Evidence map›Paper›PMID 28253911›Full record

ArticleMicrobiome2017

Childhood BMI in relation to microbiota in infancy and lifetime antibiotic use.

K Korpela, M A C Zijlmans, M Kuitunen, K Kukkonen, E Savilahti, A Salonen, C de Weerth, W M de Vos

Registry-linked trialAbstract read
In one paragraph

Article in Microbiome, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05274776 (Safely Reduce Newborn Antibiotic Exposure With the Early-onset Sepsis Calculator), which is not on this map. Cited by 77 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 2 pooled it
–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.

NCT05274776 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Safely Reduce Newborn Antibiotic Exposure With the Early-onset Sepsis Calculator: a Cluster Randomized Study (EOS Calculator RCT)

TypeinterventionalSponsorprof. dr. Frans B. PlötzRan2022 to 2024Enrolled1,830ConditionsEarly-Onset Sepsis, Neonatal, EOSArmsEOS calculator
3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  15. Gut microbiota of sub-Saharan Africa infants exposed to antiretroviral therapy: Scoping review.African journal of primary health care & family medicine · 2025
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  19. Frontiers in pharmacology · 2025
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17 more citing papers are in PubMed but not listed here.

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

8 authors.

K KorpelaImmunobiology Research Program, Department of Bacteriology and Immunology, University of Helsinki, Haartmaninkatu 3, PO box 21, 00014, Helsinki, Finland. katri.korpela@helsinki.fi.ORCID 0000-0001-5031-2713
M A C ZijlmansDepartment of Developmental Psychology, Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands.
M KuitunenChildren's Hospital, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
K KukkonenSkin and Allergy Hospital, Department of Paediatrics, Helsinki University Central Hospital, Helsinki, Finland.
E SavilahtiChildren's Hospital, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
A SalonenImmunobiology Research Program, Department of Bacteriology and Immunology, University of Helsinki, Haartmaninkatu 3, PO box 21, 00014, Helsinki, Finland.
C de WeerthDepartment of Developmental Psychology, Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands.
W M de VosImmunobiology Research Program, Department of Bacteriology and Immunology, University of Helsinki, Haartmaninkatu 3, PO box 21, 00014, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren with high body mass index (BMI) at preschool age are at risk of developing obesity. Early identification of factors that increase the risk of excessive weight gain could help direct preventive actions. The intestinal microbiota and antibiotic use have been identified as potential modulators of early metabolic programming and weight development. To test if the early microbiota composition is associated with later BMI, and if antibiotic use modifies this association, we analysed the faecal microbiota composition at 3 months and the BMI at 5-6 years in two cohorts of healthy children born vaginally at term in the Netherlands (N = 87) and Finland (N = 75). We obtained lifetime antibiotic use records and measured weight and height of all children.

resultsThe relative abundance of streptococci was positively and the relative abundance of bifidobacteria negatively associated with the BMI outcome. The association was especially strong among children with a history of antibiotic use. Bacteroides relative abundance was associated with BMI only in the children with minimal lifetime antibiotic exposure.

conclusionsThe intestinal microbiota of infants are predictive of later BMI and may serve as an early indicator of obesity risk. Bifidobacteria and streptococci, which are indicators of microbiota maturation in infants, are likely candidates for metabolic programming of infants, and their influence on BMI appears to depend on later antibiotic use.

Indexed as

Body Mass IndexAnti-Bacterial AgentsBacterial LoadBacteroidesBifidobacteriumBody WeightChildChild, PreschoolFinlandGastrointestinal MicrobiomeHumansInfantNetherlandsOverweightStreptococcusWeight GainAnti-Bacterial AgentsBifidobacteriaChildhood overweightEarly-life microbiotaMetabolic programmingMicroarray

Identifiers

PMID28253911
PMCPMC5335838

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Registered trials

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.