Evidence mapPaperPMID 32534575Full record

SynthesisCardiovascular diabetology2020

Cardiovascular morbidity, diabetes and cancer risk among children and adolescents with severe obesity.

Cole D Bendor, Aya Bardugo, Orit Pinhas-Hamiel, Arnon Afek, Gilad Twig

Registry-linked trialOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Cardiovascular diabetology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06067451 (Impact of SMART GOAL Setting Protocol on Body Weight and Metabolic Parameters in Children and Adolescents With Prediabetes; a Randomized Clinical Trial.), which is not on this map. Cited by 177 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
177citing papers in PubMed, 13 pooled it
28.1field-weighted citation impact, top 1% of its field
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.

NCT06067451 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Impact of SMART GOAL Setting Protocol on Body Weight and Metabolic Parameters in Children and Adolescents With Prediabetes; a Randomized Clinical Trial.

TypeinterventionalSponsorNorthwell HealthRan2023 to 2025Enrolled80ConditionsPreDiabetes, Adolescent Obesity, Behavior, Health, Nutritional and Metabolic DiseasesArmsSMART GOALS Setting Tool/ Protocol
3 · Its place in the literature

Who cites it

177 citing papers in PubMed, 13 syntheses or guidelines pooled it, 305 citations in OpenAlex.

  1. Pooled it
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  4. Polygenic Risk and Nutrient Intake Interactions on Obesity Outcomes: A Systematic Review and Meta-Analysis of Observational Studies.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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  6. New Perspectives in Modulating the Entero-Insular Axis in Pediatric Obesity.International journal of molecular sciences · 2025
    Pooled it
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  12. Surgery for the treatment of obesity in children and adolescents.The Cochrane database of systematic reviews · 2022
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117 more citing papers are in PubMed but not listed here.

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

5 authors at 2 institutions in 1 country.

Cole D BendorDepartment of Military Medicine, Hebrew University of Jerusalem, Faculty of Medicine, Jerusalem, Israel.
Aya BardugoDepartment of Military Medicine, Hebrew University of Jerusalem, Faculty of Medicine, Jerusalem, Israel.
Orit Pinhas-HamielSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Arnon AfekSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Gilad TwigDepartment of Military Medicine, Hebrew University of Jerusalem, Faculty of Medicine, Jerusalem, Israel. Gilad.Twig@gmail.com.ORCID 0000-0003-2829-3645
Tel Aviv University · ILHebrew University of Jerusalem · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe obesity among children and adolescents is a significant global public health concern. The prevalence has markedly increased over the last decades, becoming common in many countries. Overwhelming rates of obesity among youth have prompted efforts to identify an evidence-based immediate- and long-term cardiometabolic risk factor profile in childhood-onset severe obesity, and to highlight gaps that require further investigation. The PubMed database was systematically searched in accordance with PRISMA guidelines. The search yielded 831 results, of which 60 fulfilled stringent criteria and were summarized in this review. The definition of severe obesity was variable, with only one half the publications using the definition BMI > 120% of the 95th percentile. Point estimates of the prevalence of at least one cardiometabolic risk factor in children with severe obesity reportedly range from 67 to 86%. Cross-sectional studies indicate that children and adolescents with severe obesity are at greater risk than those with mild obesity for type 2 diabetes, hypertension, fatty liver disease and dyslipidemia, already at childhood and adolescence. Robust epidemiological data on the long-term risk and actual point estimates in adulthood are lacking for these diseases as well as for other diseases (coronary heart disease, stroke, chronic kidney disease and cancer). Recent longitudinal studies indicate an increased risk for cardiomyopathy, heart failure, cardiovascular mortality and all-cause mortality in adulthood for adolescents with severe obesity compared to those with mild obesity. Given the alarming increase in the prevalence of severe obesity, the persistence of adiposity from childhood to adulthood and the precarious course of young adults with chronic comorbidities, the economic and clinical services burden on the healthcare system is expected to rise.

Indexed as

AdiposityAdolescentAge FactorsBody Mass IndexCardiovascular DiseasesChildChild, PreschoolComorbidityDiabetes MellitusFemaleHumansMaleNeoplasmsPediatric ObesityPrevalencePrognosisAdolescenceCancerCardiovascularDiabetesHypertensionMorbid obesityMortalityNAFLDPaediatricsSevere obesityYouth

Identifiers

PMID32534575
PMCPMC7293793
OpenAlexW3034257173

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.