Evidence map›Paper›PMID 26733572›Full record

ArticleBMJ open2016

Persistent spatial clusters of high body mass index in a Swiss urban population as revealed by the 5-year GeoCoLaus longitudinal study.

Stéphane Joost, Solange Duruz, Pedro Marques-Vidal, Murielle Bochud, Silvia Stringhini, Fred Paccaud, Jean-Michel Gaspoz, Jean-Marc Theler, Joël Chételat, Gérard Waeber and 2 more

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 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

12 authors.

Stéphane JoostLaboratory of Geographic Information Systems (LASIG), School of Architecture, Civil and Environmental Engineering (ENAC), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland MicroGIS Foundation for Spatial Analysis (MFSA), Saint-Sulpice, Switzerland Group of Geographic Information Research and Analysis in Public Health (GIRAPH).ORCID http://orcid.org/0000-0002-1184-7501
Solange DuruzLaboratory of Geographic Information Systems (LASIG), School of Architecture, Civil and Environmental Engineering (ENAC), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.ORCID http://orcid.org/0000-0002-1235-6747
Pedro Marques-VidalDepartment of Internal Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Murielle BochudDivision of Chronic Diseases, Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Silvia StringhiniDivision of Chronic Diseases, Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Fred PaccaudDivision of Chronic Diseases, Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Jean-Michel GaspozFaculty of Medicine, Unit of Population Epidemiology, Division of Primary Care Medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
Jean-Marc ThelerFaculty of Medicine, Unit of Population Epidemiology, Division of Primary Care Medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
Joël ChételatMicroGIS Foundation for Spatial Analysis (MFSA), Saint-Sulpice, Switzerland Group of Geographic Information Research and Analysis in Public Health (GIRAPH).
Gérard WaeberDepartment of Internal Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Peter VollenweiderDepartment of Internal Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Idris GuessousGroup of Geographic Information Research and Analysis in Public Health (GIRAPH) Department of Internal Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland Division of Chronic Diseases, Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital (CHUV), Lausanne, Switzerland Faculty of Medicine, Unit of Population Epidemiology, Division of Primary Care Medicine, Department of Community Medicine, Primary Care and Emergency Medicine, Geneva University Hospitals and University of Geneva, Geneva, Switzerland Department of Epidemiology, Emory University, Atlanta, Georgia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveBody mass index (BMI) may cluster in space among adults and be spatially dependent. Whether and how BMI clusters evolve over time in a population is currently unknown. We aimed to determine the spatial dependence of BMI and its 5-year evolution in a Swiss general adult urban population, taking into account the neighbourhood-level and individual-level characteristics.

designCohort study.

settingSwiss general urban population.

participants6481 georeferenced individuals from the CoLaus cohort at baseline (age range 35-74 years, period=2003-2006) and 4460 at follow-up (period=2009-2012). OUTCOME MEASURES: Body weight and height were measured by trained healthcare professionals with participants standing without shoes in light indoor clothing. BMI was calculated as weight (kg) divided by height squared (m(2)). Participants were geocoded using their postal address (geographic coordinates of the place of residence). Getis-Ord Gi statistic was used to measure the spatial dependence of BMI values at baseline and its evolution at follow-up.

resultsBMI was not randomly distributed across the city. At baseline and at follow-up, significant clusters of high versus low BMIs were identified and remained stable during the two periods. These clusters were meaningfully attenuated after adjustment for neighbourhood-level income but not individual-level characteristics. Similar results were observed among participants who showed a significant weight gain.

conclusionsTo the best of our knowledge, this is the first study to report longitudinal changes in BMI clusters in adults from a general population. Spatial clusters of high BMI persisted over a 5-year period and were mainly influenced by neighbourhood-level income.

Indexed as

Body Mass IndexAdultAgedCluster AnalysisFemaleHumansLongitudinal StudiesMaleMiddle AgedObesityResidence CharacteristicsSocioeconomic FactorsSwitzerlandUrban HealthWeight GainEPIDEMIOLOGYNUTRITION & DIETETICSPUBLIC HEALTH

Identifiers

PMID26733572
PMCPMC4716152

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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.