Evidence map›Paper›PMID 20920305›Full record

ArticleItalian journal of pediatrics2010

Relationship between severe obesity and gut inflammation in children: what's next?

Maria Immacolata Spagnuolo, Maria Pia Cicalese, Maria Angela Caiazzo, Adriana Franzese, Veronica Squeglia, Luca Rosario Assante, Giuliana Valerio, Rossella Merone, Alfredo Guarino

Open access · goldAbstract read
In one paragraph

Article in Italian journal of pediatrics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 35 citations in OpenAlex.

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  11. A Study of Fecal Calprotectin in Obese Children and Adults.Journal of obesity & metabolic syndrome · 2018
    Article
  12. Stool Immune Profiles Evince Gastrointestinal Inflammation in Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2018
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Role of intestinal inflammation as an early event in obesity and insulin resistance.Current opinion in clinical nutrition and metabolic care · 2011
    Review
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Maria Immacolata SpagnuoloDepartment of Paediatrics University Federico II, Naples, Italy. mispagnu@unina.it
Maria Pia Cicalese
Maria Angela Caiazzo
Adriana Franzese
Veronica Squeglia
Luca Rosario Assante
Giuliana Valerio
Rossella Merone
Alfredo Guarino
Federico II University Hospital · ITParthenope University of Naples · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreliminary evidence suggests an association between obesity and gut inflammation.

aimsTo evaluate the frequency of glucose abnormalities and their correlation with systemic and intestinal inflammation in severely obese children. PATIENTS AND

methodsThirty-four children (25 males; median age 10.8 ± 3.4 yrs) with severe obesity (BMI >95%) were screened for diabetes with oral glucose tolerance test (OGTT), systemic inflammation with C-reactive protein (CRP) and gut inflammation with rectal nitric oxide (NO) and faecal calprotectin.

resultsBMI ranged from 23 to 44 kg/m2, and BMI z-score between 2.08 e 4.93 (median 2.69 ± 0.53). Glucose abnormalities were documented in 71% of patients: type 2 diabetes in 29%, impaired fasting glucose (IFG) in 58%, and impaired glucose tolerance (IGT) in 37.5%. Thirty-one patients (91%) were hyperinsulinemic. CRP was increased in 73.5% with a correlation between BMI z-score and CRP (p 0.03). Faecal calprotectin was increased in 47% patients (mean 77 ± 68), and in 50% of children with abnormal glucose metabolism (mean 76 ± 68 μg/g), with a correlation with increasing BMI z-score. NO was pathological in 88%, and in 87.5% of glucose impairment (mean 6.8 ± 5 μM).

conclusionsIn this study, the prevalence of glucose abnormalities in obese children is higher than in other series; furthermore, a correlation is present between markers of systemic and intestinal inflammation and glucose abnormalities.

Indexed as

BiomarkersBlood GlucoseBody Mass IndexChildC-Reactive ProteinDiabetes Mellitus, Type 2FecesFemaleGlucose Tolerance TestHumansHyperinsulinismInflammationLeukocyte L1 Antigen ComplexMaleNitric OxideObesityBiomarkersBlood GlucoseC-Reactive ProteinLeukocyte L1 Antigen ComplexNitric Oxide

Identifiers

PMID20920305
PMCPMC2964531
OpenAlexW2128995695

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.