities, nutrient deficiencies, and immune perturbations are interdependent but have been individually associated with childhood asthma.
OBJECTIVE
We sought to endotype childhood obesity-related asthma by quantifying contributions of obesity-related complications to symptoms and pulmonary function.
METHODS
Multiomics analysis using Similarity Network Fusion followed by mediation analysis were performed to quantify prediction of obese asthma phenotype by different combinations of anthropometric, metabolic, nutrient, and T
RESULTS
Two clusters (n = 28 and 26) distinct in their anthropometric (neck and midarm circumference, waist to hip ratio [WHR], and body mass index [BMI] z score), metabolic, nutrient, and T
CONCLUSIONS
Anthropometric, metabolic, nutrient, and immune perturbations have individual but interdependent contributions to obese asthma phenotype, with the most consistent effect of WHR, highlighting the role of truncal adiposity in endotyping childhood obesity-related asthma.

Identifiants

pubmed: 35654239
pii: S0091-6749(22)00753-9
doi: 10.1016/j.jaci.2022.04.033
pmc: PMC9547831
mid: NIHMS1816195
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

861-871

Subventions

Organisme : NHLBI NIH HHS
ID : K23 HL118733
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL141849
Pays : United States
Organisme : NHLBI NIH HHS
ID : R03 HL144534
Pays : United States

Informations de copyright

Copyright © 2022 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

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Auteurs

David Thompson (D)

Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC.

Lisa G Wood (LG)

Priority Research Centre for Healthy Lungs, University of Newcastle, New Lambton Heights, Australia.

Evan J Williams (EJ)

Priority Research Centre for Healthy Lungs, University of Newcastle, New Lambton Heights, Australia.

Rebecca F McLoughlin (RF)

Priority Research Centre for Healthy Lungs, University of Newcastle, New Lambton Heights, Australia.

Deepa Rastogi (D)

Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC. Electronic address: drastogi@childrensnational.org.

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Classifications MeSH