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A retrospective analysis of 473 RSV-induced bronchiolitis cases from 2015 to 2018. No significant demographic differences. Obese infants showed increased respiratory distress, wheezing, and rapid breathing, with lower oxygen saturation. Elevated IgE and tumor necrosis factor-\u03b1 (TNF-\u03b1) levels persisted in the obese group. A higher asthma incidence was observed after 5 years in this group. 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