Evidence map›Paper›PMID 26826875›Full record

ArticleBiological psychiatry2016

Posttraumatic Stress Disorder as a Catalyst for the Association Between Metabolic Syndrome and Reduced Cortical Thickness.

Erika J Wolf, Naomi Sadeh, Elizabeth C Leritz, Mark W Logue, Tawni B Stoop, Regina McGlinchey, William Milberg, Mark W Miller

Abstract read
In one paragraph

Article in Biological psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
3.8field-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.

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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 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.

Erika J WolfNational Center for PTSD, Boston, Massachusetts; Department of Psychiatry, Boston, Massachusetts. Electronic address: erika.wolf@va.gov.
Naomi SadehNational Center for PTSD, Boston, Massachusetts; Department of Psychiatry, Boston, Massachusetts.
Elizabeth C LeritzBehavioral Science Division, Neuroimaging Research for Veterans Center, Boston, Massachusetts; Geriatric Research, Education and Clinical Center, Boston, Massachusetts; Translational Research Center for TBI and Stress Disorders, Boston, Massachusetts; Biomedical Genetics, Boston University School of Medicine, Boston, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Mark W LogueResearch Service, VA Boston Healthcare System, Boston, Massachusetts; Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts.
Tawni B StoopBoston VA Research Institute, Inc, Boston, Massachusetts.
Regina McGlincheyGeriatric Research, Education and Clinical Center, Boston, Massachusetts; Translational Research Center for TBI and Stress Disorders, Boston, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
William MilbergGeriatric Research, Education and Clinical Center, Boston, Massachusetts; Translational Research Center for TBI and Stress Disorders, Boston, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Mark W MillerNational Center for PTSD, Boston, Massachusetts; Department of Psychiatry, Boston, Massachusetts; Biomedical Genetics, Boston University School of Medicine, Boston, Massachusetts.
Harvard University · USBoston University · USBoston VA Research Institute · USNational Center for PTSD · USUniversity of Massachusetts Boston · US

Funding

Neuroimaging and Neuropsychological Biomarkers of Vascular Risk FactorsR01NS086882 · NINDS · HARVARD MEDICAL SCHOOL · PI LERITZ, ELIZABETH C · 2014 to 2018
$1.7M
Neuroimaging Genetics of PTSDR21MH102834 · NIMH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MILLER, MARK W · 2014 to 2015
$355k
CSRD VA CDA-2-067-10SNIMH NIH HHS R21 MH102834NINDS NIH HHS R01 NS086882
6 · The paper itself

Abstract

backgroundMetabolic syndrome (MetS), defined by a constellation of cardiometabolic pathologies, is highly prevalent among veterans, especially veterans with posttraumatic stress disorder (PTSD), and poses a major risk for adverse health outcomes, including neurodegeneration and mortality. Given this, we evaluated 1) the association between MetS and neural integrity, indexed by cortical thickness; 2) the relationship between PTSD and MetS; and 3) whether PTSD was associated with cortical thickness indirectly through MetS.

methodsThe sample consisted of 346 U.S. military veterans (89.3% male; 71.4% white) who deployed to Iraq, Afghanistan, or both. Neuroimaging data were available for 274 participants.

resultsIn whole-brain analyses, MetS was negatively associated with cortical thickness in two left and four right hemisphere regions, as follows: bilateral temporal lobe, including temporal pole, fusiform gyrus, and insula, and extending into occipital cortex (left hemisphere) and orbitofrontal cortex (right hemisphere); bilateral precuneus, posterior cingulate, calcarine, and occipital-parietal cortex; and right rostral anterior cingulate cortex and central sulcus/postcentral gyrus. Path models showed that PTSD predicted MetS (β = .19, p < .001), which was associated with reduced cortical thickness (β = -.29 to -.43, all p < .001).

conclusionsResults from this young veteran sample provide evidence that PTSD confers risk for cardiometabolic pathology and neurodegeneration and raise concern that this cohort may be aging prematurely and at risk for substantial medical and cognitive decline. This study highlights the need to identify the molecular mechanisms linking PTSD to MetS and effective interventions to reduce PTSD-related health comorbidities.

Indexed as

AdultCerebral CortexFemaleFunctional LateralityHumansImage Processing, Computer-AssistedIraq War, 2003-2011Magnetic Resonance ImagingMaleMetabolic DiseasesPsychiatric Status Rating ScalesStress Disorders, Post-TraumaticUnited StatesVeteransAccelerated agingCortical thicknessMagnetic resonance imagingMetabolic syndromePosttraumatic stress disorderStructural equation modeling

Identifiers

PMID26826875
PMCPMC4899313
OpenAlexW2190015697

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.