Evidence mapPaperPMID 37725322Full record

ReviewWorld journal of pediatrics : WJP2024

A comprehensive review of genetic causes of obesity.

Marcio José Concepción-Zavaleta, Juan Eduardo Quiroz-Aldave, María Del Carmen Durand-Vásquez, Elman Rolando Gamarra-Osorio, Juan Del Carmen Valencia de la Cruz, Claudia Mercedes Barrueto-Callirgos, Susan Luciana Puelles-León, Elena de Jesús Alvarado-León, Frans Leiva-Cabrera, Francisca Elena Zavaleta-Gutiérrez and 2 more

Abstract readVideo-Audio MediaReview
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In one paragraph

Review in World journal of pediatrics : WJP, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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. Article
  2. Review
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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

12 authors.

Marcio José Concepción-ZavaletaUniversidad Científica del Sur, Bolivar 2150 Avenue, Pueblo Libre, 15084, Lima, Peru. mconcepcion@cientifica.edu.pe.ORCID 0000-0001-9719-1875
Juan Eduardo Quiroz-AldaveDivision of Medicine, Hospital de Apoyo Chepén, Chepén, Peru.ORCID 0000-0001-8286-095X
María Del Carmen Durand-VásquezDivision of Family Medicine, Hospital de Apoyo Chepén, Chepén, Peru.ORCID 0000-0001-7862-9333
Elman Rolando Gamarra-OsorioDivision of Endocrinology, Hospital Víctor Lazarte Echegaray, Trujillo, Peru.ORCID 0000-0003-3707-5340
Juan Del Carmen Valencia de la CruzDivision of Pediatrics, Hospital de Apoyo Chepén, Chepén, Peru.ORCID 0000-0002-0960-1924
Claudia Mercedes Barrueto-CallirgosDivision of Pediatrics, Hospital de Apoyo Chepén, Chepén, Peru.ORCID 0009-0004-6084-9580
Susan Luciana Puelles-LeónDivision of Internal Medicine, Hospital de Apoyo Chepén, Chepén, Peru.ORCID 0000-0002-7910-5870
Elena de Jesús Alvarado-LeónDivision of Genetics, Universidad Nacional de Trujillo, Trujillo, Peru.ORCID 0000-0002-8048-4927
Frans Leiva-CabreraDivision of Genetics, Universidad Nacional de Trujillo, Trujillo, Peru.ORCID 0000-0003-4666-4147
Francisca Elena Zavaleta-GutiérrezDivision of Neonatology, Hospital Belén de Trujillo, Trujillo, Peru.ORCID 0000-0002-5497-3735
Luis Alberto Concepción-UrteagaDivision of Internal Medicine, Universidad Nacional de Trujillo, Trujillo, Peru.ORCID 0000-0003-0462-3101
José Paz-IbarraDepartment of Medicine, School of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Peru.ORCID 0000-0002-2851-3727

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a multifactorial chronic disease with a high, increasing worldwide prevalence. Genetic causes account for 7% of the cases in children with extreme obesity. DATA SOURCES: This narrative review was conducted by searching for papers published in the PubMed/MEDLINE, Embase and SciELO databases and included 161 articles. The search used the following search terms: "obesity", "obesity and genetics", "leptin", "Prader-Willi syndrome", and "melanocortins". The types of studies included were systematic reviews, clinical trials, prospective cohort studies, cross-sectional and prospective studies, narrative reviews, and case reports.

resultsThe leptin-melanocortin pathway is primarily responsible for the regulation of appetite and body weight. However, several important aspects of the pathophysiology of obesity remain unknown. Genetic causes of obesity can be grouped into syndromic, monogenic, and polygenic causes and should be assessed in children with extreme obesity before the age of 5 years, hyperphagia, or a family history of extreme obesity. A microarray study, an analysis of the melanocortin type 4 receptor gene mutations and leptin levels should be performed for this purpose. There are three therapeutic levels: lifestyle modifications, pharmacological treatment, and bariatric surgery.

conclusionsGenetic study technologies are in constant development; however, we are still far from having a personalized approach to genetic causes of obesity. A significant proportion of the affected individuals are associated with genetic causes; however, there are still barriers to its approach, as it continues to be underdiagnosed. Video Abstract (MP4 1041807 KB).

Indexed as

LeptinObesity, MorbidChildChild, PreschoolCross-Sectional StudiesHumansMelanocortinsObesityProspective StudiesLeptinMelanocortinsLeptinMelanocortinObesityPrader-Willi syndromePrecision medicine

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.