Evidence map›Paper›PMID 42892771›Full record

ArticleDiabetes, obesity, and cardiometabolic CARE

School Meal Participation, Overall Dietary Intake, and Prediabetes Prevalence Among U.S. Adolescents: Insights From the National Health and Nutrition Examination Survey (2017-2023).

Alexandra Descarpentrie, Sevan Esaian, Robert H Lustig, Nora LaTorre, Tanya L Alderete, Juan Espinoza, Michael I Goran

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Diabetes, obesity, and cardiometabolic CARE. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Alexandra DescarpentrieDepartment of Pediatrics, The Saban Research Institute, Children's Hospital Los Angeles, University of Southern California, Los Angeles, CA.ORCID https://orcid.org/0000-0002-2666-5380
Sevan EsaianDepartment of Pediatrics, The Saban Research Institute, Children's Hospital Los Angeles, University of Southern California, Los Angeles, CA.
Robert H LustigDepartment of Pediatrics, University of California, San Francisco, CA.
Nora LaTorreEat Real Certified, Inc., San Francisco, CA.
Tanya L AldereteDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Juan EspinozaStanley Manne Children's Research Institute, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.ORCID https://orcid.org/0000-0513-2666-588X
Michael I GoranDepartment of Pediatrics, The Saban Research Institute, Children's Hospital Los Angeles, University of Southern California, Los Angeles, CA.ORCID https://orcid.org/0000-0002-6897-6961

Funding

Southern California Center for Chronic Health Disparities in Latino Children and Families.P50MD017344 · NIMHD · CHILDREN'S HOSPITAL OF LOS ANGELES · PI BOUTELLE, KERRI N · 2021 to 2025
$27.8M
Pilot Project ProgramP30ES032756 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI Marsha Wills-Karp · 2022 to 2026
$6.0M
Perfluoroalkyl Substances and the Gut Microbiome and Fecal Metabolome: Implications for Obesity Risk in Hispanic ChildrenR01ES035035 · NIEHS · UNIVERSITY OF COLORADO · PI Tanya Lynn Alderete · 2023 to 2026
$2.6M
Pre- and Postnatal Exposure to Air Pollutants and the Gut Microbiome: Implications for Brain Development in Early and Mid-ChildhoodR01ES035056 · NIEHS · UNIVERSITY OF COLORADO · PI Tanya Lynn Alderete, BRADLEY S PETERSON · 2024 to 2026
$2.1M
NIEHS NIH HHS P30 ES032756NIEHS NIH HHS R01 ES035035NIEHS NIH HHS R01 ES035056NIMHD NIH HHS P50 MD017344
6 · The paper itself

Abstract

objectivePrediabetes is an emerging public health concern among U.S. adolescents, yet nationally representative, up-to-date data on dietary contributors remain limited. Especially, the role of overall dietary intake and school meal participation (providing a substantial portion of daily calories in school children) has not been comprehensively evaluated. This study examined cross-sectional associations between school meal participation, overall dietary intake, and prediabetes (defined as having HbA RESEARCH DESIGN AND

methodsNational Health and Nutrition Examination Survey data (2017-2020, 2021-2023) were analyzed, including adolescents (aged 12-18 years) with complete fasting glucose and HbA

resultsPrediabetes prevalence was 33.8% (SE 3.0) and obesity prevalence was 20.96% (SE 1.44). School breakfast participation at least once a week was associated with higher prediabetes prevalence (prevalence ratio [PR] 1.3 (95% CI 1.01-1.66), while school lunch participation was not. Higher vitamin E and B6 intake was linked to lower prediabetes prevalence (PR 0.96, 0.94-0.99; 0.9, 0.81-0.99). Higher fruit intake was inversely (PR 0.96, 0.92-0.99) associated with prediabetes among adolescents with obesity.

conclusionsSchool breakfast participation and specific dietary components were associated with prediabetes risk in U.S. adolescents. While confirmation is needed, the nutritional quality of school breakfasts may represent an important intervention target.

Identifiers

PMID42892771
PMCPMC13675400

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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.