Evidence map›Paper›PMID 32457665›Full record

ArticleFrontiers in psychiatry2020

Not the Root of the Problem-Hair Cortisol and Cortisone Do Not Mediate the Effect of Child Maltreatment on Body Mass Index.

Katharina Pittner, Renate S M Buisman, Lisa J M van den Berg, Laura H C G Compier-de Block, Marieke S Tollenaar, Marian J Bakermans-Kranenburg, Marinus H van IJzendoorn, Bernet M Elzinga, Lenneke R A Alink

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Cortisol, dehydroepiandrosterone, and depressive symptoms as pathways from child abuse to obesity.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. 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

9 authors at 3 institutions in 3 countries.

Katharina PittnerCentre for Forensic Family and Youth Care Studies, Leiden University, Leiden, Netherlands.
Renate S M BuismanCentre for Forensic Family and Youth Care Studies, Leiden University, Leiden, Netherlands.
Lisa J M van den BergLeiden Institute for Brain and Cognition (LIBC), Leiden University, Leiden, Netherlands.
Laura H C G Compier-de BlockCentre for Forensic Family and Youth Care Studies, Leiden University, Leiden, Netherlands.
Marieke S TollenaarLeiden Institute for Brain and Cognition (LIBC), Leiden University, Leiden, Netherlands.
Marian J Bakermans-KranenburgFaculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Marinus H van IJzendoornPrimary Care Unit, School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom.
Bernet M ElzingaLeiden Institute for Brain and Cognition (LIBC), Leiden University, Leiden, Netherlands.
Lenneke R A AlinkCentre for Forensic Family and Youth Care Studies, Leiden University, Leiden, Netherlands.
Leiden University · NLVrije Universiteit Amsterdam · NLUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExperiencing maltreatment during childhood exerts substantial stress on the child and increases the risk for overweight and obesity later in life. The current study tests whether hair cortisol-a measure of chronic stress-and its metabolite cortisone mediate the relation between abuse and neglect on the one hand, and body mass index (BMI) on the other.

methodThe sample consisted of 249 participants aged 8 to 87 years (M = 36.13, SD = 19.33). We collected data on child abuse and neglect using questionnaires, measured cortisol and cortisone concentrations in hair, and BMI. In a structural model, the effects of abuse and neglect on hair cortisol, hair cortisone, and BMI were tested, as well as the covariance between hair cortisol and BMI, and hair cortisone and BMI.

resultsWithin the sample, 23% were overweight but not obese and 14% were obese. Higher levels of experienced abuse were related to higher cortisone concentrations in hair (β = 0.24,

conclusionThese findings confirm that experiencing abuse is related to higher BMI but suggest that hair cortisol and cortisone are not the mechanism underlying the association between child maltreatment and BMI. This is the first study to show abuse may be associated to elevated concentrations of hair cortisone-evidence of long-term alterations in chronic stress levels. Future research may benefit from exploring the effects of maltreatment on weight gain in longitudinal designs, including measures of other potential mediators such as eating as a coping mechanism, and more direct indicators of metabolic health.

Indexed as

abusebody mass indexchild maltreatmenthair cortisolhair cortisonehypothalamic–pituitary–adrenal axisneglect

Identifiers

PMID32457665
PMCPMC7225356
OpenAlexW3022487552

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.