Evidence map›Paper›PMID 41393281›Full record

SynthesisFrontiers in endocrinology2025

The relationship between childhood obesity and male puberty development: a systematic review and meta-analysis.

Wenhua Feng, Chaonan Ren

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

2 authors.

Wenhua FengDepartment of Pediatrics, Mianzhu People's Hospital, Mianzhu, China.
Chaonan RenDepartment of Pediatrics, Mianzhu People's Hospital, Mianzhu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This meta-analysis aimed to investigate the risks and physiological development differences during puberty in overweight and obese boys. Methods: Following the PRISMA 2020 guidelines and AMSTAR criteria, we systematically searched PubMed, EMBASE, and Web of Science, with a cutoff date of July 2025. After applying strict inclusion and exclusion criteria and performing quality assessments, statistical analysis was conducted using STATA 17.0 and Review Manager (version 5.4). Results: A total of 12 prospective cohort studies meeting the inclusion and exclusion criteria were included in the analysis. The meta-analysis indicated that overweight boys had a significantly higher risk of early testicular enlargement compared to normal-weight boys (overweight RR 1.38, obese RR 1.43). Regional differences were observed, with significant variations in the association between overweight status and early testicular enlargement risk in the U.S. and Asia-Pacific regions. Overweight and obese boys older than 6 years had a stronger association with early testicular enlargement. Furthermore, overweight boys experienced an earlier onset of early testicular enlargement compared to normal-weight boys (MD -0.23, p=0.002), while no significant difference was observed in obese boys (MD -0.23, p=0.10). In terms of pubic hair development, overweight (RR 1.24, p<0.00001) and obese boys (RR 1.42, p<0.00001) were at a higher risk for early development, and overweight boys developed pubic hair earlier (MD -0.38, p=0.0008). No significant difference was found in peak height velocity between obese and normal-weight boys (MD -0.32, p=0.09). Conclusion: Overweight and obesity have notable effects on male puberty development, particularly with respect to early testicular enlargement and pubic hair development. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/, identifier, CRD420251172699.

Indexed as

Pediatric ObesityPubertyAdolescentChildHumansMaleboyschildhood obesitypeak height velocitypuberty developmentpubic hair developmenttesticular enlargement

Identifiers

PMID41393281
PMCPMC12695585

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.