Evidence map›Paper›PMID 19047525›Full record

Trial reportArchives of general psychiatry2008

Depressive symptoms and change in abdominal obesity in older persons.

Nicole Vogelzangs, Stephen B Kritchevsky, Aartjan T F Beekman, Anne B Newman, Suzanne Satterfield, Eleanor M Simonsick, Kristine Yaffe, Tamara B Harris, Brenda W J H Penninx

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of general psychiatry, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 3 pooled it
28.8field-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.

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

94 citing papers in PubMed, 3 syntheses or guidelines pooled it, 197 citations in OpenAlex.

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34 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

9 authors at 8 institutions in 2 countries.

Nicole VogelzangsDepartment of Psychiatry and EMGO Institute, VU University Medical Center, A. J. Ernststraat 887, 1081 HL Amsterdam, The Netherlands. nicolev@ggzba.nl
Stephen B Kritchevsky
Aartjan T F Beekman
Anne B Newman
Suzanne Satterfield
Eleanor M Simonsick
Kristine Yaffe
Tamara B Harris
Brenda W J H Penninx
Amsterdam UMC Location VUmc · NLNational Institute on Aging · USNational Institutes of Health · USUniversity of California, San Francisco · USUniversity of Pittsburgh · USUniversity of Tennessee Health Science Center · USVrije Universiteit Amsterdam · NLWake Forest University · US

Funding

Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Denise Kathryn Houston · 2002 to 2026
$36.4M
DYNAMICS OF HEALTH .AGING . AND BODY COMPOSITION /Pittsburgh/-260962101N01AG062101 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 1996 to 2004
$996k
The epidemiology of stress and the metabolic syndromeR01HL072972 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI PAHOR, MARCO · 2003 to 2006
$860k
DYNAMICS OF HEALTH . AGING . AND BODY COMPOSITION /Memphis/-26062103N01AG062103 · NIA · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · 1996 to 2004
$793k
HEALTH ABC--COORDINATING UNIT /California/-260062106N01AG062106 · NIA · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · 1996 to 2004
$109k
Intramural NIH HHSNHLBI NIH HHS R01 HL072972NHLBI NIH HHS R01-HL72972-01NIA NIH HHS N01 AG062101NIA NIH HHS N01 AG062103NIA NIH HHS N01 AG062106NIA NIH HHS N01-AG-6-2101NIA NIH HHS N01-AG-6-2103NIA NIH HHS N01-AG-6-2106NIA NIH HHS P30 AG021332
6 · The paper itself

Abstract

contextDepression has been hypothesized to result in abdominal obesity through the accumulation of visceral fat. No large study has tested this hypothesis longitudinally.

objectiveTo examine whether depressive symptoms predict an increase in abdominal obesity in a large population-based sample of well-functioning older persons.

designThe Health, Aging, and Body Composition Study, an ongoing prospective cohort study with 5 years of follow-up.

settingCommunity-dwelling older persons residing in the areas surrounding Pittsburgh, Pennsylvania, and Memphis, Tennessee.

participantsA total of 2088 well-functioning white and black persons aged 70 to 79 years.

main outcome measuresBaseline depression was defined as a Center for Epidemiological Studies Depression score of 16 or higher. At baseline and after 5 years, overall obesity measures included body mass index (calculated as weight in kilograms divided by height in meters squared) and percentage of body fat (measured by dual-energy x-ray absorptiometry). Abdominal obesity measures included waist circumference, sagittal diameter, and visceral fat (measured by computed tomography).

resultsAfter adjustment for sociodemographics, lifestyle, diseases, and overall obesity, baseline depression was associated with a 5-year increase in sagittal diameter (beta = .054; P = .01) and visceral fat (beta = .080; P = .001).

conclusionsThis study shows that depressive symptoms result in an increase in abdominal obesity independent of overall obesity, suggesting that there may be specific pathophysiological mechanisms that link depression with visceral fat accumulation. These results might also help explain why depression increases the risk of diabetes and cardiovascular disease.

Indexed as

Abdominal FatAgedAgingAnthropometryBody WeightCross-Sectional StudiesDepressionFemaleHumansHypothalamo-Hypophyseal SystemLife StyleMaleObesityPituitary-Adrenal SystemWaist Circumference

Identifiers

PMID19047525
PMCPMC3285453
OpenAlexW1966210896

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.