Trial reportPediatrics2012
Shifts in BMI category and associated cardiometabolic risk: prospective results from HEALTHY study.
Trial report in Pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Interventions to prevent obesity in children aged 5 to 11 years old.The Cochrane database of systematic reviews · 2024Pooled it
- School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18.The Cochrane database of systematic reviews · 2021Pooled it
- Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019Pooled it
- The WHO Health Promoting School framework for improving the health and well-being of students and their academic achievement.The Cochrane database of systematic reviews · 2014Pooled it
- Weight-Gain Reduction Among 2-Year College Students: The CHOICES RCT.American journal of preventive medicine · 2017Trial
- Cardio-metabolic risk screening among adolescents: understanding the utility of body mass index, waist circumference and waist to height ratio.Pediatric obesity · 2015Trial
- Stability of relative weight category and cardiometabolic risk factors among moderately and severely obese middle school youth.Obesity (Silver Spring, Md.) · 2014Trial
- IMPACT: a multi-level family and school intervention targeting obesity in urban youth.Contemporary clinical trials · 2013Trial
- Trial
- Prospective BMI category change associated with cardiovascular fitness change.Medicine and science in sports and exercise · 2013Trial
- Shifts in body mass index category with tirzepatide and associated changes in cardiometabolic risk factors in people with obesity: a post hoc analysis from the SURMOUNT-1 and SURMOUNT-4 trials.American journal of preventive cardiology · 2026Article
- Improvement in body mass index category was associated with improved cardiometabolic measures and patient-reported outcomes in adults with type 2 diabetes treated with tirzepatide.Diabetes, obesity & metabolism · 2025Article
- Classification of childhood obesity using longitudinal clinical body mass index and its validation.International journal of obesity (2005) · 2025Observational
- Coordinated Approach: Comprehensive Policy and Action Planning.The Journal of school health · 2023Review
- Family Meals and Cardiometabolic Risk Factors in Young Children.Current atherosclerosis reports · 2023Review
- School children growth monitoring program in the state of Qatar: Observations from two survey rounds in 2016-17 and 2019-20.Public health challenges · 2023Article
- Body mass index trajectory across childhood and subsequent risk of elevated blood pressure.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- Secular changes in physical growth and obesity among southwestern American Indian children over four decades.Pediatric obesity · 2018Article
- Definition of new cut-offs of BMI and waist circumference based on body composition and insulin resistance: differences between children, adolescents and adults.Obesity science & practice · 2017Article
- Multilevel Correlates of Healthy BMI Maintenance and Return to a Healthy BMI among Children in Massachusetts.Childhood obesity (Print) · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 9 institutions in 2 countries.
Funding
Abstract
objectivesTo evaluate shifts across BMI categories and associated changes in cardiometabolic risk factors over 2.5 years in an ethnically diverse middle school sample.
methodsAs part of HEALTHY, a multisite school-based study designed to mitigate risk for type 2 diabetes, 3993 children participated in health screenings at the start of sixth and end of eighth grades. Assessments included anthropometric measures, blood pressure, and glucose, insulin, and lipids. Students were classified as underweight, healthy weight, overweight, obese, or severely obese. Mixed models controlling for school intervention status and covariates were used to evaluate shifts in BMI category over time and the relation between these shifts and changes in risk factors.
resultsAt baseline, students averaged 11.3 (±0.6) years; 47.6% were boys, 59.6% were Hispanic, and 49.8% were overweight or obese. Shifts in BMI category over time were common. For example, 35.7% of youth who were overweight moved to the healthy weight range, but 13% in the healthy weight range became overweight. BMI shifts were not associated with school intervention condition, household education, or youth gender, race/ethnicity, pubertal status, or changes in height. Increases in BMI category were associated with worsening of cardiometabolic risk factors, and decreases were associated with improvements. Boys who increased BMI category were more vulnerable to negative risk factor changes than girls.
conclusionsThere are substantial shifts across BMI categories during middle school that are associated with clinically meaningful changes in cardiometabolic risk factors. Programs to promote decreases in BMI and prevent increases are clearly warranted.
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Registered trials
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 Socratic graph.