Evidence map›Paper›PMID 34127722›Full record

Observational studyScientific reports2021

Life-course trajectories of weight and their impact on the incidence of type 2 diabetes.

Diego Yacamán-Méndez, Ylva Trolle-Lagerros, Minhao Zhou, Antonio Monteiro Ponce de Leon, Hrafnhildur Gudjonsdottir, Per Tynelius, Anton Lager

Erratum issuedAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Cohort Profile: The Stockholm Diabetes Prevention Programme (SDPP).International journal of epidemiology · 2022
    Article
  8. Article
  9. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Diego Yacamán-MéndezDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden. diego.yacaman.mendez@ki.se.ORCID 0000-0002-8130-0229
Ylva Trolle-LagerrosClinical Epidemiology Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-6816-7577
Minhao ZhouCentre for Epidemiology and Community Medicine, Region Stockholm, Stockholm, Sweden.ORCID 0000-0001-8801-2847
Antonio Monteiro Ponce de LeonDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-0704-5215
Hrafnhildur GudjonsdottirCentre for Epidemiology and Community Medicine, Region Stockholm, Stockholm, Sweden.ORCID 0000-0001-8235-7238
Per TyneliusDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-8155-7406
Anton LagerDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-5263-8063

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although exposure to overweight and obesity at different ages is associated to a higher risk of type 2 diabetes, the effect of different patterns of exposure through life remains unclear. We aimed to characterize life-course trajectories of weight categories and estimate their impact on the incidence of type 2 diabetes. We categorized the weight of 7203 participants as lean, normal or overweight at five time-points from ages 7-55 using retrospective data. Participants were followed for an average of 19 years for the development of type 2 diabetes. We used latent class analysis to describe distinctive trajectories and estimated the risk ratio, absolute risk difference and population attributable fraction (PAF) associated to different trajectories using Poisson regression. We found five distinctive life-course trajectories. Using the stable-normal weight trajectory as reference, the stable overweight, lean increasing weight, overweight from early adulthood and overweight from late adulthood trajectories were associated to higher risk of type 2 diabetes. The estimated risk ratios and absolute risk differences were statistically significant for all trajectories, except for the risk ratio of the lean increasing trajectory group among men. Of the 981 incident cases of type 2 diabetes, 47.4% among women and 42.9% among men were attributable to exposure to any life-course trajectory different from stable normal weight. Most of the risk was attributable to trajectories including overweight or obesity at any point of life (36.8% of the cases among women and 36.7% among men). The overweight from early adulthood trajectory had the highest impact (PAF: 23.2% for woman and 28.5% for men). We described five distinctive life-course trajectories of weight that were associated to increased risk of type 2 diabetes over 19 years of follow-up. The variability of the effect of exposure to overweight and obesity on the risk of developing type 2 diabetes was largely explained by exposure to the different life-course trajectories of weight.

Indexed as

Body-Weight TrajectoryAdolescentAdultChildDiabetes Mellitus, Type 2FemaleFollow-Up StudiesHumansIncidenceLongitudinal StudiesMaleMiddle AgedObesityOverweightPoisson DistributionRetrospective Studies

Identifiers

PMID34127722
PMCPMC8203741

What Socratic holds

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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 Socratic graph.