Evidence map›Paper›PMID 27153084›Full record

ReviewNutrients2016

Challenges in the Management of Geriatric Obesity in High Risk Populations.

Kathryn N Porter Starr, Shelley R McDonald, Julia A Weidner, Connie W Bales

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03771261 (Balanced), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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.

NCT03771261 nacompletednot on this mapstarted 2018, after this paper: background citation

Balanced (Egg) Protein During Obesity Reduction: Differential Responses of Insulin Resistance by Race

TypeinterventionalSponsorDuke UniversityRan2018 to 2021Enrolled99ConditionsPre Diabetes, ObesityArmsWeight Loss, Egg Protein
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 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

4 authors at 3 institutions in 1 country.

Kathryn N Porter StarrDepartment of Medicine, Duke University Medical Center, P.O. Box 3003, Durham, NC 27710, USA. Kathryn.starr@dm.duke.edu.
Shelley R McDonaldDepartment of Medicine, Duke University Medical Center, P.O. Box 3003, Durham, NC 27710, USA. Shelley.mcdonald@dm.duke.edu.
Julia A WeidnerDepartment of Medicine, Duke University Medical Center, P.O. Box 3003, Durham, NC 27710, USA. jaw5516@gmail.com.
Connie W BalesDepartment of Medicine, Duke University Medical Center, P.O. Box 3003, Durham, NC 27710, USA. connie.bales@dm.duke.edu.
Duke Medical Center · USDuke University Hospital · USDurham VA Medical Center · US

Funding

BEHAVIOR AND PHYSIOLOGY IN AGINGT32AG000029 · NIA · DUKE UNIVERSITY · PI Maria Marquine · 1985 to 2026
$9.3M
NIA NIH HHS T32 AG000029
6 · The paper itself

Abstract

The global prevalence of obesity in the older adult population is growing, an increasing concern in both the developed and developing countries of the world. The study of geriatric obesity and its management is a relatively new area of research, especially pertaining to those with elevated health risks. This review characterizes the state of science for this "fat and frail" population and identifies the many gaps in knowledge where future study is urgently needed. In community dwelling older adults, opportunities to improve both body weight and nutritional status are hampered by inadequate programs to identify and treat obesity, but where support programs exist, there are proven benefits. Nutritional status of the hospitalized older adult should be optimized to overcome the stressors of chronic disease, acute illness, and/or surgery. The least restrictive diets tailored to individual preferences while meeting each patient's nutritional needs will facilitate the energy required for mobility, respiratory sufficiency, immunocompentence, and wound healing. Complications of care due to obesity in the nursing home setting, especially in those with advanced physical and mental disabilities, are becoming more ubiquitous; in almost all of these situations, weight stability is advocated, as some evidence links weight loss with increased mortality. High quality interdisciplinary studies in a variety of settings are needed to identify standards of care and effective treatments for the most vulnerable obese older adults.

Indexed as

AgedGlobal HealthHumansObesityRisk FactorsWeight Lossfrailtyobesityolder adults

Identifiers

PMID27153084
PMCPMC4882675
OpenAlexW2346734764

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.