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Prior work has shown insulin resistance (IR) modifies the association between obesity and asthma1 and is associated with decreased lung function in adolescents and children with asthma in cross-sectional national surveys,2 providing a potential mechanistic pathway driving obesity-associated asthma. IR has been shown to be associated with decreased lung function and increased lung function decline in the Severe Asthma Research Program (SARP-3) cohort.3 Hyperinsulinemia has been shown to lead to bronchoconstriction in animal models but remains an unstudied mechanistic pathway in humans with asthma.
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Fuher et al. (2025) studied this question.
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