Obesity

Temporal stability of cardiometabolic risk factors from the perspective of primordial disease prevention in children

J Clin Endocrinol MetabPublished Population-based cohort study

Authors' conclusion

Individualised biomarker screening at low FPR misclassifies the majority of children who will have high values as adults (low statistical feasibility).

Study context

Population
Individuals born 1962–1992 from four European local community cohorts; ages 5–49 years, follow-ups 15–31 years
Participants
12,212 individuals
Outcome
Longitudinal tracking of body mass and lipid biomarkers (autocorrelation R2 between visits, modelled by exponential decay)
Follow-up
15 years
Methodological detailsfour European local community cohorts, longitudinal time-series, exponential decay model
  • Four European local community cohorts
  • Longitudinal time-series
  • Exponential decay model

Main finding

As reported in the abstract

Autocorrelation for two surveys 15 years apart, R2(15)

R2(15), BMI

35.7%

R2(15), waist-height ratio

28.1%

R2(15), LDL-C

32.5%

Observational data: associations, not effects.

Further findings

Detection rate at 5% false positive rate (FPR) (detection rate (DR5)) of children in top risk decile as adults · 15 years

DR5(15), BMI
38.9%
DR5(15), LDL-C
30.9%

Original publication

Temporal stability of cardiometabolic risk factors from the perspective of primordial disease prevention in children. J Clin Endocrinol Metab. Published 21 July 2026. doi:10.1210/clinem/dgag285

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