Evidence map›Paper›PMID 34467678›Full record

ArticleObesity (Silver Spring, Md.)2021

Regional and sociodemographic differences in average BMI among US children in the ECHO program.

Traci A Bekelman, Dana Dabelea, Jody M Ganiban, Andrew Law, Alexandra McGovern Reilly, Keri N Althoff, Noel Mueller, Carlos A Camargo, Cristiane S Duarte, Anne L Dunlop and 25 more

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In one paragraph

Article in Obesity (Silver Spring, Md.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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. Article
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  4. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors.

Traci A BekelmanLifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0003-0840-1186
Dana DabeleaLifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Jody M GanibanDepartment of Psychological and Behavioral Sciences, The George Washington University, Washington, DC, USA.
Andrew LawDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Alexandra McGovern ReillyDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Keri N AlthoffDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Noel MuellerDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Carlos A CamargoDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Cristiane S DuarteDivision of Child and Adolescent Psychiatry, Department of Psychiatry, Columbia University, New York, New York, USA.
Anne L DunlopWoodruff Health Sciences Center, School of Medicine and Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
Amy J ElliottAvera Research Institute, Sioux Falls, South Dakota, USA.
Assiamira FerraraDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Diane R GoldChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Irva Hertz-PicciottoDepartment of Public Health Sciences, University of California, Davis, California, USA.
Tina HartertVanderbilt University School of Medicine, Nashville, Tennessee, USA.
Alison E HipwellDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Kathi HuddlestonCollege of Health and Human Services, George Mason University, Fairfax, Virginia, USA.ORCID 0000-0002-6068-4489
Christine C JohnsonHenry Ford Health System, Detroit, Michigan, USA.
Margaret R KaragasDepartment of Epidemiology, Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA.
Catherine J KarrDepartment of Environmental and Occupational Health Sciences, Department of Pediatrics, University of Washington, Seattle, Washington, USA.
Gurjit K Khurana HersheyCincinnati Children's Hospital, Cincinnati, Ohio, USA.
Leslie LevePrevention Science Institute, University of Oregon, Eugene, Oregon, USA.
Somdat MahabirNational Cancer Institute, NIH, Bethesda, Maryland, USA.
Cindy T McEvoyDepartment of Pediatrics, Oregon Health & Science University, Portland, Oregon, USA.
Jenae NeiderhiserDepartment of Psychology, Penn State University, Pennsylvania, Pennsylvania, USA.
Emily OkenHarvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA.
Andrew RundleMailman School of Public Health, Columbia University, New York, New York, USA.
Sheela SathyanarayanaUniversity of Washington/Seattle Children's Research Institute, Seattle, Washington, USA.
Christine TurleyUniversity of South Carolina, Columbia, South Carolina, USA.
Frances A TylavskyDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Sara E WatsonDepartment of Pediatrics, University of Louisville, Louisville, Kentucky, USA.
Rosalind WrightIcahn School of Medicine at Mount Sinai, New York, New York, USA.
Mingyu ZhangDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0003-3628-0983
Edward ZorattiHenry Ford Health System, Detroit, Michigan, USA.
program collaborators for Environmental influences on Child Health Outcomes (ECHO)

