Evidence map›Paper›PMID 30956941›Full record

ArticlePreventive medicine reports2019

Childhood obesity and the associated roles of neighborhood and biologic stress.

Katherine P Theall, M Pia Chaparro, Kara Denstel, Alissa Bilfield, Stacy S Drury

Open access · goldAbstract read
In one paragraph

Article in Preventive medicine reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. The Built Environment and Childhood Obesity.Pediatric clinics of North America · 2024
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Using Explainable Artificial Intelligence to Discover Interactions in an Ecological Model for Obesity.International journal of environmental research and public health · 2022
    Article
  14. Article
  15. Article
  16. Review
  17. Review
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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

5 authors at 2 institutions in 1 country.

Katherine P TheallTulane University School of Public Health and Tropical Medicine, New Orleans, LA, United States of America.
M Pia ChaparroTulane University School of Public Health and Tropical Medicine, New Orleans, LA, United States of America.
Kara DenstelPennington Biomedical Research Center, Baton Rouge, LA, United States of America.
Alissa BilfieldTulane University School of Public Health and Tropical Medicine, New Orleans, LA, United States of America.
Stacy S DruryTulane University School of Medicine, New Orleans, LA, United States of America.
Tulane University · USPennington Biomedical Research Center · US

Funding

Translational Research/Education ComponentP60AA009803 · NIAAA · LSU HEALTH SCIENCES CENTER · PI DAVID A WELSH · 2004 to 2026
$42.6M
Setting the trajectoryR01MH101533 · NIMH · TULANE UNIVERSITY OF LOUISIANA · PI DRURY, STACY SCHMIDT · 2013 to 2017
$2.7M
Telomere Length as a Biological Marker of Allostatic Load in ChildrenR01ES020447 · NIEHS · TULANE UNIVERSITY OF LOUISIANA · PI THEALL, KATHERINE P · 2011 to 2012
$877k
Telomeres as an Epigenetic Marker of Neurodevelopment and Early AdversityR21MH094688 · NIMH · TULANE UNIVERSITY OF LOUISIANA · PI DRURY, STACY SCHMIDT · 2011 to 2012
$414k
NIAAA NIH HHS P60 AA009803NIEHS NIH HHS R01 ES020447NIMH NIH HHS R01 MH101533NIMH NIH HHS R21 MH094688
6 · The paper itself

Abstract

Exposure to violence and obesity continues to be growing epidemics, particularly among children. Our objective was to increase our understanding of the association between neighborhood violence exposure and children's weight and how biologic stress may mediate this relation. A matched, community-recruited cross-sectional study of 90 children, ages 5-16 years, from 52 neighborhoods took place in the greater New Orleans, LA area between 2012 and 2013. Children were matched on their propensity for living in a high violence neighborhood and previous exposure to Hurricane Katrina. Primary neighborhood exposure included violent crime, operationalized as crime rates within specific radii of children's home. Rates of exposure within 500, 1000 and 2000 meter radii from the child's home were calculated. Primary outcomes were body mass index (BMI) and waist circumference, and the primary mediator was telomere length (TL), a marker of cellular aging. Significant variation in obesity and TL was observed at the neighborhood level and violent crime was significantly associated with weight status, with an increase of 1.24 units in BMI for each additional violent crime in the child's neighborhood and a significant mediated or indirect effect of TL in the crime-BMI relation (0.32, 95% bootstrapped CI = 0.05, 0.81; 32% total mediated effect). Findings strengthen existing evidence linking neighborhood violence to childhood health and identify biologic stress, indexed by TL, as one mechanistic pathway by which neighborhood violence may influence childhood obesity. Neighborhood violence may be an important target for interventions focused on reducing obesity and other stress related health outcomes in children.

Indexed as

ChildrenNeighborhoodObesityStressTelomereViolence

Identifiers

PMID30956941
PMCPMC6434160
OpenAlexW2922255615

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.