Evidence map›Paper›PMID 27200179›Full record

ArticleBMC obesity2016

Obesity and the receipt of influenza and pneumococcal vaccination: a systematic review and meta-analysis.

John A Harris, Michelle H Moniz, Brad Iott, Robyn Power, Jennifer J Griggs

Open access · hybridAbstract read
In one paragraph

Article in BMC obesity, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
4.4field-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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Update on the Efficacy of Vaccination on Host Immunity to Influenza Virus Infection.International archives of allergy and immunology · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. Communities with an anchor institution have higher coronavirus vaccination rates.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Obesity and Disparities in Human Papillomavirus Vaccination for U.S. Adolescent Girls and Young Women.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
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 1 institution in 1 country.

John A HarrisDepartment of Obstetrics and Gynecology, University of Michigan, 2800 Plymouth Road, Building #10 Room G016, Ann Arbor, MI 48109-2800 USA.
Michelle H MonizDepartment of Obstetrics and Gynecology, University of Michigan, 2800 Plymouth Road, Building #10 Room G016, Ann Arbor, MI 48109-2800 USA.
Brad IottDivision of General Internal Medicine, Department of Internal Medicine, University of Michigan, 2800 Plymouth Road, Building #10 Room G016, Ann Arbor, MI 48109-2800 USA.
Robyn PowerDivision of General Internal Medicine, Department of Internal Medicine, University of Michigan, 2800 Plymouth Road, Building #10 Room G016, Ann Arbor, MI 48109-2800 USA.
Jennifer J GriggsDivision of Hematology and Oncology, Department of Internal Medicine, University of Michigan, 2800 Plymouth Rd, Building 16 Room 400S, Ann Arbor, MI 48109-2800 USA.
University of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a risk factor for inadequate receipt of recommended preventive care services. The objective of this study was to assess the relationship between increasing body mass index and receipt of influenza and pneumococcal vaccinations. A systematic review of the PubMed, Embase, and Web of Science databases was conducted from January 1966 to May 2015 for cohort and cross-sectional studies that assessed the relationship between body mass index and the receipt of vaccinations for influenza and pneumococcus. Separate meta-analyses by obesity classification were performed using a random effects model.

resultsSix cross-sectional and three cohort studies were included. Average vaccine uptake was 50.4 % for influenza vaccination and 34.6 % for pneumococcal vaccination. Compared to normal weight patients, combined odds ratio (95 % confidence interval) for influenza vaccination was 1.11 (95 % CI 0.97-1.25) for obese (≥30 kg/m(2)) patients. When the outcome was reported by obesity class, combined odds ratios of influenza vaccination were 1.13 (95 % CI 1.02-1.24) for Class I (30-34.9 kg/m(2)) obesity, 1.21 (95 % CI 1.05-1.37) for Class II obesity (35-39.9 kg/m(2)), and 1.19 (95 % CI 0.95-1.42) for Class III obesity (≥40 kg/m(2)) patients. Compared to normal weight patients, combined odds ratio of pneumococcal vaccination were 1.20 (95 % CI 1.13-1.27) for obese patients. When the outcome was reported by obesity class, combined odds ratios were 1.08 (95 % CI 1.04-1.13) for Class I obesity patients, 1.13 (95 % CI 1.10-1.16) for Class II obesity patients, and 1.26 (95 % CI 1.15-1.38) for Class III obesity patients for pneumococcal vaccination.

conclusionsCombined findings from the current literature suggest that adults with obesity are more likely than non-obese peers to receive vaccination for influenza and pneumococcus. However, suboptimal vaccination coverage was observed across all body sizes, so future interventions should focus on improving vaccination rates for all adults.

Indexed as

InfluenzaMeta-analysisObesityPneumococcusSystematic ReviewVaccination

Identifiers

PMID27200179
PMCPMC4855336
OpenAlexW2299257518

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.