Evidence map›Paper›PMID 35144324›Full record

ArticlePediatric obesity2022

Prevalence of prediabetes in children and adolescents by class of obesity.

Stefania Pedicelli, Danilo Fintini, Lucilla Ravà, Elena Inzaghi, Annalisa Deodati, Maria Rita Spreghini, Carla Bizzarri, Michela Mariani, Stefano Cianfarani, Marco Cappa and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Pediatric obesity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

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  13. Definition and diagnostic criteria of clinical obesity.The lancet. Diabetes & endocrinology · 2025
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  18. Prediabetes in children and adolescents: An updated review.World journal of clinical pediatrics · 2023
    Review
  19. Article
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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 2 institutions in 2 countries.

Stefania PedicelliUnit of Endocrinology, Dipartimento Pediatrico Universitario, Università di Tor Vergata, Rome, Italy.
Danilo FintiniUnit of Endocrinology, Dipartimento Pediatrico Universitario, Università di Tor Vergata, Rome, Italy.ORCID 0000-0002-0103-7951
Lucilla RavàClinical Epidemiology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Elena InzaghiUnit of Endocrinology, Dipartimento Pediatrico Universitario, Università di Tor Vergata, Rome, Italy.
Annalisa DeodatiUnit of Endocrinology, Dipartimento Pediatrico Universitario, Università di Tor Vergata, Rome, Italy.
Maria Rita SpreghiniUnit of Endocrinology, Dipartimento Pediatrico Universitario, Università di Tor Vergata, Rome, Italy.
Carla BizzarriUnit of Endocrinology, Dipartimento Pediatrico Universitario, Università di Tor Vergata, Rome, Italy.
Michela MarianiUnit of Endocrinology, Dipartimento Pediatrico Universitario, Università di Tor Vergata, Rome, Italy.
Stefano CianfaraniUnit of Endocrinology, Dipartimento Pediatrico Universitario, Università di Tor Vergata, Rome, Italy.
Marco CappaUnit of Endocrinology, Dipartimento Pediatrico Universitario, Università di Tor Vergata, Rome, Italy.
Melania MancoResearch Area for Multifactorial Diseases and Complex Phenotypes, Bambino Gesù Children's Hospital, Rome, Italy.ORCID 0000-0002-6581-975X
University of Rome Tor Vergata · ITBambino Gesù Children's Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate prevalence of prediabetes (impaired fasting glucose, IFG; impaired glucose tolerance, IGT; and high glycated haemoglobin, h-HbA1c) in children and adolescents in relation to class of age and obesity; to appraise association with estimates of insulin metabolism, cardiovascular risk factors and alanine aminotransferase (ALT) levels.

methodsStudy of marginal prevalence (i.e., as function of sex, age and obesity class) of isolated and combined IFG, IGT and h-HbA1c in children (age 4-9.9 years) and adolescents (age 10-17.9 years) and association to blood pressure (BP), total, HDL and non-HDL cholesterol, triglycerides, ALT and insulin sensitivity/secretion indexes.

resultsData of 3110 participants (51% males, 33% children; 33% overweight, 39% obesity class I, 20.5% class II, 7.5% class III) were available. Unadjusted prevalence of prediabetes was 13.9% in children (2.1% IFG, 6.7% IGT, 3.9% h-HbA1c, IFG-IGT 0.06%) and 24.6% in adolescents (3.4% IFG, 9.4% IGT, 5.5% h-HbA1c, IFG-IGT 0.09%). Combined h-HBA1c was found in very few adolescents. Prevalence of prediabetes increased significantly by class of obesity up to 20.5% in children and 31.6% in adolescents. Phenotypes of prediabetes were differently but significantly associated with increased systolic and diastolic BP (by 2-7.3 and ~8 mmHg, respectively), triglycerides (by 23-66 mg/dl), and ALT levels (by 10-22 UI/L) depending on the prediabetes phenotype. CONCLUSION AND RELEVANCE: It is worth screening prediabetes in children aged <10 years old with obesity classes II and III and in adolescents. In those with prediabetes, monitoring of blood pressure, triglycerides and ALT levels must be encouraged.

Indexed as

Glucose IntolerancePrediabetic StateAdolescentBlood GlucoseFastingFemaleGlycated HemoglobinHumansMaleObesityPrevalenceTriglyceridesBlood GlucoseGlycated HemoglobinTriglycerideschildrenglycated haemoglobinobesityprediabetes

Identifiers

PMID35144324
PMCPMC9286831
OpenAlexW4211003896

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.