28/09/2026
Small airway dysfunction (SAD) is increasingly recognised as an important component of obesity-related asthma, with implications for disease severity and exacerbations. Our (Monica Lu) recent editorial in the European Respiratory Journal highlights the important role of SAD in the pathophysiology of asthma and the need to better understand and assess small airway involvement. There is an essential need to incorporate advanced lung physiology tools, such as oscillometry, into routine clinical practice. These approaches may enable earlier and more precise assessment of SAD.
Understanding the interplay between obesity, inflammation, and SAD could open new opportunities for personalised asthma care and improved patient outcomes. Importantly, the lessons we learn from SAD in asthma may also have broader implications for other respiratory diseases, including COPD and IPF. Link - https://bit.ly/4fHNNwW European Respiratory Society TSANZ - Thoracic Society of Australia and New Zealand Clifford Craig Health Foundation