Journal of Allergy / 2013 / Article / Tab 3 / Review Article
Role of Obesity in Asthma Control, the Obesity-Asthma Phenotype Table 3 Studies of responses to therapy in overweight or obese asthmatics compared to normal BMI.
Study Asthma therapy Number of subjects Results Farah et al., 2011 [36 ] Fluticasone/salmeterol 49 Similar improvements in asthma control, spirometry, airway inflammation, and airway hyperresponsiveness across BMI groups Sutherland et al., 2010 [46 ] Fluticasone, montelukast 1052 Fluticasone greater improvement across all BMI categories when compared to montelukast
Sutherland et al., 2008 [37 ] Glucocorticoids 45 Decreased in vitro response to glucocorticoids in obese asthmatics Boulet and Franssen 2007 [35 ] Fluticasone with or without salmeterol 1242 Fluticasone with salmeterol resulted in improved asthma control in both groups compared to fluticasone alone but overall decreased effectiveness with both regimens in obese patients Dixon et al., 2006 [38 ] Theophylline, montelukast, placebo 488 Increased risk of exacerbations in obese subjects treated with theophylline but no difference in montelukast treatment groups
Peters-Golden et al., 2006 [34 ] Beclomethasone, montelukast, placebo 3073 Less improvement in asthma control days with inhaled corticosteroid with increasing BMI, no difference with montelukast