Evidence map›Paper›PMID 41199877›Full record

ReviewJournal of diabetes and metabolic disorders2025

Global prevalence and factors associated with overweight and obesity in children and adolescents with type 1 diabetes: a systematic review and meta-analysis.

Eric Peprah Osei, Emmanuel Ekpor, Gideon Yaw Osei, Samuel Akyirem

Abstract readReview
In one paragraph

Review in Journal of diabetes and metabolic disorders, 2025. 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

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

1 citing paper in PubMed.

  1. 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

4 authors.

Eric Peprah OseiCollege of Nursing, University of Illinois Chicago, Chicago, IL USA.
Emmanuel EkporSchool of Nursing and Midwifery, University of Ghana, Accra, Ghana.
Gideon Yaw OseiSchool of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Samuel AkyiremYale School of Nursing, Yale University, New Haven, CT USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To determine the global prevalence and factors associated with overweight and obesity in children and adolescents with type 1 diabetes (T1D). Methods: A systematic database search was conducted in PubMed, CINAHL, EMBASE, MEDLINE, and Web of Science from 2000 to October 2024. Studies were included if they: (1) used observational designs (2) reported the prevalence of overweight and/or obesity among children with TID (< 20 years) (3) were published in English Language. Studies with both T1D and T2D participants that lacked separate T1D findings were excluded. The DerSimonian-Laird random-effects model was used to estimate the pooled prevalence, with heterogeneity assessed using I² statistics. Publication bias was assessed using funnel plots, Egger's and Begg's tests. Results: Out of 10,491 references, 21 articles met the inclusion criteria. The overall pooled prevalence of obesity and overweight among children and adolescents was 30.0%, with substantial geographical and gender differences. The pooled prevalence of obesity alone was 8.8% and overweight prevalence was higher at 20.0%. Key factors such as female gender, increasing age, lower household income, and lower parental education, increased insulin doses, reduced physical activity, lower self-monitoring of blood glucose, perceived stress, poor diabetes care activities, and poor quality of life were associated with higher overweight and obesity risk. Conclusion: Obesity and overweight in children with T1D stem from a complex interplay of sociodemographic, clinical, and behavioral factors. Data from underrepresented areas, especially Africa, highlight the need for further research to guide global policies for managing and preventing obesity. Supplementary Information: The online version contains supplementary material available at 10.1007/s40200-025-01774-7.

Indexed as

ChildrenObesityOverweightPrevalenceType 1 diabetes

Identifiers

PMID41199877
PMCPMC12586262

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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.