Evidence map›Paper›PMID 32389356›Full record

Observational studyAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2020

Adiposity, Sex, and Cardiovascular Disease Risk in Children With CKD: A Longitudinal Study of Youth Enrolled in the Chronic Kidney Disease in Children (CKiD) Study.

Tammy M Brady, Jennifer Roem, Christopher Cox, Michael F Schneider, Amy C Wilson, Susan L Furth, Bradley A Warady, Mark Mitsnefes

Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00327860 (Chronic Kidney Disease in Children Prospective Cohort Study), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
12.1field-weighted citation impact, top 1% 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.

NCT00327860 recruitingnot on this map

Chronic Kidney Disease in Children Prospective Cohort Study (CKiD)

TypeobservationalSponsorJohns Hopkins Bloomberg School of Public HealthRan2003 to 2028Enrolled1,300ConditionsChronic Kidney Disease
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 51 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Tammy M BradyDivision of Pediatric Nephrology, Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address: tbrady8@jhmi.edu.
Jennifer RoemDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Christopher CoxDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Michael F SchneiderDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Amy C WilsonJ.W. Riley Hospital for Children, Indianapolis, IN.
Susan L FurthDivision of Nephrology, Children's Hospital of Philadelphia, Philadelphia, PA.
Bradley A WaradyDivision of Nephrology, Children's Mercy Hospital, Kansas City, MO.
Mark MitsnefesDivision of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Johns Hopkins University · USChildren's Hospital of Philadelphia · USChildren's Mercy Hospital · USCincinnati Children's Hospital Medical Center · USRiley Hospital for Children · US

Funding

Chronic Kidney Disease in Children Study (C-Kid)U01DK066174 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SUSAN L. FURTH · 2003 to 2026
$25.1M
CKiD Cardiovascular Testing Travel SupplementU01DK066143 · NIDDK · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI Bradley Alan Warady · 2003 to 2026
$24.2M
The Kidney Disease in Children Data Management and Analysis Center (KIDMAC)U24DK066116 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI Derek K Ng · 2018 to 2026
$12.6M
Central Biochemistry Laboratory of the CKID ConsortiumU24DK082194 · NIDDK · UNIVERSITY OF ROCHESTER · PI SCHWARTZ, GEORGE J · 2018 to 2022
$1.7M
Promoting Heart Healthy Behaviors in Youth.K23HL119622 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BRADY, TAMMY MCLOUGHLIN · 2014 to 2017
$704k
Effect of dietary approaches on vascular function and blood pressure phenotype in youthR56HL139620 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BRADY, TAMMY MCLOUGHLIN · 2018 to 2018
$615k
NHLBI NIH HHS K23 HL119622NHLBI NIH HHS R56 HL139620NIDDK NIH HHS U01 DK066143NIDDK NIH HHS U01 DK066174NIDDK NIH HHS U24 DK066116NIDDK NIH HHS U24 DK082194
6 · The paper itself

Abstract

RATIONALE &

objectiveTraditional and nontraditional cardiovascular disease risk factors are highly prevalent in children with chronic kidney disease (CKD). We examined the longitudinal association of adiposity with cardiac damage among children with CKD and explored whether this association was modified by sex. STUDY

designProspective cohort study. SETTING &

participantsChildren with mild-to-moderate CKD enrolled in the Chronic Kidney Disease in Children (CKiD) Study at 49 pediatric nephrology centers across North America. EXPOSURE: Age- and sex-specific body mass index (BMI) z score. OUTCOME: Age- and sex-specific left ventricular mass index (LVMI) z score and left ventricular hypertrophy (LVH). ANALYTICAL APPROACH: Longitudinal analyses using mixed-effects models to estimate sex-specific associations of BMI z scores with LVMI z score and with LVH, accounting for repeated measurements over time.

resultsAmong 725 children with 2,829 person-years of follow-up, median age was 11.0 years and median estimated glomerular filtration rate was 52.6mL/min/1.73m LIMITATIONS: Not all children had repeated measurements. LVH is a surrogate and not a hard cardiac outcome. The observational design limits causal inference.

conclusionsIn children, adiposity is independently associated with the markers of cardiac damage, LVMI z score and LVH. This association is stronger among girls than boys. Pediatric overweight and obesity may therefore have a substantial impact on cardiovascular risk among children with CKD.

Indexed as

AdolescentBody Mass IndexCardiovascular DiseasesChildComorbidityEchocardiographyFemaleHeart VentriclesHumansHypertrophy, Left VentricularLongitudinal StudiesMaleOrgan SizePediatric ObesityRenal Insufficiency, ChronicRisk Factorsadiposityadolescentsbody mass index (BMI)cardiac target organ damageCardiovascular disease (CVD)childrenchronic kidney disease (CKD)hypertensionleft ventricular hypertrophy (LVH)left ventricular mass index (LVMI)obesityoverweightpediatricssex differencesyouth

Identifiers

PMID32389356
PMCPMC7387195
OpenAlexW3022290755

What OpenQuestion holds

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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.