Evidence map›Paper›PMID 31672126›Full record

ArticleBMC pediatrics2019

Association of physical activity with adiposity in preschoolers using different clinical adiposity measures: a cross-sectional study.

Amar Arhab, Nadine Messerli-Bürgy, Tanja H Kakebeeke, Kerstin Stülb, Annina Zysset, Claudia S Leeger-Aschmann, Einat A Schmutz, Andrea H Meyer, Simone Munsch, Susi Kriemler and 2 more

Open access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
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

12 authors at 5 institutions in 1 country.

Amar ArhabObstetric Service, Department Women-Mother-Child, Lausanne University Hospital, Lausanne, Switzerland. amar.arhab@unil.ch.ORCID 0000-0002-8938-5095
Nadine Messerli-BürgyDepartment of Psychology, Clinical Child Psychology and Biological Psychotherapy, University of Fribourg, Fribourg, Switzerland.
Tanja H KakebeekeChild Development Center, University Children's Hospital Zurich, Zurich, Switzerland.
Kerstin StülbDepartment of Psychology, Clinical Child Psychology and Biological Psychotherapy, University of Fribourg, Fribourg, Switzerland.
Annina ZyssetChild Development Center, University Children's Hospital Zurich, Zurich, Switzerland.
Claudia S Leeger-AschmannEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Einat A SchmutzEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Andrea H MeyerDepartment of Psychology, University of Basel, Basel, Switzerland.
Simone MunschDepartment of Psychology, Clinical Psychology and Psychotherapy, University of Fribourg, Fribourg, Switzerland.
Susi KriemlerEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Oskar G JenniChild Development Center, University Children's Hospital Zurich, Zurich, Switzerland.
Jardena J PuderObstetric Service, Department Women-Mother-Child, Lausanne University Hospital, Lausanne, Switzerland.
University of Fribourg · CHUniversity Children's Hospital Zurich · CHUniversity of Zurich · CHUniversity Hospital of Lausanne · CHUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMore research is needed about the association between physical activity (PA), sedentary behaviour (SB), and adiposity in preschoolers, particularly using more direct clinical measures of adiposity. Therefore, the main objective of this study was to investigate the association between objectively measured PA and different clinical adiposity measures in a large sample of preschoolers.

methodsFour hundred sixty-three predominantly normal-weight (77%) 2-6-year-old preschool children participated in the Swiss Preschoolers' Health Study (SPLASHY). Physical activity was measured using accelerometers and was analyzed using 15-s (uni-axial) epoch length using validated cut-offs. Adiposity measures included body mass index (BMI), the sum of four skinfolds, and waist circumference (WC). Multilevel linear regression modeling, adjusted for age, sex and wear time, was used to assess the association between PA and SB with BMI, WC, and skinfold thickness.

resultsTotal PA and different PA intensities were positively and SB was inversely associated with BMI in the total sample and in the normal-weight children (p < 0.05). Total PA was inversely associated with skinfold thickness in overweight and obese children (p < 0.05), while there was only a weak association for vigorous PA (p > 0.05). Moderate and moderate-to-vigorous PA were positively, and SB was negatively associated with WC in the total sample and in the normal-weight children (p < 0.05). Additional adjustment for potential sociocultural and biological confounding variables attenuated some of the results.

conclusionsIn this very young and predominantly normal-weight population, PA is positively related to BMI and WC, but this relationship is not observed in overweight and obese children. In this latter population, PA is inversely, and SB is positively related to skinfold thickness. Skinfold thickness could represent a useful and simple clinical measure of body fat in preschoolers. The role of vigorous PA in the prevention of early childhood obesity should be further investigated in future studies.

trial registrationISRCTN ISRCTN41045021 . Retrospectively registered 06 May 2014.

Indexed as

AdiposityExerciseSedentary BehaviorAccelerometryAge FactorsBody Mass IndexChildChild, PreschoolCross-Sectional StudiesFemaleHumansLinear ModelsMalePediatric ObesityProspective StudiesSex FactorsAccelerometryBody compositionBody mass indexChildrenSPLASHY

Identifiers

PMID31672126
PMCPMC6824011
OpenAlexW2984772895

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.