Evidence map›Paper›PMID 29081504›Full record

ArticleInternational journal of obesity (2005)2018

Body mass index and infectious disease mortality in midlife in a cohort of 2.3 million adolescents.

G Twig, N Geva, H Levine, E Derazne, N Goldberger, Z Haklai, A Leiba, J D Kark

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Article in International journal of obesity (2005), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
3.5field-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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Kidney consequences of obesity.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  11. Article
  12. Article
  13. The Bidirectional Association Between Metabolic Syndrome and Long-COVID-19.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Diet-induced obesity in mice impairs host defense againstAmerican journal of physiology. Lung cellular and molecular physiology · 2022
    Article
  19. Review
  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

8 authors at 4 institutions in 2 countries.

G TwigDepartment of Medicine, Sheba Medical Center, Tel Hashomer, Israel.
N GevaThe Israel Defense Forces Medical Corps, Israel.
H LevineHebrew University-Hadassah School of Public Health and Community Medicine, Jerusalem, Israel.
E DerazneThe Israel Defense Forces Medical Corps, Israel.
N GoldbergerIsrael Ministry of Health, Jerusalem, Israel.
Z HaklaiIsrael Ministry of Health, Jerusalem, Israel.
A LeibaThe Israel Defense Forces Medical Corps, Israel.
J D KarkHebrew University-Hadassah School of Public Health and Community Medicine, Jerusalem, Israel.
Tel Aviv University · ILHebrew University of Jerusalem · ILIsrael Ministry of Health · ILIsrael Defense Forces Medical Corps · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity was linked to altered immunity, but also to favorable outcomes among patients with infectious disease (ID) in some settings. We assessed the association between adolescent body mass index (BMI) and ID mortality.

methodsBMI of 2 294 139 Israeli adolescents (60% men; age 17.4±0.3 years) was measured between 1967 and 2010. The outcome, obtained by linkage with official national records, was death due to ID as the underlying cause. Multivariable Cox proportional hazards models were applied.

resultsDuring 42 297 007 person-years of follow-up (median 18.4 years), there were 689 deaths from ID (mean age 44.1±10.5 years). Adjusted hazard ratios (HR) were 1.039 (1.011-1.068) and 1.146 (1.099-1.194) among men and women, respectively, per unit increment in BMI (P for sex interaction=4.4 × 10

conclusionsAdolescent overweight and obesity were strongly associated with ID mortality, especially of bacterial origin and among women.

Indexed as

Body Mass IndexCommunicable DiseasesObesityOverweightAdolescentAdultFemaleFollow-Up StudiesHumansKaplan-Meier EstimateMaleMiddle Aged

Identifiers

PMID29081504
OpenAlexW2766972188

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.