Results for associations with small for gestational age, childhood underweight, and low lean body mass index are from models that included 368, 411, and 365 MAAS participants, respectively. Relative risk ratios are from multinomial logistic regression models adjusted for sex and race/ethnicity. Normal spirometric pattern as the reference group. Low TLC defined as below the 10th percentile based on the residuals estimated from regressing TLC on age, height, sex, and race/ethnicity. Normal TLC defined as ≥ 10th percentile. Childhood nutritional status assessed across years 5, 8, 11, and 16. Low lean body mass index defined as below the 10th percentile based on the residuals estimated from regressing lean body mass index on age, sex, and race/ethnicity. *Estimate was not available because none of the participants in the restrictive spirometric pattern with normal TLC group was underweight during childhood.