Evidence map›Paper›PMID 35562396›Full record

ArticleInternational journal of obesity (2005)2022

The relationship of life-course patterns of adiposity with type 2 diabetes, depression, and their comorbidity in the Northern Finland Birth Cohort 1966.

Priyanka Choudhary, Justiina Ronkainen, Rozenn Nedelec, Mimmi Tolvanen, Estelle Lowry, Jouko Miettunen, Marjo-Riitta Jarvelin, Sylvain Sebert

Open access · hybridAbstract read
In one paragraph

Article in International journal of obesity (2005), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

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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

8 authors at 5 institutions in 2 countries.

Priyanka ChoudharyCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland. priyanka.choudhary@oulu.fi.ORCID 0000-0002-2420-4118
Justiina RonkainenCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.ORCID 0000-0001-7375-8099
Rozenn NedelecCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.ORCID 0000-0002-2246-3829
Mimmi TolvanenCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
Estelle LowryQueen's University Belfast, Belfast, UK.ORCID 0000-0002-4655-416X
Jouko MiettunenCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
Marjo-Riitta JarvelinCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.ORCID 0000-0002-2149-0630
Sylvain SebertCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland. sylvain.sebert@oulu.fi.ORCID 0000-0001-6681-6983
University of Oulu · FIOulu University of Applied Sciences · FIMRC Centre for Environment and HealthOulu University Hospital · FIQueen's University Belfast · GB

Funding

Medical Research Council MR/S019669/1
6 · The paper itself

Abstract

objectivesType 2 diabetes (T2D) and comorbid depression challenges clinical management particularly in individuals with overweight. We aim to explore the shared etiology, via lifecourse adiposity, between T2D and depression.

methodsWe used data from birth until 46years from Northern Finland Birth Cohort 1966 (n = 6,372; 53.8% females). We conducted multivariate analyses on three outcomes: T2D (4.2%), depression (19.2%) and as comorbidity (1.8%). We conducted (i) Path analysis to clarify time-dependent body mass index (BMI) related pathways, including BMI polygenic risk scores (PRS); and (ii) Cox regression models to assess whether reduction of overweight between 7years and 31years influence T2D, depression and/or comorbidity. The models were tested for covariation with sex, education, smoking, physical activity, and diet score.

resultsThe odd ratios (OR) of T2D in individuals with depression was 1.68 [95% confidence interval (CI): 1.34-2.11], and no change in estimate was observed when adjusted for covariates. T2D and comorbidity showed similar patterns of relationships in the path analyses (P < 0.001). The genetic risk for obesity (PRS BMI) did not show direct effect on T2D or comorbidity in adulthood but indirectly through measures of adiposity in early childhood and mid-adulthood in the path analysis (P < 0.001). Having early-onset of overweight at 7years and 31years showed highest risk of T2D (OR 3.8, 95%CI 2.4-6.1) and comorbidity (OR 5.0, 95%CI 2.7-9.5), with mild-to-moderate attenuation with adjustments. Depression showed no significant associations.

conclusionsWe found evidence for overweight since childhood as a risk factor for T2D and co-morbidity between T2D and depression, influenced moderately by lifestyle factors in later life. However, no shared early life adiposity related risk factors were observed between T2D and depression when assessed independently in this Finnish setting.

Indexed as

AdiposityDiabetes Mellitus, Type 2AdultBirth CohortBody Mass IndexChild, PreschoolComorbidityDepressionFemaleFinlandHumansMaleObesityOverweightRisk Factors

Identifiers

PMID35562396
PMCPMC9105590
OpenAlexW4280580184

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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.