Evidence map›Paper›PMID 30172917›Full record

ArticleAcademic pediatrics

Moderating Effects of Components of Resilience on Obesity Across Income Strata in the National Survey of Children's Health.

Byron A Foster, Kelsey Weinstein

Abstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 12% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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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

2 authors at 1 institution in 1 country.

Byron A FosterDepartments of Pediatrics and Dermatology, Oregon Health & Science University, Portland, Ore. Electronic address: fosterb@ohsu.edu.
Kelsey WeinsteinDepartments of Pediatrics and Dermatology, Oregon Health & Science University, Portland, Ore.
Oregon Health & Science University · US

Funding

Positive Deviance in Early Childhood ObesityK23DK109199 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI FOSTER, BYRON A · 2016 to 2019
$730k
NIDDK NIH HHS K23 DK109199
6 · The paper itself

Abstract

objectiveThis study examined whether components of resilience at the family or child level are associated with a decreased risk of obesity in children after accounting for community-, family-, and individual-level stressors associated with an increased risk of obesity.

methodsData are from the 2016 National Survey of Children's Health, using the subset of children 10 to 17 years of age with weight data. We examined whether or not components of family- or child-level resilience were associated with weight status. Community-, family-, and individual-level risk factors for obesity were examined within each income stratum. We used multinomial logistic regression to evaluate if components of resilience are associated with lower overweight or obesity.

resultsThe sample included 24,405 10- to 17-year-old children. Child-level but not family-level resilience components were associated with a decreased risk of child obesity across income strata. Food security and adverse childhood experiences (ACEs) were only associated with obesity within higher income strata; bullying was consistently associated across strata. Physical activity was strongly associated with increased emotional resilience. The association between higher emotional resilience and lower obesity remained after adjusting for community-level factors (parks), family-level factors (ACEs), and individual-level factors (bullying). Better maternal health was associated with increased emotional resilience and lower risk of obesity.

conclusionsResilience, specifically emotional resilience, may be a protective factor against obesity in children regardless of income stratum. Physical activity of the child is associated with greater emotional resilience, and better maternal health may mediate the association between this component of resilience and weight.

Indexed as

ExerciseMaternal HealthResilience, PsychologicalAdolescentAdverse Childhood ExperiencesBullyingChildFemaleFood SupplyHealth SurveysHumansIncomeLogistic ModelsMalePediatric ObesityUnited Statesadverse childhood experiencesincomeobesityphysical activityresilience

Identifiers

PMID30172917
PMCPMC6357954
OpenAlexW2889337014

What OpenQuestion holds

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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.