Evidence map›Paper›PMID 29559723›Full record

ArticleEuropean journal of clinical nutrition2018

Is BMI a relevant marker of fat mass in 4 year old children? Results from the MINISTOP trial.

Christine Delisle Nyström, Pontus Henriksson, Anna Ek, Hanna Henriksson, Francisco B Ortega, Jonatan R Ruiz, Marie Löf

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Article in European journal of clinical nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

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

  1. Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Association between 24-hour movement behaviors and adiposity in children and adolescents: A compositional data meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
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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

7 authors.

Christine Delisle NyströmDepartment of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden. christine.delisle.nystrom@ki.se.
Pontus HenrikssonDepartment of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden.ORCID http://orcid.org/0000-0003-2482-7048
Anna EkDepartment of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden.
Hanna HenrikssonPROFITH "PROmoting FITness and Health through physical activity" research group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain.
Francisco B OrtegaDepartment of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden.
Jonatan R RuizDepartment of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden.
Marie LöfDepartment of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden.ORCID http://orcid.org/0000-0002-2273-4430

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesDue to the increase in childhood obesity, identifying children with excess body fat as early as possible is essential. Body mass index (BMI) is commonly used as a marker of body fat in children, adolescents, and adults, yet whether BMI is a valid marker of body fat in pre-school aged children remains to be confirmed. Therefore, we analyzed the associations of BMI with fat and fat-free mass in healthy 4-year-old Swedish children. SUBJECTS/

methodsThe study comprised of 303 children (135 girls) participating in the MINISTOP obesity prevention trial. Fat and fat-free mass were measured using air displacement plethysmography and we computed fat mass index (FMI) and fat free mass index (FFMI) as fat and fat free mass (kg)/height

resultsBMI was positively yet weakly associated with percent fat mass (boys: r

conclusionsBMI was strongly associated to both FMI and FFMI. Therefore, caution is needed when interpreting body fat status based on BMI values in pre-school children.

Indexed as

Body CompositionBody Mass IndexAdipose TissueBody Fluid CompartmentsChild, PreschoolFemaleHumansMalePediatric ObesityReference ValuesSex Factors

Identifiers

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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.