ArticleInternational journal of obesity (2005)2020
Understanding childhood obesity in the US: the NIH environmental influences on child health outcomes (ECHO) program.
Article in International journal of obesity (2005), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03061890 (Developmental Impact of Neonatal Intensive Care Unit), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.
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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.
Developmental Impact of Neonatal Intensive Care Unit (NICU) Exposures: Environmental Influences on Child Health Outcomes (ECHO)
Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Access to bike lanes and childhood obesity: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Pooled it
- Cardiovascular morbidity, diabetes and cancer risk among children and adolescents with severe obesity.Cardiovascular diabetology · 2020Pooled it
- The child opportunity index and its association with resting and exercising blood pressure in children: a Chicago metro area pilot study.Preventive medicine reports · 2026Article
- Lessons learned from longitudinal biomonitoring and birth cohort studies: informing the future of reproductive health research in Canada.Environmental health : a global access science source · 2026Article
- Application of a reverse consultation model for pediatric obesity care: A quality improvement initiative.Preventive medicine reports · 2025Article
- Associations of Longitudinal BMI-Percentile Classification Patterns in Early Childhood with Neighborhood-Level Social Determinants of Health.Childhood obesity (Print) · 2025Article
- Cohort Profile Update: Project Viva Offspring.International journal of epidemiology · 2024Article
- Built environment and childhood obesity.World journal of clinical pediatrics · 2024Review
- Association of the Infant Gut Microbiome with Temperament at Nine Months of Age: A Michigan Cohort Study.Microorganisms · 2024Article
- Behavioral Determinants of Childhood Obesity in the United States: An Exploratory Study.Journal of obesity · 2024Article
- Cohort Profile Update: Project Viva mothers.International journal of epidemiology · 2023Article
- Are sleep time and quality associated with inflammation in children and adolescents? A systematic review.Preventive medicine reports · 2023Review
- The Environmental Influences on Child Health Outcomes (ECHO)-Wide Cohort.American journal of epidemiology · 2023Article
- Body Mass Index and Associated Medical Expenditures in the US Among Privately Insured Individuals Aged 2 to 19 Years in 2018.JAMA pediatrics · 2023Article
- Observational
- The NIH ECHO Program: investigating how early environmental influences affect child health.Pediatric research · 2022Article
- SPR Perspectives: scientific opportunities in the Environmental influences on Child Health Outcomes Program.Pediatric research · 2022Article
- Maternal childhood trauma and prenatal stressors are associated with child behavioral health.Journal of developmental origins of health and disease · 2022Article
- A comparison of the remote food photography method and the automated self-administered 24-h dietary assessment tool for measuring full-day dietary intake among school-age children.The British journal of nutrition · 2022Article
- Fetal programming of human energy homeostasis brain networks: Issues and considerations.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
29 authors at 20 institutions in 1 country.
Funding
Abstract
backgroundFew resources exist for prospective, longitudinal analysis of the relationships between early life environment and later obesity in large diverse samples of children in the United States (US). In 2016, the National Institutes of Health launched the Environmental influences on Child Health Outcomes (ECHO) program to investigate influences of environmental exposures on child health and development. We describe demographics and overweight and obesity prevalence in ECHO, and ECHO's potential as a resource for understanding how early life environmental factors affect obesity risk.
methodsIn this cross-sectional study of 70 extant US and Puerto Rico cohorts, 2003-2017, we examined age, race/ethnicity, and sex in children with body mass index (BMI) data, including 28,507 full-term post-birth to <2 years and 38,332 aged 2-18 years. Main outcomes included high BMI for age <2 years, and at 2-18 years overweight (BMI 85th to <95th percentile), obesity (BMI ≥ 95th percentile), and severe obesity (BMI ≥ 120% of 95th percentile).
resultsThe study population had diverse race/ethnicity and maternal demographics. Each outcome was more common with increasing age and varied with race/ethnicity. High BMI prevalence (95% CI) was 4.7% (3.5, 6.0) <1 year, and 10.6% (7.4, 13.7) for 1 to <2 years; overweight prevalence increased from 13.9% (12.4, 15.9) at 2-3 years to 19.9% (11.7, 28.2) at 12 to <18 years. ECHO has the statistical power to detect relative risks for 'high' BMI ranging from 1.2 to 2.2 for a wide range of exposure prevalences (1-50%) within each age group.
conclusionsECHO is a powerful resource for understanding influences of chemical, biological, social, natural, and built environments on onset and trajectories of obesity in US children. The large sample size of ECHO cohorts adopting a standardized protocol for new data collection of varied exposures along with longitudinal assessments will allow refined analyses to identify drivers of childhood obesity.
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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.