Evidence map›Paper›PMID 41168402›Full record

ArticlePediatric research2026

Cluster analysis with body composition data for health risk assessment in children.

Wataru Kudo, Keita Terui, Midori Yamamoto, Rieko Takatani, Aya Hisada, Chisato Mori, Tomoro Hishiki, Kenichi Sakurai

Abstract read
In one paragraph

Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

  1. 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

8 authors.

Wataru KudoDepartment of Pediatric Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan. ccfa4833@chiba-u.jp.ORCID http://orcid.org/0000-0003-1090-2211
Keita TeruiDivision of Pediatric Surgery, Department of Surgery, Jichi Medical University, Shimotsuke, Japan.
Midori YamamotoDepartment of Sustainable Health Science, Center for Preventive Medical Sciences, Chiba University, Chiba, Japan.
Rieko TakataniFaculty of Education, Chiba University, Chiba, Japan.
Aya HisadaDepartment of Sustainable Health Science, Center for Preventive Medical Sciences, Chiba University, Chiba, Japan.
Chisato MoriDepartment of Sustainable Health Science, Center for Preventive Medical Sciences, Chiba University, Chiba, Japan.
Tomoro HishikiDepartment of Pediatric Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Kenichi SakuraiDepartment of Nutrition and Metabolic Medicine, Center for Preventive Medical Sciences, Chiba University, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study investigated populations of children at increased health risks using an integrated analysis of anthropometric/body composition data.

methodsA cross-sectional study of elementary school students (first-sixth grade) was conducted from 2020 onward. Body composition measurements using bioelectrical impedance method, anthropometric measurement, and sub-measures (abdominal circumference, serum lipid levels, activity level, and sleep duration) were performed. Measurements were repeated at 1 and 2 years. Body composition data were standardized using polynomial regression models, and hierarchical clustering analysis was performed to identify subpopulations.

resultsReference value models were constructed using 917 standardized body composition data. Cluster analysis of standardized body composition data with body mass index (BMI) identified five clusters. Two high BMI clusters were identified: one characterized by high fat and muscle mass, and the other by high fat but average muscle mass. Cluster classification revealed significant effects for body fat percentage, abdominal circumference, lipid-related indicators, and sleep duration. The subpopulation with high fat/average muscle mass had high body fat percentage, large abdominal circumference, high lipid-related indices, and short sleep duration.

conclusionsAnthropometric and body composition data integration identified a subgroup of children at increased health risk, highlighting the importance of incorporating body composition assessment into routine childhood physical examinations. IMPACT: We established reference data for fat mass, lean body mass, muscle mass, bone mass, and total water mass indices in children aged 7 to 14 years. Integrating anthropometric and body composition data allowed effective identification of pediatric subpopulations at increased health risks, even in generally healthy populations. Children with a high fat mass but average muscle mass had a high body fat percentage, large abdominal circumference, poor lipid profiles, and shorter sleep duration. Incorporating body composition analysis into standard health checkups for children could facilitate the identification of groups at high risk of health problems.

Indexed as

Body CompositionAnthropometryBody Mass IndexChildCluster AnalysisCross-Sectional StudiesElectric ImpedanceFemaleHumansLipidsMaleReference ValuesRisk AssessmentRisk FactorsSleepSleep DurationLipids

Identifiers

PMID41168402
PMCPMC13221299

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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.