Evidence map›Paper›PMID 38994553›Full record

ArticleObesity (Silver Spring, Md.)2024

Anthropometry for predicting cardiometabolic disease risk factors in adolescents.

Luyu Xie, Joohan Kim, Jaime P Almandoz, John Clark, M Sunil Mathew, Bethany R Cartwright, Sarah E Barlow, Steven E Lipshultz, Sarah E Messiah

Abstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2024. 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.

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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

9 authors.

Luyu XieDepartment of Epidemiology, Human Genetics and Environmental Sciences, University of Texas Health Science Center at Houston, School of Public Health, Dallas, Texas, USA.ORCID 0000-0003-4499-0555
Joohan KimCenter for Pediatric Population Health, School of Public Health, University of Texas Health Science Center, Dallas, Texas, USA.
Jaime P AlmandozDepartment of Internal Medicine, Division of Endocrinology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0002-0462-0843
John ClarkDepartment of Medicine, University of California San Diego, San Diego, California, USA.
M Sunil MathewCenter for Pediatric Population Health, School of Public Health, University of Texas Health Science Center, Dallas, Texas, USA.
Bethany R CartwrightDepartment of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0002-1013-9298
Sarah E BarlowDepartment of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0002-1672-2126
Steven E LipshultzDepartment of Pediatrics, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
Sarah E MessiahDepartment of Epidemiology, Human Genetics and Environmental Sciences, University of Texas Health Science Center at Houston, School of Public Health, Dallas, Texas, USA.ORCID 0000-0001-6685-2175

Funding

UT Southwestern NORCP30DK127984 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Jeff G McDonald · 2022 to 2026
$7.4M
Socioecological Factors Associated with Ethnic Disparities in Bariatric Surgery Utilization - Diversity Supplement R01MD011686R01MD011686 · NIMHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MESSIAH, SARAH ELIZABETH · 2018 to 2023
$3.6M
Partnering lifestyle intervention with bariatric surgery to maximize health outcomes in adolescentsR21HD105129 · NICHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MESSIAH, SARAH ELIZABETH · 2022 to 2023
$422k
Eunice Kennedy Shriver National Institute of Child Health and Human Development R21HD105129NICHD NIH HHS R21 HD105129NIDDK NIH HHS P30 DK127984NIMHD NIH HHS R01 MD011686NIMHD NIH HHS R01MD011686
6 · The paper itself

Abstract

objectiveEarly screening prevents chronic diseases by identifying at-risk adolescents through anthropometric measurements, but predictive value in diverse groups is uncertain.

methodsA cross-sectional analysis of 12- to 19-year-old individuals from the 2017-2018 National Health and Nutrition Examination Survey (NHANES) assessed the predictive ability of BMI percentile, total body fat percentage, waist circumference (WC), and waist-hip ratio (WHR) for four cardiometabolic risk factors across race and ethnicity groups using receiver operating characteristic curves.

resultsThe unweighted sample (N = 1194; 51.2% male individuals; 23.7% Hispanic, 13.2% non-Hispanic Black [NHB], 51.1% non-Hispanic White [NHW], 12.0% other/multirace) had a weighted prevalence of elevated blood pressure of 2.7%, hyperglycemia of 36.8%, hypertriglyceridemia of 4.8%, and low high-density lipoprotein (HDL) cholesterol of 15%. WHR (area under the curve [AUC] = 0.77), WC (AUC = 0.77), and BMI percentile (AUC = 0.73) outperformed total body fat percentage (AUC = 0.56) in predicting elevated blood pressure (p < 0.001 for all). BMI percentile was more accurate than total body fat percentage in predicting hypertriglyceridemia (AUC = 0.70 vs. 0.59; p = 0.02) and low HDL cholesterol (AUC = 0.69 vs. 0.59; p < 0.001). Race and ethnicity-based predictions varied: NHW adolescents had the highest AUC (0.89; p < 0.01) for elevated blood pressure prediction compared with Hispanic and NHB adolescents (AUC = 0.77 for both). Total body fat percentage was more accurate in predicting low HDL cholesterol among Hispanic versus NHW adolescents (AUC = 0.73 vs. 0.58; p = 0.04).

conclusionsWHR, WC, and BMI percentile are better predictors of cardiometabolic risk factors in adolescents than total body fat percentage. Predictive abilities differed by race and ethnicity, highlighting the importance of tailored risk assessment strategies.

Indexed as

AnthropometryBody Mass IndexCardiometabolic Risk FactorsWaist CircumferenceWaist-Hip RatioAdolescentBlack or African AmericanCardiovascular DiseasesChildCholesterol, HDLCross-Sectional StudiesFemaleHispanic or LatinoHumansHyperglycemiaHypertensionCholesterol, HDL

Identifiers

PMID38994553
PMCPMC11269032

What OpenQuestion holds

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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.