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May 20, 2026American Journal of Respiratory and Critical Care Medicine

B32-18 Impact of Obesity on Response of Biologic Therapy on Asthma Control in a Safety-Net Hospital in Chicago

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Authors

ATA ThapaNDN DhontenADA Dahal

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Overview

Retrospective review assesses biologic therapy impact on asthma control in obese and non-obese adults, indicating effective treatment in both groups.

Key Points

  • This study aims to evaluate the effectiveness of biologic therapy on asthma control in obese versus non-obese patients.
  • Retrospective review of 108 adult asthma patients on biologic therapy at Cook County Hospital from January 2021 to August 2024.
  • Patients categorized as non-obese (BMI <30) or obese (BMI ≥30) and their asthma control assessed post-treatment for ≥6 months.
  • Parameters measured include well-controlled rates, nighttime symptoms, exacerbations, activity limitations, and rescue medication needs.
  • In non-obese patients, well-controlled rates improved from 9% to 55% and from 9% to 62% in obese patients (p < 0.001 for both).
  • Nighttime symptoms decreased significantly from 64% to 11% in non-obese and from 59% to 20% in obese patients (both p < 0.001).
  • No significant differences in treatment responses observed across both groups for nighttime symptoms, activity limitations, exacerbation episodes, and rescue medication need.

Cite This Study

Thapa et al. (2026) studied this question.

synapsesocial.com/papers/6a0d5100f03e14405aa9d491https://doi.org/10.1093/ajrccm/aamag162.458
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