Evidence map›Paper›PMID 25887330›Full record

ArticleBMC musculoskeletal disorders2015

Body mass index at 11 years and bone mass at age 18: path analysis within the 1993 Pelotas (Brazil) birth cohort study.

Ludmila Correa Muniz, Ana Maria Baptista Menezes, Maria Cecília Formoso Assunção, Jeovany Martínez-Mesa, Fernando Cesar Wehrmeister, Laura D Howe, Pedro Curi Hallal, Helen Gonçalves, Fernando C Barros

Abstract readComparative Study
In one paragraph

Article in BMC musculoskeletal disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

9 authors.

Ludmila Correa MunizPost-Graduate Program in Epidemiology, Federal University of Pelotas, Rua: Marechal Deodoro 1160 (3° andar). CEP, Pelotas, Rio Grande do Sul, 96020-220, Brasil. ludmuniz@yahoo.com.br.
Ana Maria Baptista MenezesPost-Graduate Program in Epidemiology, Federal University of Pelotas, Rua: Marechal Deodoro 1160 (3° andar). CEP, Pelotas, Rio Grande do Sul, 96020-220, Brasil. anamene@terra.com.br.
Maria Cecília Formoso AssunçãoPost-Graduate Program in Epidemiology, Federal University of Pelotas, Rua: Marechal Deodoro 1160 (3° andar). CEP, Pelotas, Rio Grande do Sul, 96020-220, Brasil. cecilia.epi@gmail.com.
Jeovany Martínez-MesaPost-Graduate Program in Epidemiology, Federal University of Pelotas, Rua: Marechal Deodoro 1160 (3° andar). CEP, Pelotas, Rio Grande do Sul, 96020-220, Brasil. jeovanymm@yahoo.es.
Fernando Cesar WehrmeisterPost-Graduate Program in Epidemiology, Federal University of Pelotas, Rua: Marechal Deodoro 1160 (3° andar). CEP, Pelotas, Rio Grande do Sul, 96020-220, Brasil. fcwehrmeister@yahoo.com.br.
Laura D HoweMRC Integrative Epidemiology Unit at the University of Bristol, School of Social and Community Medicine, University of Bristol, Bristol, UK. laura.howe@bristol.ac.uk.
Pedro Curi HallalPost-Graduate Program in Epidemiology, Federal University of Pelotas, Rua: Marechal Deodoro 1160 (3° andar). CEP, Pelotas, Rio Grande do Sul, 96020-220, Brasil. prchallal@gmail.com.
Helen GonçalvesPost-Graduate Program in Epidemiology, Federal University of Pelotas, Rua: Marechal Deodoro 1160 (3° andar). CEP, Pelotas, Rio Grande do Sul, 96020-220, Brasil. hdgs.epi@gmail.com.
Fernando C BarrosPost-Graduate Program in Epidemiology, Federal University of Pelotas, Rua: Marechal Deodoro 1160 (3° andar). CEP, Pelotas, Rio Grande do Sul, 96020-220, Brasil. fcbarros.epi@gmail.com.

Funding

Medical Research Council G1002375Medical Research Council MC_UU_12013/5Medical Research Council MC_UU_12013/9Wellcome Trust
6 · The paper itself

Abstract

backgroundWe investigated whether Body Mass Index (BMI) at 11 years old has a direct effect on bone mass at age 18 operating through alterations to bone growth and development, or whether the association is mediated by concurrent BMI, fat mass (FM), and fat free mass (FFM).

methodsPath analysis was used to explore the association between BMI at age 11 and whole-body bone mineral content (BMC) and bone mineral density (BMD) assessed by dual-energy x-ray absorptiometry (DXA) at age 18 in a prospective birth cohort study comprising 3,307 adolescents; we also evaluated the degree to which this association was mediated by BMI, FM (kg) and FFM (kg) assessed by plethysmography (BOD POD) at age 18.

resultsWe found a positive association between BMI at age 11 and BMC (males [β = 179.7 g, 95% CI 161.4; 198.0]; females [β = 179.9 g, 95% CI 165.3; 194.6]) and BMD (males [β = 0.030 g/cm2, 95% CI 0.024; 0.035]; females [β = 0.029 g/cm2, 95% CI 0.025; 0.033]) at age 18. This association was largely mediated by BMI and FFM at age 18 in both female and male adolescents. FM at age 18 was not an important mediator.

conclusionsConcurrent BMI and FFM were the main mediators of the association between BMC/BMD in late adolescence and BMI in early adolescence.

Indexed as

Body Mass IndexAbsorptiometry, PhotonAdipose TissueAdolescentBody CompositionBone DensityBrazilChildCohort StudiesFemaleHumansLongitudinal StudiesMalePlethysmographyProspective StudiesRetrospective Studies

Identifiers

PMID25887330
PMCPMC4391135

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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.