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 therapyNumber of subjectsResults

Farah et al., 2011 [36]Fluticasone/salmeterol49Similar improvements in asthma control, spirometry, airway inflammation, and airway hyperresponsiveness across BMI groups
Sutherland et al., 2010 [46]Fluticasone, montelukast1052Fluticasone greater improvement across all BMI categories when compared to montelukast
Sutherland et al., 2008 [37] Glucocorticoids45Decreased in vitro response to glucocorticoids in obese asthmatics
Boulet and Franssen 2007 [35]Fluticasone with or without salmeterol1242Fluticasone 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, placebo488Increased 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 3073Less improvement in asthma control days with inhaled corticosteroid with increasing BMI, no difference with montelukast