Evidence map›Paper›PMID 26051199›Full record

ArticlePreventive medicine2015

Co-occurring obesity and smoking among U.S. women of reproductive age: Associations with educational attainment and health biomarkers and outcomes.

Drina Vurbic, Valerie S Harder, Ryan R Redner, Alexa A Lopez, Julie K Phillips, Stephen T Higgins

Abstract read
In one paragraph

Article in Preventive medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Associations of maternal obesity and smoking status with perinatal outcomes.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2018
    Pooled it
  2. Article
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  5. Observational
  6. Review
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  9. Obesity, Polycystic Ovary Syndrome, and Infertility: A New Avenue for GLP-1 Receptor Agonists.The Journal of clinical endocrinology and metabolism · 2020 · on this map
    Review
  10. Review
  11. Article
  12. Article
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  14. Patterns of Single and Multiple Tobacco Product Use Among US Women of Reproductive Age.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2018
    Article
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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

6 authors at 1 institution in 1 country.

Drina VurbicVermont Center on Behavior and Health, University of Vermont, USA; Department of Psychiatry, University of Vermont, USA; Department of Psychology, University of Vermont, USA.
Valerie S HarderDepartment of Psychiatry, University of Vermont, USA; Department of Psychology, University of Vermont, USA; Department of Pediatrics, University of Vermont, USA.
Ryan R RednerVermont Center on Behavior and Health, University of Vermont, USA; Department of Psychiatry, University of Vermont, USA.
Alexa A LopezVermont Center on Behavior and Health, University of Vermont, USA; Department of Psychiatry, University of Vermont, USA; Department of Psychology, University of Vermont, USA.
Julie K PhillipsVermont Center on Behavior and Health, University of Vermont, USA; Department of Obstetrics, Gynecology and Reproductive Sciences, University of Vermont, USA.
Stephen T HigginsVermont Center on Behavior and Health, University of Vermont, USA; Department of Psychiatry, University of Vermont, USA; Department of Psychology, University of Vermont, USA. Electronic address: Stephen.Higgins@uvm.edu.
University of Vermont · US

Funding

Vermont Center on Behavior and HealthP20GM103644 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 2013 to 2022
$21.3M
Vermont Center on Tobacco Regulatory ScienceP50DA036114 · NIDA · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 2013 to 2017
$19.1M
TRAINING IN BEHAV. PHARMACOLOGY OF HUMAN DRUG DEPENDENCET32DA007242 · NIDA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HEIL, SARAH H, HIGGINS, STEPHEN T · 1990 to 2025
$8.2M
Financial Incentives for Smoking Cessation Among Disadvantaged Pregnant WomenR01HD075669 · NICHD · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 2013 to 2017
$3.6M
Evidence-based mental health assessment and treatment for HIV prevention in KenyaK01TW008410 · FIC · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HARDER, VALERIE S · 2010 to 2013
$449k
FIC NIH HHS K01 TW008410FIC NIH HHS K01TW008410NICHD NIH HHS R01 HD075669NICHD NIH HHS R01HD075669NIDA NIH HHS P50 DA036114NIDA NIH HHS P50DA036114NIDA NIH HHS T32 DA007242NIDA NIH HHS T32DA07242NIGMS NIH HHS P20 GM103644NIGMS NIH HHS P20GM103644
6 · The paper itself

Abstract

introductionObesity and smoking are independently associated with socioeconomic disadvantage and adverse health effects in women of reproductive age and their children, but little is known about co-occurring obesity and smoking. The purpose of this study was to investigate relationships between co-occurring obesity and smoking, socioeconomic status, and health biomarkers and outcomes in a nationally representative sample.

methodsData from non-pregnant women of reproductive age were obtained from the U.S. National Health and Nutrition Examination Surveys reported between 2007 and 2010. Linear and logistic regressions were used to examine associations between obesity and smoking alone and in combination with educational attainment and a range of health biomarkers and outcomes.

resultsPrevalence of co-occurring obesity and smoking was 8.1% (~4.1 million U.S. women of reproductive age) and increased as an inverse function of educational attainment, with the least educated women being 11.6 times more likely to be obese smokers than the most educated. Compared to women with neither condition, obese smokers had significantly poorer cardiovascular and glycemic biomarker profiles, and higher rates of menstrual irregularity, hysterectomy, oophorectomy, physical limitations, and depression. Obese smokers also had significantly worse high-density lipoprotein (HDL) cholesterol levels, physical mobility, and depression scores than those with obesity or smoking alone.

conclusionsCo-occurring obesity and smoking is highly associated with low educational attainment, a marker of socioeconomic disadvantage, and a broad range of adverse health biomarkers and outcomes. Interventions specifically targeting co-occurring obesity and smoking are likely necessary in efforts to reduce health disparities among disadvantaged women and their children.

Indexed as

Educational StatusReproductive HealthAdultBiomarkersComorbidityFemaleHumansLogistic ModelsMiddle AgedNutrition SurveysObesityPrevalenceRisk FactorsSmokingUnited StatesYoung AdultBiomarkersCardiovascular diseaseCigarette smokingCo-occurring smoking–obesityDepressionDiabetesEducationObesityPhysical mobilityReproductive healthWomen's health

Identifiers

PMID26051199
PMCPMC4592382
OpenAlexW609318039

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.