Evidence map›Paper›PMID 42165540›Full record

ArticleJournal of obesity2026

Antibiotic Use in the First 2 Years of Life Is Related to Longitudinal BMI Trajectories From 0 to 18 years: A Prospective Cohort Study.

Jules J Sing, Claire Gallagher, Xin Dai, N Sabrina Idrose, Catherine M Bennett, Michael J Abramson, Shyamali C Dharmage, Bircan Erbas, Caroline J Lodge

Abstract read
In one paragraph

Article in Journal of obesity, 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

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

9 authors.

Jules J SingAllergy and Lung Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia, unimelb.edu.au.ORCID 0009-0002-0977-315X
Claire GallagherCentre of Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia, unimelb.edu.au.ORCID 0000-0002-5685-0616
Xin DaiAllergy and Lung Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia, unimelb.edu.au.ORCID 0000-0002-0472-700X
N Sabrina IdroseAllergy and Lung Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia, unimelb.edu.au.ORCID 0000-0002-7079-3670
Catherine M BennettInstitute for Health Transformation, Deakin University, Waurn Ponds, Australia, deakin.edu.au.ORCID 0000-0001-9581-1612
Michael J AbramsonSchool of Public Health & Preventive Medicine, Monash University, Melbourne, Victoria, Australia, monash.ac.za.ORCID 0000-0002-9954-0538
Shyamali C DharmageAllergy and Lung Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia, unimelb.edu.au.ORCID 0000-0001-6063-1937
Bircan ErbasSchool of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia, latrobe.edu.au.ORCID 0000-0001-9597-418X
Caroline J LodgeAllergy and Lung Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia, unimelb.edu.au.ORCID 0000-0002-2342-3888

Funding

Asthma Foundation of VictoriaCouncil of Australasian University LibrariansNational Health and Medical Research Council APP1079668National Health and Medical Research Council APP454856Nestec LtdUniversity of Melbourne
6 · The paper itself

Abstract

BACKGROUND/

objectiveAntibiotic exposure by 2 years is linked to increased childhood overweight/obesity risk, mainly in cross-sectional studies. Few longitudinal studies exist in high-risk populations, and none examined BMI trajectories up to 18 years. Our study is the first to investigate the association between early antibiotic exposure and BMI trajectories in a high allergy-risk cohort.

methodsWe analysed data from 428 participants in the Melbourne Atopy Cohort Study from birth to 18 years. Antibiotic use < 2 years was categorized as "ever versus never" and according to seven antibiotic classes. Number of courses (7 days) and the spectrum of antibiotics (broad versus narrow) were defined for each antibiotic class. Logistic regression models estimated associations between antibiotic use (any/specific), courses (0, 1, 2, and ≥ 3), and previously defined BMI trajectories from 4 weeks to 18 years: very low catch-up, low average, stable average (reference), average increasing to very high (AIVH), and persistently high (PH).

resultsWe found consistent evidence of a relationship between antibiotic exposure by 2 years and increased risk of belonging to AIVH and PH trajectories, with magnitudes of effect differing by antibiotic spectrum and frequency. Notably, exposure to ≥ 3 courses of broad-spectrum antibiotic was associated with the AIVH (aOR = 3.36 [95% CI: 1.03, 10.87]) and PH trajectories (aOR = 3.29 [95% CI: 1.03, 10.53]).

conclusionThese findings may have important clinical implications, but further large-scale studies are required.

Indexed as

Anti-Bacterial AgentsBody Mass IndexBody-Weight TrajectoryPediatric ObesityAdolescentChildChild, PreschoolFemaleHumansInfantInfant, NewbornLongitudinal StudiesMaleProspective StudiesRisk FactorsAnti-Bacterial Agentsallergyantibioticscohort studiesobesityoverweight

Identifiers

PMID42165540
PMCPMC13192243

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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.