Evidence map›Paper›PMID 35821522›Full record

ArticleInternational journal of obesity (2005)2022

Household income and maternal education in early childhood and risk of overweight and obesity in late childhood: Findings from seven birth cohort studies in six high-income countries.

Pär Andersson White, Yara Abu Awad, Lise Gauvin, Nicholas James Spencer, Jennifer J McGrath, Susan A Clifford, Béatrice Nikiema, Junwen Yang-Huang, Jeremy D Goldhaber-Fiebert, Wolfgang Markham and 7 more

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 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% 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, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Socioeconomic determinants of overweight and obesity among Mexican children and adolescents: Systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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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

17 authors at 11 institutions in 6 countries.

Pär Andersson WhiteDepartment of Health, Medicine and Care, General Practice, Linköping University, SE-58183, Linköping, Sweden. par.andersson.white@liu.se.ORCID http://orcid.org/0000-0003-2963-6507
Yara Abu AwadPERFORM Centre, Concordia University, H4B 1R6, Montreal, QC, Canada.
Lise GauvinCentre de recherche du Centre Hospitalier de l'Université de Montréal, H2X 0A9, Montréal, QC, Canada.
Nicholas James SpencerDivision of Health Sciences, Warwick Medical School, University of Warwick, CV4 7AL, Coventry, UK.
Jennifer J McGrathPERFORM Centre, Concordia University, H4B 1R6, Montreal, QC, Canada.
Susan A CliffordMurdoch Children's Research Institute, Melbourne, VIC, 3052, Australia.ORCID http://orcid.org/0000-0002-2678-9439
Béatrice NikiemaÉcole de santé publique, Université de Montréal, H2X 0A9, Montréal, QC, Canada.
Junwen Yang-HuangThe Generation R Study Group, Erasmus University Medical Center, 3000 CA, Rotterdam, the Netherlands.
Jeremy D Goldhaber-FiebertStanford University, 94305, Stanford, CA, USA.
Wolfgang MarkhamDivision of Health Sciences, Warwick Medical School, University of Warwick, CV4 7AL, Coventry, UK.
Fiona K MensahMurdoch Children's Research Institute, Melbourne, VIC, 3052, Australia.ORCID http://orcid.org/0000-0002-6951-9949
Amy van GriekenDepartment of Public Health, Erasmus University Medical Center, 3000 CA, Rotterdam, the Netherlands.
Hein RaatDepartment of Public Health, Erasmus University Medical Center, 3000 CA, Rotterdam, the Netherlands.
V W V JaddoeThe Generation R Study Group, Erasmus University Medical Center, 3000 CA, Rotterdam, the Netherlands.ORCID http://orcid.org/0000-0003-2939-0041
Johnny LudvigssonCrown Princess Victoria Children´s Hospital, Region Östergötland, SE-58185, Linköping, Sweden.ORCID http://orcid.org/0000-0003-1695-5234
Tomas FaresjöDepartment of Health, Medicine and Care, General Practice, Linköping University, SE-58183, Linköping, Sweden.
EPOCH Collaborative Group
Linköping University · SEErasmus MC · NLConcordia University · CAUniversity of Warwick · GBThe University of Melbourne · AUCentre Hospitalier de l’Université de Montréal · CACree Board of Health and Social Services of James Bay · CARoyal Children's Hospital · AUUniversity of York · GBStanford University · USUNSW Sydney · AU

Funding

CIHR MOP-89886CIHR MSH- 95353CIHR OCO-79897CIHR ROG-110537
6 · The paper itself

Abstract

BACKGROUND/

objectivesThis study analysed the relationship between early childhood socioeconomic status (SES) measured by maternal education and household income and the subsequent development of childhood overweight and obesity. SUBJECTS/

methodsData from seven population-representative prospective child cohorts in six high-income countries: United Kingdom, Australia, the Netherlands, Canada (one national cohort and one from the province of Quebec), USA, Sweden. Children were included at birth or within the first 2 years of life. Pooled estimates relate to a total of N = 26,565 included children. Overweight and obesity were defined using International Obesity Task Force (IOTF) cut-offs and measured in late childhood (8-11 years). Risk ratios (RRs) and pooled risk estimates were adjusted for potential confounders (maternal age, ethnicity, child sex). Slope Indexes of Inequality (SII) were estimated to quantify absolute inequality for maternal education and household income.

resultsPrevalence ranged from 15.0% overweight and 2.4% obese in the Swedish cohort to 37.6% overweight and 15.8% obese in the US cohort. Overall, across cohorts, social gradients were observed for risk of obesity for both low maternal education (pooled RR: 2.99, 95% CI: 2.07, 4.31) and low household income (pooled RR: 2.69, 95% CI: 1.68, 4.30); between-cohort heterogeneity ranged from negligible to moderate (p: 0.300 to < 0.001). The association between RRs of obesity by income was lowest in Sweden than in other cohorts.

conclusionsThere was a social gradient by maternal education on the risk of childhood obesity in all included cohorts. The SES associations measured by income were more heterogeneous and differed between Sweden versus the other national cohorts; these findings may be attributable to policy differences, including preschool policies, maternity leave, a ban on advertising to children, and universal free school meals.

Indexed as

OverweightPediatric ObesityBirth CohortBody Mass IndexChildChild, PreschoolDeveloped CountriesFemaleHumansIncomeInfant, NewbornPregnancyPrevalenceProspective StudiesRisk Factors

Identifiers

PMID35821522
PMCPMC9395266
OpenAlexW4285094839

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.