Evidence map›Paper›PMID 30343393›Full record

ArticleDiabetologia2019

Trajectories of childhood BMI and adult diabetes: the Bogalusa Heart Study.

Tao Zhang, Jie Xu, Shengxu Li, Lydia A Bazzano, Jiang He, Paul K Whelton, Wei Chen

Open access · bronzeAbstract read
In one paragraph

Article in Diabetologia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% 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, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  19. BMI trajectory and subsequent risk of type 2 diabetes among middle-aged women.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2021
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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 at 4 institutions in 2 countries.

Tao ZhangDepartment of Biostatistics, School of Public Health, Shandong University, Jinan, China.
Jie XuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Shengxu LiCardiovascular Programs, Children's Hospitals and Clinics of Minnesota, Minneapolis, MN, USA.
Lydia A BazzanoDepartment of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, New Orleans, LA, 70112, USA.
Jiang HeDepartment of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, New Orleans, LA, 70112, USA.
Paul K WheltonDepartment of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, New Orleans, LA, 70112, USA.
Wei ChenDepartment of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, New Orleans, LA, 70112, USA. wchen012@hotmail.com.ORCID 0000-0003-1566-7943
Tulane University · USCapital Medical University · CNChildren's Minnesota · USShandong University · CN

Funding

Tulane COBRE in Cardiometabolic Diseases Clinical Research CoreP20GM109036 · NIGMS · TULANE UNIVERSITY OF LOUISIANA · PI Ning Liu · 2016 to 2026
$25.3M
Childhood CV Risk and Adult CVD Outcomes: an International Long-term Follow-upR01HL121230 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI BURNS, TRUDY L, CHEN, WEI · 2015 to 2019
$13.3M
Childhood Growth, Biological Aging and Midlife Cardio-Metabolic OutcomesR03AG060619 · NIA · TULANE UNIVERSITY OF LOUISIANA · PI CHEN, WEI · 2018 to 2019
$151k
NHLBI NIH HHS R01 HL121230NIA NIH HHS R03 AG060619NIGMS NIH HHS P20 GM109036
6 · The paper itself

Abstract

aims/hypothesisThe aim of this study was to characterise longitudinal profiles of BMI from childhood and to examine the impact of level-independent childhood BMI trajectories on adult type 2 diabetes.

methodsThe longitudinal cohort consisted of 2449 adults (1613 white and 836 black) who had their BMI measured between four and 15 times from childhood (4-19 years) to adulthood (20-51 years) and fasting glucose measured in adulthood. Model-estimated levels and linear slopes of BMI at childhood age points were calculated in 1-year intervals using growth-curve parameters and their first derivatives, respectively.

resultsBMI from childhood to adulthood fit cubic growth curves; linear and non-linear curve parameters differed significantly between race-sex groups. BMI showed race and sex differences from 15 years onwards. Individuals with hyperglycaemia had higher long-term BMI levels than those who were normoglycaemic in race-sex groups. Linear and non-linear slope parameters of BMI differed consistently and significantly between adult hyperglycaemia groups. The OR of childhood BMI levels for ages 4-19 years was 1.45-1.83 (p < 0.001 for all) for adult hyperglycaemia after adjustment for confounders. Level-adjusted linear slopes of BMI at ages 10-19 years showed significantly positive associations with adult hyperglycaemia (OR 1.17-1.50, p < 0.01 for all). The associations of childhood BMI linear slopes with adult hyperglycaemia were not significant during the age period 5-9 years. The trends in these associations were consistent across race-sex groups. CONCLUSIONS/

interpretationThese observations indicate that childhood BMI trajectories have a significant impact on adult diabetes, independent of BMI levels. The adolescence age period is a crucial window for the development of diabetes in later life, which has implications for early-life prevention. DATA AVAILABILITY: All data and materials are publicly available at the National Heart, Lung, and Blood Institute (NHLBI) Biologic Specimen and Data Repository and can be accessed at https://biolincc.nhlbi.nih.gov/studies/bhs .

Indexed as

AdolescentAdultBlood GlucoseBody Mass IndexChildChild, PreschoolDiabetes Mellitus, Type 2FastingFemaleHumansHyperglycemiaLongitudinal StudiesMaleMiddle AgedYoung AdultBlood GlucoseBody mass indexChildhoodDiabetesHyperglycaemiaLongitudinal study

Identifiers

PMID30343393
PMCPMC6365010
OpenAlexW2897535690

What OpenQuestion holds

Textmetadata
LicenceTDM
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.