Evidence map›Paper›PMID 21518723›Full record

ArticlePediatrics2011

Risk-taking behaviors of adolescents with extreme obesity: normative or not?

Megan Benoit Ratcliff, Todd M Jenkins, Jennifer Reiter-Purtill, Jennie G Noll, Meg H Zeller

Open access · greenAbstract readComparative Study
In one paragraph

Article in Pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
10.4field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 84 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Marijuana, e-cigarette, and tobacco product use in young adults who underwent pediatric bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2023
    Observational
  5. Article
  6. Weighing the Risk: Developmental Pathways and Processes Underlying Obesity to Substance Use in Adolescence.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2022
    Review
  7. Article
  8. Article
  9. Sexual behaviors, risks, and sexual health outcomes for adolescent females following bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2019
    Article
  10. Article
  11. Association of adolescent obesity with risky sexual behaviors: Results from Mississippi YRBS, 2013-2015.International journal of advanced research in science, engineering and technology · 2018
    Article
  12. Role of Social Support in the Relationship between Acculturative Stress and Discrimination among Latino Immigrants in the USA.International journal of advanced research in science, engineering and technology · 2018
    Article
  13. ASMBS pediatric metabolic and bariatric surgery guidelines, 2018.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2018
    Review
  14. Article
  15. Processes underlying Mexican-origin adolescent mothers' BMI.Cultural diversity & ethnic minority psychology · 2018
    Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Alcohol use risk in adolescents 2 years after bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2017
    Observational
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

5 authors at 3 institutions in 2 countries.

Megan Benoit RatcliffDivision of Community and General Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 7035, Cincinnati, OH 45229, USA. megan.ratcliff@cchmc.org
Todd M Jenkins
Jennifer Reiter-Purtill
Jennie G Noll
Meg H Zeller
Cincinnati Children's Hospital Medical Center · USCenter for Psychiatry and Behavioral Medicine · USHealth and Human Development (2HD) Research Network · CM

Funding

Adolescent Bariatrics: Assessing Health Benefits & RisksU01DK072493 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI INGE, THOMAS HARRIS · 2006 to 2010
$8.7M
Adolescent Bariatric Surgery: Weight and Psychosocial Risk in Young AdulthoodR01DK080020 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI JENKINS, TODD M, ZELLER, MARGARET H · 2008 to 2023
$7.7M
NIDDK NIH HHS R01 DK080020NIDDK NIH HHS R01DK080020NIDDK NIH HHS U01 DK072493
6 · The paper itself

Abstract

objectivePresent first published data detailing high-risk behaviors of adolescent high school students (HSS) with extreme obesity (BMI ≥ 99th percentile for age and gender) compared with healthy weight peers (5th-84th percentile).

methodsThe 2007 Youth Risk Behavior Survey was used to compare HSS with extreme obesity (N = 410) and healthy weight peers (N = 8669) in their engagement in (1) tobacco use, (2) alcohol/other drug use, (3) high-risk sexual behaviors, and (4) suicidal behaviors. Logistic regression was used to calculate gender-stratified odds ratios (OR) and 95% confidence intervals (CI), controlling for age and race.

resultsHSS with extreme obesity were similar to healthy weight peers in the prevalence of most behaviors related to alcohol/drug use, high-risk sexual activities, and suicide, with the following exceptions: relative to healthy weight HSS, both male and female students with extreme obesity more frequently reported ever trying cigarettes (female students, adjusted OR: 2.0 [95% CI: 1.3-3.2]; male students, OR: 1.5 [CI: 1.2-2.0]). Compared with healthy weight female students, female students with extreme obesity had lower odds of ever having sex (OR: 0.5 [CI: 0.3-0.9]), but greater odds of drinking alcohol/using drugs before their last sexual encounter (OR: 4.6 [CI: 1.2-17.6]), currently smoking (OR: 2.3 [CI: 1.2-4.4]), and using smokeless tobacco (OR: 4.6 [CI: 1.2-17.2]). Compared with healthy weight male students, male students with extreme obesity had greater odds of smoking before age 13 (OR: 1.4 [CI: 1.0-2.0]).

conclusionsWith few exceptions, HSS with extreme obesity engage in high-risk behaviors at rates comparable with healthy weight peers, sometimes in even more dangerous ways. Health care providers should assess risk-taking behaviors in this cohort.

Indexed as

Risk-TakingAdolescentAdolescent BehaviorAlcohol DrinkingBody Mass IndexConfidence IntervalsCross-Sectional StudiesFemaleFollow-Up StudiesHumansLogistic ModelsMaleObesity, MorbidOdds RatioPrevalenceReference Values

Identifiers

PMID21518723
PMCPMC3081184
OpenAlexW2119967946

What OpenQuestion 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 OpenQuestion graph.