Evidence map›Paper›PMID 27604768›Full record

ArticleThe American journal of clinical nutrition2016

Weight centile crossing in infancy: correlations between successive months show evidence of growth feedback and an infant-child growth transition.

Tim J Cole, Atul Singhal, Mary S Fewtrell, Jonathan Ck Wells

Open access · hybridAbstract read
In one paragraph

Article in The American journal of clinical nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

5 citing papers in PubMed, 15 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Tim J ColePopulation, Policy, and Practice Program, University College London Great Ormond Street Institute of Child Health, London, United Kingdom tim.cole@ucl.ac.uk.ORCID 0000-0001-5711-8200
Atul SinghalPopulation, Policy, and Practice Program, University College London Great Ormond Street Institute of Child Health, London, United Kingdom.ORCID 0000-0002-0598-2686
Mary S FewtrellPopulation, Policy, and Practice Program, University College London Great Ormond Street Institute of Child Health, London, United Kingdom.ORCID 0000-0001-9783-3444
Jonathan Ck WellsPopulation, Policy, and Practice Program, University College London Great Ormond Street Institute of Child Health, London, United Kingdom.ORCID 0000-0003-0411-8025
Great Ormond Street Hospital · GB

Funding

Medical Research Council MR/M012069/1
6 · The paper itself

Abstract

backgroundEarly rapid weight gain is associated with later overweight, which implies that weight centile crossing tracks over time.

objectiveCentile crossing is defined in terms of the change or deviation in weight z score during 1 mo, and the correlations between successive deviations are explored at different ages.

designTwo Cambridge (United Kingdom) growth cohorts were used: Widdowson (1094 infants born during 1959-1965) and the Cambridge Infant Growth Study (CIGS; 255 infants born during 1984-1987), each with weights measured monthly in the first year. Weights were converted to WHO age- and sex-adjusted z scores, deviations were calculated as the change in z score between adjacent measurement occasions, and the correlations between deviations were studied.

resultsIn both cohorts, the correlations between successive monthly deviations were positive in the first 6 mo and highest at ages 3-4 mo (r = 0.3, P < 0.0001), whereas after 6 mo they were negative and were lowest at ages 10-11 mo (r = -0.3, P < 0.0001), with the correlation decreasing linearly with age between these extremes. Thus, during the first 6 mo of age, infants crossing centiles in 1 mo tended to continue crossing centiles in the same direction the following month, whereas after 6 mo they tended to cross back again. This represents positive and negative feedback, respectively. At age 12 mo, the correlation was close to zero, which suggests an infant-child transition in growth.

conclusionsThe results confirm that weight centile crossing tracks over time, with the correlations between successive periods that change with age suggesting a complex feedback mechanism underlying infant growth. This may throw light on the link between early rapid weight gain and later overweight. Clinically, the correlations indicate that when predicting future weight from current weight, recent centile crossing affects the prediction in an age-dependent manner.

Indexed as

Feedback, PhysiologicalGrowthWeight GainChildChild, PreschoolCohort StudiesFeedbackFemaleHumansInfantInfant, NewbornMaleOverweightPediatric ObesityUnited Kingdomcentile crossingfeedbackgrowthinfancyweight

Identifiers

PMID27604768
PMCPMC5039812
OpenAlexW2518009493

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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.