Evidence map›Paper›PMID 34158611›Full record

ArticleInternational journal of obesity (2005)2021

Obesity, oxidative DNA damage and vitamin D as predictors of genomic instability in children and adolescents.

Moonisah Usman, Maria Woloshynowych, Jessica Carrilho Britto, Ivona Bilkevic, Bethany Glassar, Simon Chapman, Martha E Ford-Adams, Ashish Desai, Murray Bain, Ihab Tewfik and 1 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of obesity (2005), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.6field-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

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Obesity accelerates cardiovascular ageing.European heart journal · 2025
    Review
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  6. Article
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  8. Review
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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

11 authors at 4 institutions in 1 country.

Moonisah UsmanSchool of Life Sciences, University of Westminster, London, UK.
Maria WoloshynowychSchool of Social Sciences, University of Westminster, London, UK.
Jessica Carrilho BrittoSchool of Life Sciences, University of Westminster, London, UK.
Ivona BilkevicSchool of Life Sciences, University of Westminster, London, UK.
Bethany GlassarDepartment of Child Health, King's College Hospital, London, UK.
Simon ChapmanDepartment of Child Health, King's College Hospital, London, UK.
Martha E Ford-AdamsDepartment of Child Health, King's College Hospital, London, UK.
Ashish DesaiDepartment of Paediatric Surgery, Royal London Hospital, London, UK.ORCID http://orcid.org/0000-0002-1014-7626
Murray BainDepartment of Paediatric Endocrinology, St George's University Hospital, London, UK.
Ihab TewfikSchool of Life Sciences, University of Westminster, London, UK.
Emanuela V VolpiSchool of Life Sciences, University of Westminster, London, UK. e.volpi@westminster.ac.uk.ORCID http://orcid.org/0000-0002-2422-9104
University of Westminster · GBKing's College Hospital · GBRoyal London Hospital · GBSt George's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesEpidemiological evidence indicates obesity in childhood and adolescence to be an independent risk factor for cancer and premature mortality in adulthood. Pathological implications from excess adiposity may begin early in life. Obesity is concurrent with a state of chronic inflammation, a well-known aetiological factor for DNA damage. In addition, obesity has been associated with micro-nutritional deficiencies. Vitamin D has attracted attention for its anti-inflammatory properties and role in genomic integrity and stability. The aim of this study was to determine a novel approach for predicting genomic instability via the combined assessment of adiposity, DNA damage, systemic inflammation, and vitamin D status. SUBJECTS/

methodsWe carried out a cross-sectional study with 132 participants, aged 10-18, recruited from schools and paediatric obesity clinics in London. Anthropometric assessments included BMI Z-score, waist and hip circumference, and body fat percentage via bioelectrical impedance. Inflammation and vitamin D levels in saliva were assessed by enzyme-linked immunosorbent assay. Oxidative DNA damage was determined via quantification of 8-hydroxy-2'-deoxyguanosine in urine. Exfoliated cells from the oral cavity were scored for genomic instability via the buccal cytome assay.

resultsAs expected, comparisons between participants with obesity and normal range BMI showed significant differences in anthropometric measures (p < 0.001). Significant differences were also observed in some measures of genomic instability (p < 0.001). When examining relationships between variables for all participants, markers of adiposity positively correlated with acquired oxidative DNA damage (p < 0.01) and genomic instability (p < 0.001), and negatively correlated with vitamin D (p < 0.01). Multiple regression analyses identified obesity (p < 0.001), vitamin D (p < 0.001), and oxidative DNA damage (p < 0.05) as the three significant predictors of genomic instability.

conclusionsObesity, oxidative DNA damage, and vitamin D deficiency are significant predictors of genomic instability. Non-invasive biomonitoring and predictive modelling of genomic instability in young patients with obesity may contribute to the prioritisation and severity of clinical intervention measures.

Indexed as

AdolescentBody Mass IndexChildChi-Square DistributionCross-Sectional StudiesFemaleGenomic InstabilityHumansLondonMaleOxidative StressPediatric ObesityState MedicineVitamin DVitamin D DeficiencyVitamin D

Identifiers

PMID34158611
PMCPMC8380542
OpenAlexW3174797975

What OpenQuestion holds

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Registered trials

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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.