Evidence map›Paper›PMID 24745781›Full record

ArticleJournal of psychosomatic research2014

Early-treatment weight loss predicts 6-month weight loss in women with obesity and depression: implications for stepped care.

Molly E Waring, Kristin L Schneider, Bradley M Appelhans, Andrew M Busch, Matthew C Whited, Stephanie Rodrigues, Stephenie C Lemon, Sherry L Pagoto

Open access · greenAbstract read
In one paragraph

Article in Journal of psychosomatic research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

16 citing papers in PubMed, 20 citations in OpenAlex.

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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

8 authors at 5 institutions in 1 country.

Molly E WaringDivision of Epidemiology of Chronic Diseases and Vulnerable Populations, Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: molly.waring@umassmed.edu.
Kristin L SchneiderDepartment of Psychology, Rosalind Franklin University, North Chicago, IL, United States. Electronic address: kristin.schneider@rosalindfranklin.edu.
Bradley M AppelhansDepartment of Preventive Medicine, Rush University Medical Center, Chicago, IL, United States. Electronic address: brad_appelhans@rush.edu.
Andrew M BuschDepartment of Psychiatry & Human Behavior, Alpert Medical School of Brown University, Providence, RI, United States; Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI, United States. Electronic address: andrew_busch@brown.edu.
Matthew C WhitedDepartment of Psychology, East Carolina University, Greenville, NC, United States. Electronic address: whitedm@ecu.edu.
Stephanie RodriguesDivision of Addiction, Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: stephanie.rodrigues@umassmed.edu.
Stephenie C LemonDivision of Behavioral and Preventive Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: stephenie.lemon@umassmed.edu.
Sherry L PagotoDivision of Behavioral and Preventive Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: sherry.pagoto@umassmed.edu.
University of Massachusetts Chan Medical School · USBrown University · USEast Carolina University · USRosalind Franklin University of Medicine and Science · USRush University Medical Center · US

Funding

TRACE-COREU01HL105268 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIEFE, CATARINA I. · 2010 to 2013
$5.8M
Treating Co-Morbid Obesity and Major Depressive DisorderR01MH078012 · NIMH · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI PAGOTO, SHERRY L. · 2007 to 2011
$2.5M
University of Massachusetts Center for Clinical and Translational ScienceKL2TR000160 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2012 to 2014
$1.7M
Integrated Smoking Cessation and Mood Management for Cardiac PatientsK23HL107391 · NHLBI · MIRIAM HOSPITAL · PI BUSCH, ANDREW M · 2011 to 2015
$691k
Depression treatment and risk for cardiovascular diseaseK23HL109620 · NHLBI · EAST CAROLINA UNIVERSITY · PI WHITED, MATTHEW CHARLES · 2012 to 2016
$646k
NCATS NIH HHS KL2 TR000160NCATS NIH HHS KL2TR000160NHLBI NIH HHS 1U01HL105268NHLBI NIH HHS K23 HL107391NHLBI NIH HHS K23HL107391NHLBI NIH HHS K23 HL109620NHLBI NIH HHS U01 HL105268NIMH NIH HHS 1R01MH078012NIMH NIH HHS R01 MH078012
6 · The paper itself

Abstract

objectiveSome adults with comorbid depression and obesity respond well to lifestyle interventions while others have poor outcomes. The objective of this study was to evaluate whether early-treatment weight loss progress predicts clinically significant 6-month weight loss among women with obesity and depression.

methodsWe conducted a secondary analysis of data from 75 women with obesity and depression who received a standard lifestyle intervention. Relative risks (RRs) and 95% confidence intervals (CIs) for achieving ≥5% weight loss by 6 months were calculated based on whether they achieved ≥1 lb/week weight loss in weeks 2-8. Among those on target at week 3, we examined potential subsequent time points at which weight loss progress might identify additional individuals at risk for treatment failure.

resultsAt week 2, women who averaged ≥1 lb/week loss were twice as likely to achieve 5% weight loss by 6 months than those who did not (RR=2.40; 95% CI: 2.32-4.29); weight loss at weeks 3-8 was similarly predictive (RRs=2.02-3.20). Examining weight loss progress at week 3 and subsequently at a time point during weeks 4-8, 52-67% of participants were not on target with their weight loss, and those on target were 2-3 times as likely to achieve 5% weight loss by 6 months (RRs=1.82-2.92).

conclusionWeight loss progress as early as week 2 of treatment predicts weight loss outcomes for women with comorbid obesity and depression, which supports the feasibility of developing stepped care interventions that adjust treatment intensity based on early progress in this population.

Indexed as

Life StyleWeight LossAdultComorbidityDepressionFeasibility StudiesFemaleHumansMiddle AgedObesityTime FactorsTreatment OutcomeBehavioral weight lossDepressionObesityStepped care

Identifiers

PMID24745781
PMCPMC4038379
OpenAlexW1977828516

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.