Evidence map›Paper›PMID 32154197›Full record

ArticleFrontiers in pediatrics2020

A Multidisciplinary Intervention in Childhood Obesity Acutely Improves Insulin Resistance and Inflammatory Markers Independent From Body Composition.

Ernst Mayerhofer, Franz Ratzinger, Nina Elvira Kienreich, Annika Stiel, Nadine Witzeneder, Eva Schrefl, Georg Greiner, Christoph Wegscheider, Irene Graf, Klaus Schmetterer and 10 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
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  7. Article
  8. Review
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

20 authors at 7 institutions in 2 countries.

Ernst MayerhoferDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Franz RatzingerDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Nina Elvira KienreichAustrian Social Health Insurance Fund, Vienna, Austria.
Annika StielAustrian Social Health Insurance Fund, Vienna, Austria.
Nadine WitzenederDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Eva SchreflDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Georg GreinerDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Christoph WegscheiderDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Irene GrafDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Klaus SchmettererDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Rodrig MarculescuDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Thomas SzekeresDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Thomas PerkmannDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Martina FondiFH Wien, University of Applied Sciences, Vienna, Austria.
Oswald WagnerDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Harald EsterbauerDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Matthias MayerhoferLudwig Boltzmann Institute of Osteology, Hanusch Hospital, Vienna, Austria.
Stefana Holocher-ErtlPsychology Institute of the University Outpatient Department for Children and Adolescents, Sigmund Freud Private University, Vienna, Austria.
Claudia WojnarowskiAustrian Social Health Insurance Fund, Vienna, Austria.
Gregor HoermannDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATFWF Austrian Science Fund · ATFH Campus Wien · ATHanusch Hospital · ATSigmund Freud University Vienna · ATUniversity Hospital Innsbruck · ATUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Childhood obesity is an increasing health care problem associated with insulin resistance and low-level systemic inflammation, which can ultimately lead to diabetes. Evidence for efficacy of therapeutic intervention programs on the early development of obesity associated sequelae is moderate. This paper investigates the effect of a multidisciplinary short-term intervention program on insulin resistance and metaflammation in childhood obesity. Two hundred and 36 overweight or obese children and adolescents between the ages of 10 and 14 were included in a prospective 5 months intervention study, which included sports, psychotherapy, and nutritional counseling. Primary endpoints were the effects on body mass index standard deviation score (BMI-SDS) and homeostatic model assessment of insulin resistance (HOMA-IR), key secondary endpoints were the levels of C-reactive protein (CRP), leptin, and adiponectin. At baseline, a substantial proportion of participants showed signs of insulin resistance (mean HOMA-IR 5.5 ± 3.4) despite not meeting the diagnostic criteria for diabetes, and low-level inflammation (mean CRP 3.9 mg/l ± 3.8 mg/l). One hundred and 95 participants (83%) completed the program resulting in a significant reduction in BMI-SDS, HOMA-IR, CRP, and leptin and a significant increase in adiponectin (mean change compared to baseline -0.14, -0.85, -1.0 mg/l, -2.8 ng/ml, and 0.5 μg/ml, respectively;

Indexed as

adipokinesBMIchildhood obesityHOMA-IRinflammationinsulin resistance

Identifiers

PMID32154197
PMCPMC7047334
OpenAlexW3008963663

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.