Evidence map›Paper›PMID 23450064›Full record

ArticleJournal of epidemiology and community health2013

Higher maternal education is associated with favourable growth of young children in different countries.

Rajalakshmi Lakshman, Jing Zhang, Jianduan Zhang, Felix S Koch, Claude Marcus, Johnny Ludvigsson, Ken K Ong, Tanja Sobko

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of epidemiology and community health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
12.8field-weighted citation impact, top 1% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

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  9. Allostatic load in children: The cost of empathic concern.Proceedings of the National Academy of Sciences of the United States of America · 2023
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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

8 authors at 5 institutions in 3 countries.

Rajalakshmi LakshmanMRC Epidemiology Unit, Addenbrookes Hospital, Cambridge, UK.
Jing Zhang
Jianduan Zhang
Felix S Koch
Claude Marcus
Johnny Ludvigsson
Ken K Ong
Tanja Sobko
Huazhong University of Science and Technology · CNKarolinska Institutet · SELinköping University · SEMRC Epidemiology Unit · GBUniversity of Cambridge · GB

Funding

Medical Research Council MC_EX_MR/J000361/1Medical Research Council MC_EX_UU_MR/J000361/1Medical Research Council MC_U106179472Medical Research Council MC_UU_12015/2Medical Research Council MR/J000361/1Wellcome Trust 087636
6 · The paper itself

Abstract

backgroundChildhood growth affects long-term health and could contribute to health inequalities that persist throughout life.

methodsWe compared growth data of 4-year-old to 6-year-old children born 1997-2002 in UK (n=15,168), Sweden (n=6749) and rural China (n=10,327). SD scores (SDS) were calculated against the WHO Growth Standard. Obesity and overweight were defined by the International Obesity Taskforce cut-offs, and stunting, underweight and thinness by height, weight or body mass index (BMI)<-2 SDS. Associations with maternal education were standardised by calculating the Slope Index of Inequality (SII).

resultsMean SDS height, weight and BMI in the UK (-0.01, 0.42, 0.62, respectively) and Sweden (0.45, 0.59, 0.45) were higher than in China (-0.98, -0.82, -0.29). Higher maternal education was consistently associated with taller offspring height SDS (SII: UK 0.25; Sweden 0.17; China 1.06). Underweight and stunting were less common in the UK (prevalence: 0.6% and 2.2%, respectively) and Sweden (0.3% and 0.6%) than in China (9.5% and 16.4%), where these outcomes were inversely associated with maternal education (SII: -25.8% and -12.7%). Obesity prevalence in the UK, Sweden and China was 4.8%, 3.7% and 0.4%, respectively. Maternal education was inversely associated with offspring obesity in the UK (SII: -3.3%) and Sweden (-2.8%), but not in China (+0.3%).

conclusionsHigher maternal education was associated with more favourable growth in young children: lower obesity and overweight in the UK and Sweden, and lower stunting and underweight in rural China. Public health strategies to optimise growth in early childhood need to acknowledge socioeconomic factors, but possibly with a different emphasis in different settings.

Indexed as

Body Mass IndexEducational StatusHealth Status DisparitiesAdolescentAdultAnthropometryChildChild DevelopmentChild Nutrition DisordersChild, PreschoolChinaCohort StudiesCross-Cultural ComparisonCross-Sectional StudiesFemaleGrowth ChartsGROWTHINEQUALITIESNUTRITIONOBESITYPUBLIC HEALTH

Identifiers

PMID23450064
PMCPMC3796351
OpenAlexW2168824651

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.