Evidence map›Paper›PMID 42609273›Full record

ArticleFrontiers in nutrition2026

Linear growth is independently associated with health-related quality of life during healthcare transition in youth with special health care needs.

Patrícia Zamberlan, Clara Doria, Ana Clara S R Praxedes, Ana Paula Scoleze Ferrer, Darusa C Souza, Claudia B Fonseca, Flávia C Yarshell, Pedro Henrique P Sampaio, Michele Luglio, Bruno Gualano and 13 more

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Article in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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4 · The record

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5 · Who and what money

Authors and funding

23 authors.

Patrícia ZamberlanDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Clara DoriaDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Ana Clara S R PraxedesDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Ana Paula Scoleze FerrerDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Darusa C SouzaDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Claudia B FonsecaDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Flávia C YarshellDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Pedro Henrique P SampaioDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Michele LuglioDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Bruno GualanoDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Rafael Almeida AzevedoDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Katia KozuDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Nadia Emi AikawaDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Lucia Maria Arruda CamposDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Andreia WatanabeDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Marlene P GaranitoDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Luiz Vicente R F Silva FilhoDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Ricardo Katsuya TomaDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Caroline G B PassoneDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Louise CominatoDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Antônio Carlos PastorinoDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Clovis Artur SilvaDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.
Artur DelgadoDepartment of Pediatrics, Hospital das Clínicas, São Paulo University, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Youth with special health care needs (YSHCN) are particularly vulnerable during the transition from pediatric to adult healthcare. Although nutritional status is a potentially modifiable determinant of health, its relationship with transition readiness and health-related quality of life (HRQoL) during this period remains poorly understood. Objective: To investigate the association of nutritional status and socioeconomic factors with transition readiness and HRQoL in YSHCN undergoing healthcare transition. Methods: This cross-sectional study included 218 consecutive YSHCN followed at a tertiary university hospital in Brazil. Transition readiness was assessed using the Transition Readiness Assessment Questionnaire (TRAQ), and HRQoL was evaluated using the Pediatric Quality of Life Inventory 4.0 (PedsQL 4.0). Nutritional status was assessed using body mass index-for-age (zBMI/A) and height-for-age (zH/A) z-scores according to World Health Organization standards. Multivariable linear regression models were used to identify factors independently associated with TRAQ and PedsQL scores. Logistic regression analyses were performed to identify predictors of low transition readiness (TRAQ <3.5). Results: Nutritional status assessed by BMI-for-age (zBMI/A) was not associated with transition readiness or HRQoL. In multivariable analyses, female sex ( Conclusion: In YSHCN undergoing healthcare transition, BMI-for-age was not associated with transition readiness or HRQoL. In contrast, linear growth and family income were independently associated with better HRQoL, highlighting the importance of developmental and socioeconomic factors in patient-reported outcomes. These findings reinforce the multifactorial nature of transition readiness and HRQoL and support the incorporation of nutritional, developmental, and psychosocial assessment into multidisciplinary healthcare transition programs.

Indexed as

adolescentschronic diseaseelf-managementnutritional statusquality of lifetransition to adult care

Identifiers

PMID42609273
PMCPMC13477946

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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.