Evidence map›Paper›PMID 34091232›Full record

ArticleSocial science & medicine (1982)2021

Body mass and the epidemic of chronic inflammation in early mid-adulthood.

Thomas W McDade, Jess M Meyer, Stephanie M Koning, Kathleen Mullan Harris

Open access · greenAbstract read
In one paragraph

Article in Social science & medicine (1982), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 40 citations in OpenAlex.

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  7. Revealing the Complexity of Immunobiological Shifts From Non-Pregnant to Pregnant State.American journal of reproductive immunology (New York, N.Y. : 1989) · 2025
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  14. Intimate partner violence, depression, and chronic low-grade inflammation among middle-aged women in Cebu, Philippines.American journal of human biology : the official journal of the Human Biology Council · 2024
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  18. Three common assumptions about inflammation, aging, and health that are probably wrong.Proceedings of the National Academy of Sciences of the United States of America · 2023
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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

4 authors at 2 institutions in 1 country.

Thomas W McDadeDepartment of Anthropology, Northwestern University, Evanston, IL, USA; Institute for Policy Research, Northwestern University, Evanston, IL, USA. Electronic address: t-mcdade@northwestern.edu.
Jess M MeyerUniversity of North Carolina at Chapel Hill, Carolina Population Center, Chapel Hill, NC, USA.
Stephanie M KoningInstitute for Policy Research, Northwestern University, Evanston, IL, USA.
Kathleen Mullan HarrisUniversity of North Carolina at Chapel Hill, Carolina Population Center, Chapel Hill, NC, USA; University of North Carolina at Chapel Hill, Department of Sociology, Chapel Hill, NC, USA.
Northwestern University · USUniversity of North Carolina at Chapel Hill · US

Funding

Wave IV Data CollectionP01HD031921 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HARRIS, KATHLEEN MULLAN · 1994 to 2020
$86.1M
POPULATION STUDIEST32HD007168 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ELIZABETH A FRANKENBERG · 1985 to 2026
$13.8M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
From Biological to Social Processes: Interdisciplinary Training in Life Course ResearchT32HD091058 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT A HUMMER, Amanda L Thompson · 2017 to 2026
$4.3M
Early origins of health disparities: Chronic inflammationR21HD101757 · NICHD · NORTHWESTERN UNIVERSITY · PI MC DADE, THOMAS W · 2020 to 2021
$436k
Intergenerational health impacts of interpersonal and community-based violence: From childbirth to childbearingF32HD102152 · NICHD · NORTHWESTERN UNIVERSITY · PI KONING, STEPHANIE MICHELLE · 2020 to 2022
$152k
NICHD NIH HHS F32 HD102152NICHD NIH HHS P01 HD031921NICHD NIH HHS P2C HD050924NICHD NIH HHS R21 HD101757NICHD NIH HHS T32 HD007168NICHD NIH HHS T32 HD091058
6 · The paper itself

Abstract

objectivesChronic inflammation is a potentially important mechanism through which social inequalities may contribute to health inequalities over the life course. Excess body fat contributes to chronic inflammation, and younger adults in the US have come of age during a pronounced secular increase in body mass index (BMI). We aim to document levels of chronic inflammation in a nationally representative sample of 33-to-44 year-old adults in the US, and to describe associations with BMI, race/ethnicity, and education.

methodsHigh sensitivity C-reactive protein (CRP) was measured in Wave V (2016-18) of the National Longitudinal Study of Adolescent to Adult Health, with complete data available for 4349 participants. Sex-stratified weighted regression models were implemented to investigate CRP in association with education, race/ethnicity, and BMI.

resultsGeometric mean CRP was 1.9 mg/L, and 35.4% of the sample had CRP >3 mg/L. Females had significantly higher CRP than males. Body mass index was a strong positive predictor of CRP, and education level was negatively associated with CRP. Associations between education and CRP were substantially attenuated after adjusting for BMI. High risk CRP increased linearly with BMI even among the obese: 87.0 percent of females and 74.1 percent of males with class 3 obesity (BMI ≥40) were predicted to have high risk CRP > 3 mg/L.

conclusionsThe obesity epidemic is producing an epidemic of chronic inflammation in early mid-adulthood in the US. Strong associations between BMI and chronic inflammation portend high risk for future disease-and inequitable distribution of disease-as the cohort ages.

Indexed as

EpidemicsObesityAdolescentAdultBody Mass IndexC-Reactive ProteinFemaleHumansInflammationLongitudinal StudiesMaleC-Reactive ProteinC-reactive proteinEducationHealth disparitiesObesityOverweight

Identifiers

PMID34091232
PMCPMC8259331
OpenAlexW3165457834

What OpenQuestion holds

Textmetadata
LicenceTDM
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.