Evidence map›Paper›PMID 20625026›Full record

Trial reportArchives of internal medicine2010

An intensive behavioral weight loss intervention and hot flushes in women.

Alison J Huang, Leslee L Subak, Rena Wing, Delia Smith West, Alexandra L Hernandez, Judy Macer, Deborah Grady, Program to Reduce Incontinence by Diet and Exercise Investigators

Erratum issued Registry-linked trialOpen access · bronzeAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Archives of internal medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT00091988 (Program to Reduce Incontinence by Diet and Exercise), which is not on this map. Cited by 30 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 5 pooled it
3.9field-weighted citation impact, top 6% 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.

NCT00091988 nacompletednot on this map

Program to Reduce Incontinence by Diet and Exercise

TypeinterventionalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran2004 to 2007Enrolled338ConditionsUrinary IncontinenceArmsLifestyle & Behavioral Change Program, Structured Education Program
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 5 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Atencion primaria · 2018
    Guideline
  4. Lifestyle interventions for the treatment of urinary incontinence in adults.The Cochrane database of systematic reviews · 2015
    Pooled it
  5. Exercise for vasomotor menopausal symptoms.The Cochrane database of systematic reviews · 2014
    Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Effect of postdiagnosis weight change on hot flash status among early-stage breast cancer survivors.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2012
    Trial
  10. Observational
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Alison J HuangDepartment of Medicine, University of California, San Francisco, San Francisco, CA 94115, USA. ahuang@ucsfmed.org
Leslee L Subak
Rena Wing
Delia Smith West
Alexandra L Hernandez
Judy Macer
Deborah Grady
Program to Reduce Incontinence by Diet and Exercise Investigators
University of California, San Francisco · US

Funding

CTSA: K12 COMPONENTKL2RR024130 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$19.3M
Weight Reduction for Incontinence Network(WIN)U01DK067860 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRADY, DEBORAH G · 2003 to 2007
$2.3M
Weight Reduction for Incontinence NetworkU01DK067861 · NIDDK · MIRIAM HOSPITAL · PI WING, RENA R · 2003 to 2007
$2.2M
Mid Career Award in Patient Oriented Pelvic Floor ResearchK24DK068389 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI RICHTER, HOLLY E · 2005 to 2014
$1.7M
Weight Reduction for Incontinence Network (WIN)U01DK067862 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FRANKLIN, FRANK A · 2003 to 2007
$1.7M
Patient Oriented Research and Mentoring in Obesity and Urinary IncontinenceK24DK080775 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SUBAK, LESLEE L · 2008 to 2019
$1.7M
NCRR NIH HHS KL2 RR024130NCRR NIH HHS KL2RR024130NIDDK NIH HHS K24 DK068389NIDDK NIH HHS K24 DK080775NIDDK NIH HHS U01 DK067860NIDDK NIH HHS U01 DK067861NIDDK NIH HHS U01 DK067862
6 · The paper itself

Abstract

backgroundHigher body mass index is associated with worse hot flushes during menopause but the effect of weight loss on flushing is unclear.

methodsSelf-administered questionnaires were used to assess bothersome hot flushes in a 6-month randomized controlled trial of an intensive behavioral weight loss program (intervention) vs a structured health education program (control) in 338 women who were overweight or obese and had urinary incontinence. Weight, body mass index, abdominal circumference, physical activity, calorie intake, blood pressure, and physical and mental functioning were assessed at baseline and at 6 months. Repeated-measures proportional odds models examined intervention effects on bothersome hot flushes and potential mediating factors.

resultsApproximately half of participants (n = 154) were at least slightly bothered by hot flushes at baseline. Among these women, the intervention was associated with greater improvement in bothersome flushes vs control (odds ratio [OR] for improvement by 1 Likert category, 2.25; 95% confidence interval [CI], 1.20-4.21). Reductions in weight (OR, 1.32; 95% CI, 1.08-1.61; per 5-kg decrease), body mass index (1.17; 1.05-1.30; per 1-point decrease), and abdominal circumference (1.32; 1.07-1.64; per 5-cm decrease) were each associated with improvement in flushing, but changes in physical activity, calorie intake, blood pressure, and physical and mental functioning were not related. The effect of the intervention on flushing was modestly diminished after adjustment for multiple potential mediators (OR, 1.92; 95% CI, 0.95-3.89).

conclusionAmong women who were overweight or obese and had bothersome hot flushes, an intensive behavioral weight loss intervention resulted in improvement in flushing relative to control. Trial Registration clinicaltrials.gov Identifier: NCT00091988.

Indexed as

MenopauseWeight LossAlabamaBehavior TherapyBody Mass IndexFemaleFollow-Up StudiesHot FlashesHumansIncidenceMiddle AgedObesityOverweightRhode IslandSurveys and QuestionnairesTreatment Outcome

Identifiers

PMID20625026
PMCPMC3030922
OpenAlexW1534791609

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.