Evidence mapPaperPMID 42246705Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2026

Metabolic Risk Factors Are Associated With Weight Status Change Over Four Years in Children Aged 4-6 Years With Obesity.

Markus Brissman, Anna Ek, Stella Wennborg, Karin Nordin, Karin Eli, Annika Janson, Paulina Nowicka

Abstract read
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Obesity in Preschool Children Should Be Taken Seriously.Acta paediatrica (Oslo, Norway : 1992) · 2026
    Article
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.

Markus BrissmanKarolinska Institutet, Department of Clinical Science, Intervention and Technology (CLINTEC), Division of Pediatrics, Stockholm, Sweden.
Anna EkKarolinska Institutet, Department of Clinical Science, Intervention and Technology (CLINTEC), Division of Pediatrics, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-2179-8408
Stella WennborgKarolinska Institutet, Department of Clinical Science, Intervention and Technology (CLINTEC), Division of Pediatrics, Stockholm, Sweden.
Karin NordinKarolinska Institutet, Department of Clinical Science, Intervention and Technology (CLINTEC), Division of Pediatrics, Stockholm, Sweden.
Karin EliWarwick Medical School, University of Warwick, Coventry, UK.
Annika JansonNational Childhood Obesity Centre, Karolinska University Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-5106-5670
Paulina NowickaKarolinska Institutet, Department of Clinical Science, Intervention and Technology (CLINTEC), Division of Pediatrics, Stockholm, Sweden.

Funding

Center for Innovative Medicine SLL20190383Stiftelsen Frimurare Barnhuset i Stockholm
6 · The paper itself

Abstract

aimIt is unclear how early childhood obesity treatment affects metabolic risk. This study assessed long-term metabolic health in children with obesity aged 4-6 years and examined associations with weight status.

methodsThis prospective cohort study pooled data from the Sweden-based More and Less randomized controlled trial, which compared a parent support program with standard care in 2012-2016. Children met the International Obesity Task Force (IOTF) criteria for obesity. Anthropometrics and metabolic risk factors were collected at baseline, 12 and 48 months. Associations between metabolic markers and weight status were examined using linear mixed models.

resultsData from 106/177 (60%) children, mean age at baseline 5.3 years, were analysed. At baseline, 33/90 (36.6%) had elevated metabolic risk markers. At 48 months, one unit of body mass index standard deviation score (BMI SDS) was associated with higher glycosylated haemoglobin (HbA1c IFCC) (0.99 mmol/mol), higher fasting insulin (2.72 mIU/L) and lower high-density lipoprotein (HDL) (-0.16 mmol/L or -6.2 mg/dL). A BMI SDS reduction ≥ 0.25 was associated with lower HbA1c and triglycerides at 12 months, and a reduction ≥ 0.5 with lower total cholesterol at 48 months.

conclusionImproved weight status may reverse metabolic disturbances present in early childhood.

Indexed as

Cardiometabolic Risk FactorsPediatric ObesityBody Mass IndexChildChild, PreschoolFemaleHumansMaleProspective StudiesRisk Factorschildhood obesitycholesterolmetabolic riskparent‐focused treatmenttriglycerides

Identifiers

PMID42246705
PMCPMC13460735

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.