ArticlePediatric obesity2019
Geographical variation in the prevalence of obesity and metabolic syndrome among US adolescents.
Article in Pediatric obesity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Higher risk of metabolic syndrome in children and adolescents and polymorphisms in the fat mass and obesity-associated gene: a systematic review and meta-analysis.Pediatric research · 2026Pooled it
- Portal hypertension mortality in the United States (1999-2023): Insights from the CDC WONDER database.Medicine · 2026Article
- Obesity and Cardiometabolic Risk Factors Among Pediatric Patients at a Mississippi Academic Medical Center.American journal of health promotion : AJHP · 2026Observational
- Demonstrating trends for early colorectal cancer incidence: a retrospective analysis of patients in Northwest Ohio.Frontiers in oncology · 2026Article
- Endometrial Hyperplasia: Current Insights into Epidemiology, Risk Factors, and Clinical Management.Cancers · 2025Review
- Metabolic Syndrome in Older Adults: Through the Lens of Institute for Healthcare Improvement's (IHI) 4Ms Framework and Social Determinants of Health.Life (Basel, Switzerland) · 2025Review
- Differences across four major US urban areas in metabolic syndrome in the Hispanic Community Children's Health Study/Study of Latino Youth (SOL Youth).Pediatric obesity · 2025Article
- 2025 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association.Circulation · 2025Review
- Perceptions of metabolic syndrome management utilization in relation to patient experience and health-related quality of life.Exploratory research in clinical and social pharmacy · 2024Article
- 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association.Circulation · 2024Review
- Polymorphisms of Fat Mass and Obesity-Associated Gene in the Pathogenesis of Child and Adolescent Metabolic Syndrome.Nutrients · 2023Review
- Characterization of gut microbiota associated with metabolic syndrome and type-2 diabetes mellitus in Mexican pediatric subjects.BMC pediatrics · 2023Article
- Cardiometabolic Risk Factors in Pediatric Kidney Transplant Recipients.Turkish archives of pediatrics · 2023Article
- Heart Disease and Stroke Statistics-2023 Update: A Report From the American Heart Association.Circulation · 2023Review
- Intermittent energy restriction vs. continuous energy restriction on cardiometabolic risk factors in patients with metabolic syndrome: a meta-analysis and systematic review.Frontiers in nutrition · 2023Review
- Article
- Self-Reported Sedentary Behavior and Metabolic Syndrome among Children Aged 6-14 Years in Beijing, China.Nutrients · 2022Article
- Assessment and management of obesity and metabolic syndrome in children with CKD stages 2-5 on dialysis and after kidney transplantation-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce.Pediatric nephrology (Berlin, Germany) · 2022Review
- Components of metabolic syndrome associated with lower neurocognitive performance in youth with perinatally acquired HIV and youth who are HIV-exposed uninfected.Journal of neurovirology · 2021Observational
- Cardiovascular Risk Factors Following Vertical Sleeve Gastrectomy in Black Americans Compared with White Americans.Obesity surgery · 2021Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAmong adolescents, obesity and the metabolic syndrome (MetS) contribute to adult cardiovascular disease risk. By parent report, obesity prevalence in the USA was highest in the South.
objectivesThe aim of this study was to determine the prevalence of obesity and MetS by US division and region.
methodsWe used in-person assessment of 4600 US adolescents age 12-19 years participating in the National Health and Nutrition Examination Survey, 1999-2014.
resultsPrevalence of obesity was highest in the East North Central division (21.3%) and the three census divisions in the South (all >20%), compared with lower prevalence in the Mountain and New England divisions (both <15%). MetS was most prevalent in the two divisions in the Midwest (both >10%) and lowest in the Mountain and New England divisions (both <6%). For the amount of obesity in each division, there was a higher prevalence of MetS in the West North Central division (obesity 17.1%, MetS 13.6%) and lower prevalence in the East South Central (obesity 23.5%, MetS 6.6%) and South Atlantic divisions (obesity 20.4%, MetS 6.7%).
conclusionsThe degree of obesity-related and MetS-related risk among adolescents in the Midwest is higher than suggested from previous parent-reported weight data. The Midwest and South may warrant particularly strong cardiovascular disease prevention efforts.
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Registered trials
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.