Evidence map›Paper›PMID 34963457›Full record

ArticleCardiovascular diabetology2021

The opposing trends of body mass index and blood pressure during 1977-2020; nationwide registry of 2.8 million male and female adolescents.

Boris Fishman, Yair Zloof, Omri Orr, Avishai M Tsur, Ariel Furer, Ma'ayan Omer Gilon, Gabriel Chodick, Adi Leiba, Estela Derazne, Dorit Tzur and 3 more

Abstract read
In one paragraph

Article in Cardiovascular diabetology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

13 authors.

Boris FishmanDepartment of Military Medicine, Hebrew University, Jerusalem and the Israel Defense Forces Medical Corps, Ramat Gan, Israel.
Yair ZloofDepartment of Military Medicine, Hebrew University, Jerusalem and the Israel Defense Forces Medical Corps, Ramat Gan, Israel.
Omri OrrDepartment of Military Medicine, Hebrew University, Jerusalem and the Israel Defense Forces Medical Corps, Ramat Gan, Israel.
Avishai M TsurDepartment of Military Medicine, Hebrew University, Jerusalem and the Israel Defense Forces Medical Corps, Ramat Gan, Israel.
Ariel FurerDepartment of Military Medicine, Hebrew University, Jerusalem and the Israel Defense Forces Medical Corps, Ramat Gan, Israel.
Ma'ayan Omer GilonDepartment of Military Medicine, Hebrew University, Jerusalem and the Israel Defense Forces Medical Corps, Ramat Gan, Israel.
Gabriel ChodickSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Adi LeibaDivision of Nephrology and Hypertension, Assuta Ashdod Academic Medical Center affiliated to Ben Gurion University, Beer Sheva, Israel.
Estela DerazneSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Dorit TzurDepartment of Military Medicine, Hebrew University, Jerusalem and the Israel Defense Forces Medical Corps, Ramat Gan, Israel.
Arnon AfekSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ehud GrossmanSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Gilad TwigDepartment of Military Medicine, Hebrew University, Jerusalem and the Israel Defense Forces Medical Corps, Ramat Gan, Israel. Gilad.Twig@gmail.com.ORCID 0000-0003-2829-3645

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElevated blood pressure among adolescents has been shown to be associated with future adverse cardiovascular outcomes and early onset diabetes. Most data regarding systolic and diastolic blood pressure trends are based on surveys of selected populations within 10-20-year periods. The goal of this study was to characterize the secular trend of blood pressure given the rising prevalence of adolescent obesity.

methodsThis nationwide population-based study included 2,785,515 Israeli adolescents (41.6% females, mean age 17.4 years) who were medically evaluated and whose weight, height and blood pressure were measured, prior to mandatory military service between 1977 and 2020. The study period was divided into 5-year intervals. Linear regression models were used to describe the P for trend along the time intervals. Analysis of covariance was used to calculate means of blood pressure adjusted for body mass index.

resultsDuring the study period, the mean body mass index increased by 2.1 and 1.6 kg/m

conclusionDespite the increase in body mass index over the last four decades, diastolic blood pressure decreased in both sexes while systolic blood pressure increased slightly in males and decreased in females.

Indexed as

Blood PressureBody Mass IndexAdolescentAge FactorsFemaleHumansHypertensionIsraelMalePediatric ObesityPrognosisRegistriesRisk AssessmentRisk FactorsSex FactorsTime FactorsAdolescentsBody Mass IndexDiastolic blood pressureHypertensionObesitySystolic blood pressure

Identifiers

PMID34963457
PMCPMC8715587

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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.