The Indian Journal of Pediatrics

, Volume 85, Issue 10, pp 887–892 | Cite as

Asthma, GERD and Obesity: Triangle of Inflammation

  • Samriti Gupta
  • Rakesh Lodha
  • S. K. Kabra
Review Article


There is increasing prevalence of both asthma and obesity in children globally in recent years. Various epidemiological studies link obesity as a risk factor for asthma and suggest a possible causal association. Obesity asthma phenotype is considered as distinct in view of greater severity and poor asthma control. Various mechanisms underlying this phenotype have been suggested including mechanical effects of obesity and systemic inflammation, but still the exact mechanism is unclear. Also, the comorbidities like gastroesophageal reflux disease (GERD) and sleep disordered breathing (SDB) lead to inflammation in airways and contribute to asthma obesity association. A better understanding of mechanisms by which obesity and GERD lead to inflammation in airways and increase the risk of asthma may provide insight towards targeted treatment approach of these patients.


Asthma Gastroesophageal reflux Obesity Sleep disordered breathing Inflammation 



SG: Literature search, analysis and manuscript writing, RL: Manuscript writing and analysis, SKK: Manuscript writing and will act as guarantor for the manuscript.

Compliance with Ethical Standards

Conflict of Interest


Source of Funding



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Copyright information

© Dr. K C Chaudhuri Foundation 2017

Authors and Affiliations

  1. 1.Department of PediatricsAll India Institute of Medical SciencesNew DelhiIndia

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