Evidence map›Paper›PMID 21968752›Full record

ArticleHypertension (Dallas, Tex. : 1979)2011

Intensified effect of adiposity on blood pressure in overweight and obese children.

Wanzhu Tu, George J Eckert, Linda A DiMeglio, Zhangsheng Yu, Jeesun Jung, J Howard Pratt

Open access · greenAbstract readComparative Study
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 2 pooled it
8.2field-weighted citation impact, top 2% 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

66 citing papers in PubMed, 2 syntheses or guidelines pooled it, 143 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Article
  8. The ongoing impact of obesity on childhood hypertension.Pediatric nephrology (Berlin, Germany) · 2024
    Review
  9. Article
  10. Childhood Obesity: Insight into Kidney Involvement.International journal of molecular sciences · 2023
    Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Comparison of nonlinear curves and surfaces.Computational statistics & data analysis · 2020
    Article
  20. Article

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Wanzhu TuDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA. wtu1@iupui.edu
George J Eckert
Linda A DiMeglio
Zhangsheng Yu
Jeesun Jung
J Howard Pratt
Regenstrief Institute · USRichard L. Roudebush VA Medical Center · US

Funding

Effects of Somatic Growth and Sodium Retention on Blood PressureR01HL095086 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI PRATT, JOHN HOWARD, TU, WANZHU · 2009 to 2012
$1.5M
NHLBI NIH HHS R01 HL095086NHLBI NIH HHS R01-HL095086
6 · The paper itself

Abstract

In children, blood pressure (BP) and risk for hypertension are proportional to degree of adiposity. Whether the relationship to BP is similar over the full range of adiposity is less clear. Subjects from a cohort study (n=1111; 50% male and 42% black) contributed 9102 semiannual BP and height/weight assessments. The mean enrollment age was 10.2 years, and mean follow-up was 4.5 years. Adiposity was expressed as body mass index percentile, which accounted for effects of age and sex. The following observations were made. The effect of relative adiposity on BP was minimal until the body mass index percentile reached 85, beginning of the overweight category, at which point the effect of adiposity on BP increased by 4-fold. Similarly intensified adiposity effects on BP were observed in children aged ≤10, 11 to 14 years, and ≥15 years. Serum levels of the adipose tissue-derived hormone, leptin, together with heart rate, showed an almost identically patterned relation to BP to that of body mass index percentile and BP, thus implicating a possible mediating role for leptin. In conclusion, there is a marked intensification of the influence of adiposity on BP when children reach the categories of overweight and obese. Among the possible pathways, leptin may be a potentially important mediator acting through the sympathetic nervous system (reflected in heart rate). The findings have relevance to interventions designed to prevent or treat adiposity-related increases in BP and to the analytic approaches used in epidemiological studies.

Indexed as

AdiposityBody Mass IndexAdolescentAge FactorsAnthropometryBlood Pressure DeterminationChild, PreschoolCross-Sectional StudiesFemaleHumansHypertensionLeptinMaleObesityOverweightPrevalenceLeptin

Identifiers

PMID21968752
PMCPMC3433397
OpenAlexW2099256628

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.