Funding

Project-005U2COD023375 · OD · DUKE UNIVERSITY · PI Linda S Adair, Phillip Brian Smith · 2016 to 2026
$215.9M
ECHODAC (Environmental Influences on Child Health Outcomes Data Analysis Center)U24OD023382 · OD · JOHNS HOPKINS UNIVERSITY · PI Diane J Catellier, LISA P JACOBSON · 2016 to 2026
$148.4M
Wisconsin Infant Study Cohort (WISC) ECHO Pediatric Follow-UpUH3OD023282 · OD · UNIVERSITY OF WISCONSIN-MADISON · PI James E. Gern · 2018 to 2026
$64.8M
Mount Sinai ECHO site for Perinatal Environment and Development StudiesUH3OD023337 · OD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KECIA Nicole CARROLL, Robert O Wright · 2018 to 2026
$54.1M
Conduits: Mount Sinai Health System Translational Science HubUL1TR004419 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Rosalind J Wright · 2022 to 2026
$46.4M
A prospective study of critical environmental exposures in formative early life that impact lifelong health in rural US children: the New Hampshire Birth Cohort StudyUH3OD023275 · OD · DARTMOUTH COLLEGE · PI MARGARET Rita KARAGAS, Juliette Madan · 2018 to 2026
$44.3M
The ECHO Measurement Core: A Framework and Resource for Assessing Environmental Exposure and Child HealthU24OD023319 · OD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Courtney K Blackwell, RICHARD GERSHON · 2016 to 2026
$43.7M
XENOBIOTIC BIOTRANSFORMATION AND DISPOSITIONP30ES007033 · NIEHS · UNIVERSITY OF WASHINGTON · PI ALI SHOJAIE · 1995 to 2026
$42.5M
Prenatal and Early Childhood Pathways To Health:  An Integrated Model of Chemical and Social Exposures, Biological Mechanisms, and Sex-Specific Effects on Neurodevelopment and Respiratory OutcomesUH3OD023271 · OD · UNIVERSITY OF WASHINGTON · PI BUSH, NICOLE RENEE, KARR, CATHERINE J · 2018 to 2022
$37.3M
Viral and Host Determinants of Infant and Childhood Allergy and AsthmaU19AI095227 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Dawn C Newcomb · 2011 to 2026
$34.9M
Environmental Influences on Childhood Outcomes in the Northern Plains Safe Passage Study CohortsUH3OD023279 · OD · AVERA MCKENNAN · PI Amy J Elliott, Christine W Hockett · 2018 to 2026
$31.7M
UC Davis Environmental Health Sciences Core CenterP30ES023513 · NIEHS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Nicholas J. KENYON · 2015 to 2026
$26.0M
NCATS NIH HHS UL1 TR004419NIAID NIH HHS U19 AI095227NICHD NIH HHS UG1 HD090904NIEHS NIH HHS P30 ES007033NIEHS NIH HHS P30 ES023513NIEHS NIH HHS R24 ES029490NIH HHS U24 OD023319NIH HHS U24OD023319NIH HHS U24 OD023382NIH HHS U24OD023382NIH HHS U2C OD023375NIH HHS U2COD023375NIH HHS UG1 OD024954NIH HHS UG1 OD024956NIH HHS UG3 OD023244NIH HHS UG3 OD023248NIH HHS UG3 OD023249NIH HHS UG3 OD023253NIH HHS UG3 OD023271NIH HHS UG3 OD023275NIH HHS UG3 OD023279NIH HHS UG3 OD023282NIH HHS UG3 OD023285NIH HHS UG3 OD023288NIH HHS UG3 OD023289NIH HHS UG3 OD023290NIH HHS UG3 OD023318NIH HHS UG3 OD023328NIH HHS UG3 OD023337NIH HHS UG3 OD023365NIH HHS UG3 OD023389NIH HHS UG3 OD035516NIH HHS UG3 OD035517NIH HHS UH3 OD023244NIH HHS UH3 OD023248NIH HHS UH3 OD023249NIH HHS UH3 OD023253NIH HHS UH3 OD023271NIH HHS UH3 OD023275NIH HHS UH3 OD023279NIH HHS UH3 OD023282NIH HHS UH3 OD023285NIH HHS UH3 OD023288NIH HHS UH3 OD023289NIH HHS UH3 OD023290NIH HHS UH3 OD023318NIH HHS UH3 OD023328NIH HHS UH3 OD023337NIH HHS UH3 OD023365NIH HHS UH3 OD023389
6 · The paper itself

Abstract

objectiveThe aim of this study was to describe the association of individual-level characteristics (sex, race/ethnicity, birth weight, maternal education) with child BMI within each US Census region and variation in child BMI by region.

methodsThis study used pooled data from 25 prospective cohort studies. Region of residence (Northeast, Midwest, South, West) was based on residential zip codes. Age- and sex-specific BMI z scores were the outcome.

resultsThe final sample included 14,313 children with 85,428 BMI measurements, 49% female and 51% non-Hispanic White. Males had a lower average BMI z score compared with females in the Midwest (β = -0.12, 95% CI: -0.19 to -0.05) and West (β = -0.12, 95% CI: -0.20 to -0.04). Compared with non-Hispanic White children, BMI z score was generally higher among children who were Hispanic and Black but not across all regions. Compared with the Northeast, average BMI z score was significantly higher in the Midwest (β = 0.09, 95% CI: 0.05 to 0.14) and lower in the South (β = -0.12, 95% CI: -0.16 to -0.08) and West (β = -0.14, 95% CI: -0.19 to -0.09) after adjustment for age, sex, race/ethnicity, and birth weight.

conclusionsRegion of residence was associated with child BMI z scores, even after adjustment for sociodemographic characteristics. Understanding regional influences can inform targeted efforts to mitigate BMI-related disparities among children.

Indexed as

EthnicityHispanic or LatinoBody Mass IndexChildFemaleHumansMaleProspective Studies

Identifiers

PMID34467678
PMCPMC9088705

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