Evidence map›Paper›PMID 29981101›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2018

Severe obesity in children 17 to 24 months of age: a cross-sectional study of TARGet Kids! and Better Outcomes Registry & Network (BORN) Ontario.

Meloja Satkunam, Laura N Anderson, Sarah Carsley, Jonathon L Maguire, Patricia C Parkin, Ann E Sprague, Geoff D C Ball, Catherine S Birken, TARGet Kids! Collaboration and Team ABC

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Cow's milk fat and child adiposity: a prospective cohort study.International journal of obesity (2005) · 2021
    Article
  7. The association between screen time and cardiometabolic risk in young children.The international journal of behavioral nutrition and physical activity · 2020
    Article
  8. Article
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

9 authors at 6 institutions in 1 country.

Meloja SatkunamDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
Laura N AndersonDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
Sarah CarsleyChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.
Jonathon L MaguireInstitute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Patricia C ParkinInstitute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Ann E SpragueBetter Outcomes Registry & Network (BORN) Ontario, Ottawa, Ontario, Canada.
Geoff D C BallFaculty of Medicine and Dentistry, Department of Pediatrics, Edmonton Clinic Health Academy, University of Alberta, Edmonton, Canada.
Catherine S BirkenInstitute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada. catherine.birken@sickkids.ca.
TARGet Kids! Collaboration and Team ABC
SickKids Foundation · CAUniversity of Toronto · CAHospital for Sick Children · CAInstitute for Clinical Evaluative Sciences · CAOntario Stroke Network · CAUniversity of Alberta · CA

Funding

CIHR
6 · The paper itself

Abstract

objectivesInternational data suggest the prevalence of severe obesity in young children may be increasing, yet no Canadian data are available. The objectives of this study were to examine definitions of severe obesity and to evaluate associated risk factors among young children in Ontario.

methodsA cross-sectional study was conducted in children 17 to 24 months of age using two Ontario data sources: TARGet Kids! (n = 3713) and BORN Ontario (n = 768). Body mass index z score (zBMI) definitions were adapted from the World Health Organization (WHO) (z score > 3) and the US Centers for Disease Control (CDC) (> 120% of the 95th percentile) and applied to define severe obesity in young children. Multinomial logistic regression was used to evaluate associations between demographic and pregnancy risk factors and zBMI categories.

resultsA total of 1.1% (95% CI, 0.8-1.4) of children met the adapted WHO definition of severe obesity compared to 0.3% (95% CI, 0.2-0.6) using the CDC definition. Median neighbourhood household income (OR = 0.80, 95% CI, 0.69-0.93) and maternal pre-pregnancy BMI (OR = 1.08, 95% CI, 1.01-1.15) were associated with severe obesity in unadjusted analyses. After adjustment for potential confounders, the OR for the association between maternal pre-pregnancy BMI and severe obesity was 1.04 (95% CI, 0.94-1.15).

conclusionMore than 1% of Ontario children met the adapted WHO definition of severe obesity in very early childhood. Modifiable risk factors were identified. Future studies are needed to understand the terminology, prevalence, and risk factors for severe obesity in young children across Canada.

Indexed as

Child, PreschoolCross-Sectional StudiesFemaleHumansInfantMaleObesity, MorbidOntarioPediatric ObesityPrevalenceRegistriesRisk FactorsBody mass indexObesityObesity, childhood onsetObesity, morbidObesity, pediatric

Identifiers

PMID29981101
PMCPMC6964366
OpenAlexW2805721713

What OpenQuestion holds

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Read underepoch 390

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.