Evidence map›Paper›PMID 26310663›Full record

ArticleAmerican journal of hypertension2016

The Association of Pediatric Obesity With Nocturnal Non-Dipping on 24-Hour Ambulatory Blood Pressure Monitoring.

Ian R Macumber, Noel S Weiss, Susan M Halbach, Coral D Hanevold, Joseph T Flynn

Open access · bronzeAbstract read
In one paragraph

Article in American journal of hypertension, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.2field-weighted citation impact, top 7% 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, 72 citations in OpenAlex.

  1. Article
  2. Exploring the Linear and Non-linear Association Between BMI and Night-Time Blood Pressure Variability.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Treatment of Hypertension in Children.Current hypertension reviews · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Isolated Nocturnal Hypertension in Children.Frontiers in pediatrics · 2022
    Review
  13. Nocturnal Dipping and Left Ventricular Mass Index in the Chronic Kidney Disease in Children Cohort.Clinical journal of the American Society of Nephrology : CJASN · 2022
    Article
  14. Article
  15. Article
  16. Circadian disruption and human health.The Journal of clinical investigation · 2021
    Review
  17. Review
  18. Article
  19. Is Office Blood Pressure Measurement Reliable in Obese Adolescents?Diabetes, metabolic syndrome and obesity : targets and therapy · 2021
    Article
  20. 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

5 authors at 3 institutions in 1 country.

Ian R MacumberDivision of Nephrology, Seattle Children's Hospital, Seattle, Washington, USA; ianmacumber@gmail.com.
Noel S WeissDepartment of Epidemiology, University of Washington, Seattle, Washington, USA.
Susan M HalbachDivision of Nephrology, Seattle Children's Hospital, Seattle, Washington, USA;
Coral D HanevoldDivision of Nephrology, Seattle Children's Hospital, Seattle, Washington, USA;
Joseph T FlynnDivision of Nephrology, Seattle Children's Hospital, Seattle, Washington, USA;
Seattle Children's Hospital · USSeattle Children's Hospital · USUniversity of Washington · US

Funding

Pediatric Nephrology Training ProgramT32DK007662 · NIDDK · UNIVERSITY OF WASHINGTON · PI HINGORANI, SANGEETA · 1991 to 2020
$5.5M
NIDDK NIH HHS T32 DK007662
6 · The paper itself

Abstract

backgroundObesity has been linked with abnormal nocturnal dipping of blood pressure (BP) in adults, which in turn is associated with poor cardiovascular outcomes. There are few data regarding abnormal dipping status in the obese pediatric population. The goal of this study was to further describe the relationship between obesity and non-dipping status on ambulatory blood pressure monitor (ABPM) in children.

methodsWe conducted a cross-sectional study using a database of patients aged 5-21 years who had undergone 24-hour ABPM at Seattle Children's Hospital from January 2008 through May 2014. Subjects were grouped by body mass index (BMI) into lean (BMI 15th-85th percentile) and obese (BMI >95th percentile) groups.

resultsCompared to lean subjects (n = 161), obese subjects (n = 247) had a prevalence ratio (PR) for non-dipping of 2.15, adjusted for race (95% confidence interval (CI) = 1.25-3.42). Increasing severity of obesity was not further associated with nocturnal non-dipping. Nocturnal non-dipping was not associated with left ventricular hypertrophy (PR = 1.01, 95% CI = 0.71-1.44).

conclusionsThese results suggest that in children, just as in adults, obesity is related to a relatively decreased dipping in nocturnal BP.

Indexed as

Blood PressureBlood Pressure Monitoring, AmbulatoryCircadian RhythmAdolescentAge FactorsBody Mass IndexChildChild, PreschoolCross-Sectional StudiesDatabases, FactualFemaleHumansMalePediatric ObesityPredictive Value of TestsSeverity of Illness IndexABPMambulatory blood pressure monitorblood pressurehypertensionnocturnal dippingobesitypediatrics.

Identifiers

PMID26310663
PMCPMC5863779
OpenAlexW2306499579

What OpenQuestion holds

Textmetadata
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.