Evidence map›Paper›PMID 39501002›Full record

ArticleEuropean journal of clinical nutrition2025

The proportion of weight gain due to change in fat mass in infants with vs without rapid growth.

William Johnson, Lukhanyo H Nyati, Shabina Ariff, Tanvir Ahmad, Nuala M Byrne, Leila I Cheikh Ismail, Caroline S Costa, Ellen W Demerath, Divya J Priscilla, Andrew P Hills and 10 more

Abstract read
In one paragraph

Article in European journal of clinical nutrition, 2025. 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
–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

2 citing papers in PubMed.

  1. Trial
  2. Article
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

20 authors.

William JohnsonSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK. W.O.Johnson@lboro.ac.uk.ORCID http://orcid.org/0000-0002-0347-4354
Lukhanyo H NyatiSAMRC Developmental Pathways for Health Research Unit, Department of Pediatrics, University of the Witwatersrand, Johannesburg, South Africa.
Shabina AriffDepartment of Pediatric and Child Health, Medical College, The Aga Khan University, Karachi City, Sindh, Pakistan.ORCID http://orcid.org/0000-0002-9627-2662
Tanvir AhmadLife Science Group, Isotope Application Division, Pakistan Institute of Nuclear Science and Technology (PINSTECH), Nilore, Islamabad, Pakistan.ORCID http://orcid.org/0009-0005-2956-4859
Nuala M ByrneSchool of Health Sciences, College of Health and Medicine, University of Tasmania, Tasmania, Australia.
Leila I Cheikh IsmailDepartment of Clinical Nutrition and Dietetics, College of Health Sciences, University of Sharjah, Sharjah, UAE.
Caroline S CostaPost-graduate Program in Epidemiology, Faculty of Medicine, Federal University of Pelotas, Pelotas, Brazil.
Ellen W DemerathDivision of Epidemiology and Community Health, University of Minnesota, School of Public Health, Minneapolis, MN, USA.
Divya J PriscillaSt John's Research Institute, Bengaluru, India.
Andrew P HillsSchool of Health Sciences, College of Health and Medicine, University of Tasmania, Tasmania, Australia.ORCID http://orcid.org/0000-0002-7787-7201
Rebecca KuriyanSt John's Research Institute, Bengaluru, India.ORCID http://orcid.org/0000-0002-3864-574X
Anura V KurpadSt John's Research Institute, Bengaluru, India.ORCID http://orcid.org/0000-0001-7998-2438
Cornelia U LoechlDivision of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria.ORCID http://orcid.org/0000-0001-7959-6270
M Nishani LucasDepartment of Paediatrics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.ORCID http://orcid.org/0000-0001-7243-7525
Ina S SantosPost-graduate Program in Epidemiology, Faculty of Medicine, Federal University of Pelotas, Pelotas, Brazil.ORCID http://orcid.org/0000-0003-1258-9249
Christine SlaterDivision of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria.ORCID http://orcid.org/0009-0000-6820-0760
V Pujitha WickramasingheDepartment of Paediatrics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.ORCID http://orcid.org/0000-0002-8355-1283
Shane A NorrisSAMRC Developmental Pathways for Health Research Unit, Department of Pediatrics, University of the Witwatersrand, Johannesburg, South Africa.ORCID http://orcid.org/0000-0001-7124-3788
Alexia J Murphy-AlfordDivision of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria.ORCID http://orcid.org/0000-0001-7095-3796
Multicenter Infant Body Composition Reference Study (MIBCRS)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is extensive evidence that rapid infant weight gain increases the risk of childhood obesity, but this is normally based on childhood body mass index (BMI) only and whether or not this is because infants with rapid weight gain accrue greater fat mass is unknown.

objectiveThe primary objective of our study was to test whether the proportion of infant weight gain due to concurrent increases in fat mass is greater in infants with rapid weight gain as compared to those with normal growth.

methodsBody composition was assessed by (1) air-displacement plethysmography (ADP) at 0 and 6 months in 342 infants from Australia, India, and South Africa and (2) deuterium dilution (DD) at 3 and 24 months in 555 infants from Brazil, Pakistan, South Africa, and Sri Lanka. Weight gain and length growth were each categorized as slow, normal, or rapid using cut-offs of <-0.67 or >+0.67 Z-scores. Regression was used to estimate and contrast the percentages of weight change due to fat mass change.

resultsApproximately 40% of the average weight gain between 0 and 6 months and 20% of the average weight gain between 3 and 24 months was due to increase in fat mass. In both samples, compared to the normal group, the proportion of weight gain due to fat mass was higher on average among infants with rapid weight gain and lower among infants with slow weight gain, with considerable individual variability. Conversely, slow and rapid length growth was not associated with differential gains in fat mass.

conclusionsPediatricians should monitor infant growth with the understanding that, while crossing upward through the weight centiles generally is accompanied by greater adiposity gains (not just higher BMI), upward crossing through the length centiles is not.

Indexed as

Adipose TissueAdiposityBody CompositionChild DevelopmentPediatric ObesityWeight GainAustraliaBody HeightBody Mass IndexChild, PreschoolFemaleHumansInfantInfant, NewbornMalePlethysmography

Identifiers

PMID39501002
PMCPMC11893438

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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.