Evidence map›Paper›PMID 40855399›Full record

ReviewDiabetes, obesity & metabolism2025

Metrics that matter: Identifying endpoints for capturing the broad health impacts of prevention of obesity.

Jonathan Pearson-Stuttard, Sara Holloway, Jamie Kettle, Hugo Harper, Irina Pokhilenko, Manuel Gomes, Louis Garrison, Ricardo Reynoso, Katherine Byrne, Jutta Kloppenborg Heick Skau

Abstract readReview
In one paragraph

Review in Diabetes, obesity & metabolism, 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. Review
  2. Review
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

10 authors.

Jonathan Pearson-StuttardHealth Analytics, Lane Clark & Peacock LLP, London, UK.ORCID 0000-0003-2175-9975
Sara HollowayHealth Analytics, Lane Clark & Peacock LLP, London, UK.
Jamie KettleHealth Analytics, Lane Clark & Peacock LLP, London, UK.
Hugo HarperHealthy Life Mission, Nesta, London, UK.
Irina PokhilenkoCentre for Economics of Obesity, University of Birmingham, Birmingham, UK.
Manuel GomesDepartment of Primary Care and Population Health, University College London, London, UK.
Louis GarrisonThe CHOICE Institute, Department of Pharmacy, University of Washington, Seattle, Washington, USA.
Ricardo ReynosoNovo Nordisk Health Care AG, Zurich, Switzerland.
Katherine ByrneNovo Nordisk Ltd, London, UK.
Jutta Kloppenborg Heick SkauNovo Nordisk A/S, Copenhagen, Denmark.

Funding

Novo Nordisk A/S
6 · The paper itself

Abstract

aimsThe link between health and economic prosperity is well established, yet quantifying the value of illness prevention remains challenging due to lack of comprehensive metrics. Obesity exemplifies this issue, having widespread societal and health care impacts but limited prevention funding. Existing metrics often fail to capture broader effects of prevention of obesity. This study aimed to identify key components for a holistic metric to assess obesity and cardiometabolic health progression, better articulating value of prevention. MATERIALS AND

methodsWe conducted a targeted literature review to identify existing individual and composite metrics for prevention in adults, agnostic of disease or risk factor. We categorized endpoints into: (i) holistic composite measures; (ii) user-centred composite measures; (iii) health outcome composite measures; (iv) single clinical endpoints. Metrics were evaluated against eight criteria including holistic outcome, cardiometabolic relevance, data feasibility, geographical generalizability, established outcome, economic modelling methodology, stakeholder relevance and preventive value; alongside semi-structured review from six clinical, health economics and policy experts.

resultsCardiometabolic endpoints numbering 74 were identified: 7 holistic composites, 16 user-centred composites, 31 health-based composites and 20 single clinical endpoints. Five endpoints were shortlisted according to assessment criteria and expert input: waist-to-height ratio, low-density lipoprotein cholesterol, systolic and diastolic blood pressure, blood glucose and the 12-Item Short Form Health Survey (SF-12). These endpoints collectively reflected physiological cardiometabolic risk factors with an adverse association with obesity, while SF-12 provided health-related quality-of-life measurement.

conclusionsWe developed a novel framework that shortlisted five key cardiometabolic outcome measures for assessing obesity primary prevention benefits, with potential applications in health economic modelling and public health.

Indexed as

Cardiovascular DiseasesEndpoint DeterminationObesityCardiometabolic Risk FactorsHumansRisk Factorscardiovascular diseaseobesity careobesity therapyweight control

Identifiers

PMID40855399
PMCPMC12515749

What OpenQuestion holds

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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.