Evidence map›Paper›PMID 29408921›Full record

SynthesisPloS one2018

The relationship between famine exposure during early life and body mass index in adulthood: A systematic review and meta-analysis.

Jielin Zhou, Liangjian Zhang, Peng Xuan, Yong Fan, Linsheng Yang, Chunqiu Hu, Qingli Bo, Guoxiu Wang, Jie Sheng, Sufang Wang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 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.

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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  14. Early life predictors of body composition trajectories from adolescence to mid-adulthood.American journal of human biology : the official journal of the Human Biology Council · 2023
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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

10 authors.

Jielin ZhouSchool of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China.ORCID 0000-0001-7630-7808
Liangjian ZhangSchool of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China.
Peng XuanSchool of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China.
Yong FanSchool of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China.
Linsheng YangSchool of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China.
Chunqiu HuSchool of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China.
Qingli BoSchool of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China.
Guoxiu WangSchool of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China.
Jie ShengSchool of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China.
Sufang WangSchool of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious epidemiologic studies have reported famine exposure during early life association with overweight or obesity in adulthood, but a consistent perspective has not been established to date. PURPOSE: To determine, by conducting a systematic review and meta-analysis, whether exposure to famine could increase body mass index (BMI) in adult or not, and assess the association between famine exposure and the risk of overweight or obesity.

methodsPublished articles were systematically searched (until August, 2017) from PubMed, ScienceDirect, Cochrane, and China National Knowledge Infrastructure. Initially, comparing differences in BMI between exposed and non-exposed groups that weight mean difference (WMD) were used. Subsequently, the effect of famine exposure on overweight or obesity risk, which pooled relative risks (RRs), odds ratios (ORs) or hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated using a random-effects model.

resultTwenty studies were included in this systematic review and meta-analysis. Compared with non-exposed group, famine exposure group significantly increased the risk of overweight (OR = 1.10, 95% CI: 1.04-1.16) and obesity (OR = 1.15, 95% CI: 1.05-1.24). Sensitivity analyses revealed no significant change in the famine exposure and BMI, the risk of overweight and obesity study when any one study was excluded. Subgroup analyses showed that age, gender, exposure type, study type, continent, famine cause and paper publication date were associated with BMI, the risk of overweight and obesity. Meta-regression analyses suggested that continent, famine cause could partially explain heterogeneity for famine exposure and BMI studies.

conclusionThe systematic review and meta-analysis indicates that famine exposure during early life may increase BMI, the risk of overweight and obesity, especially for female, fetal famine exposure or subject age less than 50. Furthermore, famine exposure group the risk of overweight and obesity in cross-sectional studies, Asian studies, famine cause by natural disaster or paper published from 2015 to the present studies are higher than that of non-exposed group.

Indexed as

Body Mass IndexStarvationAdultFemaleHumansMaleMiddle AgedObesityOverweight

Identifiers

PMID29408921
PMCPMC5800668

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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.