Evidence map›Paper›PMID 24676281›Full record

ArticlePloS one2014

Overweight in adolescence can be predicted at age 6 years: a CART analysis in German cohorts.

Christina Riedel, Rüdiger von Kries, Anette E Buyken, Katharina Diethelm, Thomas Keil, Linus Grabenhenrich, Manfred J Müller, Sandra Plachta-Danielzik

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Article
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  5. Risk Factors for Childhood Overweight and Obesity in Ukraine and GermanyJournal of clinical research in pediatric endocrinology · 2019
    Article
  6. Article
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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.

Christina RiedelLudwig-Maximilians University of Munich, Institute of Social Paediatrics and Adolescent Medicine, Munich, Germany.
Rüdiger von KriesLudwig-Maximilians University of Munich, Institute of Social Paediatrics and Adolescent Medicine, Munich, Germany.
Anette E BuykenIEL-Nutritional Epidemiology, University of Bonn, DONALD Study at the Research Institute of Child Nutrition, Dortmund, Germany.
Katharina DiethelmIEL-Nutritional Epidemiology, University of Bonn, DONALD Study at the Research Institute of Child Nutrition, Dortmund, Germany.
Thomas KeilInstitute of Social Medicine, Epidemiology and Health Economics, Charité Universitätsmedizin Berlin, Berlin, Germany.
Linus GrabenhenrichInstitute of Social Medicine, Epidemiology and Health Economics, Charité Universitätsmedizin Berlin, Berlin, Germany.
Manfred J MüllerChristian-Albrechts University of Kiel, Institute of Human Nutrition and Food Science, Kiel, Germany.
Sandra Plachta-DanielzikChristian-Albrechts University of Kiel, Institute of Human Nutrition and Food Science, Kiel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine, whether overweight in adolescents can be predicted from the body mass index (BMI) category, at the age of 6, the mother's education level and mother's obesity and to quantify the proportion of overweight at the age of 14 that can be explained by these predictors.

methodPooled data from three German cohorts providing anthropometric and other relevant data to a total of 1 287 children. We used a classification and regression tree (CART) approach to identify the contribution of BMI category at the age of 6 (obese: BMI > 97th percentile (P97); overweight: P90 < BMI ≤ P97; high normal weight: P75<BMI ≤ P90; third quartile: P50<BMI ≤ P75; below the median: ≤ P50), maternal education level and maternal obesity for prediction of overweight/obesity (BMI>P90) at the age of 14.

resultsWhile 4.8% [95%CI: 3.2;7.0] of 651 boys and 4.1% [95%CI: 2.6;6.2] of 636 girls with a BMI<P75 at age 6 were overweight/obese in adolescence, prevalence increased to 41.3% [95%CI: 31.9;51.1] and 42.5% [95%CI: 33.8;51.6], respectively, in those with BMI ≥ P75. The lowest prevalence was 1.9% [95%CI: 0.8;3.8] in boys with a BMI ≤ P50 and the highest prevalence 91.7% [95%CI: 61.5;99.8] with a BMI>P97 (similar results for girls). BM I ≥ P75 at the age of 6 explained 63.5% [95%CI: 51.1;74.5]) and 72.0% [95%CI: 60.4;81.8] of overweight/obesity at the age of 14 in boys and girls, respectively.

conclusionsOverweight/obesity in adolescence can be predicted by BMI category at the age of 6 allowing for parent counselling or risk guided interventions in children with BMI ≥ P75, who accounted for >2/3 of overweight/obesity in adolescents.

Indexed as

AnthropometryModels, StatisticalAdolescentAge FactorsBody Mass IndexBody WeightChildCohort StudiesEducational StatusFemaleGermanyHumansMaleMothersOverweightPrevalence

Identifiers

PMID24676281
PMCPMC3968156

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LicenceCC BY
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Registered trials

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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.