Evidence map›Paper›PMID 28097202›Full record

ArticleAnnals of clinical and translational neurology2016

Distinct effects of obesity and puberty on risk and age at onset of pediatric MS.

Tanuja Chitnis, Jennifer Graves, Bianca Weinstock-Guttman, Anita Belman, Cody Olsen, Madhusmita Misra, Gregory Aaen, Leslie Benson, Meghan Candee, Mark Gorman and 14 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
24.8field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 87 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. A narrative review of genetic and environmental factors and risk for multiple sclerosis. The design of the Italian multicentric PEDIGREE study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
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  8. Article
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  10. Article
  11. Article
  12. Article
  13. Review
  14. Association of obesity with disease outcome in multiple sclerosis.Journal of neurology, neurosurgery, and psychiatry · 2023
    Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Obesity in Pediatric-Onset Multiple Sclerosis: A French Cohort Study.Neurology(R) neuroimmunology & neuroinflammation · 2021
    Article
  20. Review
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

24 authors at 18 institutions in 1 country.

Tanuja ChitnisPartners Pediatric Multiple Sclerosis Center Massachusetts General Hospital for Children Boston Massachusetts.
Jennifer GravesDepartment of Neurology University of California San Francisco California.
Bianca Weinstock-GuttmanPediatric Multiple Sclerosis Center Jacobs Neurological Institute SUNY Buffalo New York.
Anita BelmanLourie Center for Pediatric MS Stony Brook Children's Hospital Stonybrook New York.
Cody OlsenDepartment of Pediatrics University of Utah Salt Lake City Utah.
Madhusmita MisraDepartment of Pediatric Endocrinology Massachusetts General Hospital for Children Boston Massachusetts.
Gregory AaenPediatric MS Center at Loma Linda University Children's Hospital Loma Linda California.
Leslie BensonBoston Children's Hospital Boston Massachusetts.
Meghan CandeeUniversity of Utah/Primary Children's Hospital Salt Lake City Utah.
Mark GormanBoston Children's Hospital Boston Massachusetts.
Benjamin GreenbergDepartment of Neurology UT Southwestern Dallas Texas.
Lauren KruppLourie Center for Pediatric MS Stony Brook Children's Hospital Stonybrook New York.
Timothy LotzeBlue Bird Circle Multiple Sclerosis Center Baylor College of Medicine Houston Texas.
Soe MarPediatric Onset Demyelinating Diseases and Autoimmune Encephalitis Center St. Louis Children's Hospital Washington University School of Medicine St. Louis Missouri.
Jayne NessUniversity of Alabama Center for Pediatric Onset Demyelinating Disease Children's Hospital of Alabama Birmingham Alabama.
John RoseDepartment of Neurology University of Utah Salt Lake City Utah.
Jennifer RubinDepartment of Pediatric Neurology Northwestern Feinberg School of Medicine Chicago Illinois.
Teri SchreinerChildren's Hospital Colorado University of Colorado Denver Colorado.
Jan TillemaMayo Clinic's Pediatric MS Center Rochester Minnesota.
Amy WaldmanDepartment of Neurology University of Pennsylvania Philadelphia Pennsylvania.
Moses RodriguezMayo Clinic's Pediatric MS Center Rochester Minnesota.
Charlie CasperDepartment of Pediatrics University of Utah Salt Lake City Utah.
Emmanuelle WaubantDepartment of Neurology University of California San Francisco California; Department of Pediatrics Benioff Children's Hospital University of California San Francisco California.
U.S. Network of Pediatric MS Centers
University of Utah · USMassachusetts General Hospital · USStony Brook Children's Hospital · USUniversity of California, San Francisco · USBaylor College of Medicine · USBoston Children's Hospital · USBoston Children's Museum · USChildren's of Alabama · USJacobs Institute · USLoma Linda University Children's Hospital · USMayo Clinic in Arizona · USMayo Clinic in Florida · USNorthwestern University · USPrimary Children's Hospital · USSt. Louis Children's Hospital · USThe University of Texas Southwestern Medical Center · USUniversity of Colorado Denver · USUniversity of Pennsylvania · US

Funding

Environmental and genetic risk factors for pediatric MSR01NS071463 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WAUBANT, EMMANUELLE LAURENCE · 2010 to 2015
$2.8M
NINDS NIH HHS R01 NS071463
6 · The paper itself

Abstract

objectiveThe aim of this study was to examine the relative contributions of body mass index (BMI) and pubertal measures for risk and age of onset of pediatric MS.

methodsCase-control study of 254 (63% female) MS cases (onset<18 years of age) and 420 (49% female) controls conducted at 14 U.S. Pediatric MS Centers. Sex- and age-stratified BMI percentiles were calculated using CDC growth charts from height and weight measured at enrollment for controls, and within 1 year of onset for MS cases. Sex-stratified associations between MS risk and age at symptom onset with both BMI and pubertal factors were estimated controlling for race and ethnicity.

resultsOnly 11% of girls and 15% of boys were prepubertal (Tanner stage I) at MS onset. 80% of girls had onset of MS after menarche. BMI percentiles were higher in MS cases versus controls (girls:

interpretationHigher BMI in early adolescence is a risk factor for MS in girls and boys. Earlier age at sexual maturity contributes to earlier age at MS onset, particularly in association with obesity.

Identifiers

PMID28097202
PMCPMC5224818
OpenAlexW2548961048

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.