Evidence map›Paper›PMID 28634364›Full record

ArticleInternational journal of obesity (2005)2017

Lipid changes 8 years post gastric bypass in adolescents with severe obesity (FABS-5+ study).

A S Shah, T Jenkins, Z Gao, S R Daniels, E M Urbina, S Kirk, R Siegel, T H Inge

Abstract read
In one paragraph

Article in International journal of obesity (2005), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 27% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Cardiometabolic risk in obese children.Annals of the New York Academy of Sciences · 2018
    Review
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 3 institutions in 1 country.

A S ShahDivision of Endocrinology, Cincinnati Children's Hospital and University of Cincinnati, Cincinnati, OH, USA.
T JenkinsDivision of Pediatric Surgery, Cincinnati Children's Hospital and University of Cincinnati, Cincinnati, OH, USA.
Z GaoThe Heart Institute, Cincinnati Children's Hospital and University of Cincinnati, Cincinnati, OH, USA.
S R DanielsUniversity of Colorado School of Medicine and Children's Hospital Colorado, Aurora, CO, USA.
E M UrbinaThe Heart Institute, Cincinnati Children's Hospital and University of Cincinnati, Cincinnati, OH, USA.
S KirkThe Heart Institute, Cincinnati Children's Hospital and University of Cincinnati, Cincinnati, OH, USA.
R SiegelThe Heart Institute, Cincinnati Children's Hospital and University of Cincinnati, Cincinnati, OH, USA.
T H IngeDepartment of Surgery, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, CO, USA.
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati · USUniversity of Colorado Denver · US

Funding

PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI JANINE A HIGGINS · 1995 to 2026
$32.6M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
Understanding the Role of HDL Subspecies in Adolescents with Type 2 DiabetesK23HL118132 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI SHAH, AMY SANGHAVI · 2014 to 2018
$855k
NCATS NIH HHS UL1 TR000077NHLBI NIH HHS K23 HL118132
6 · The paper itself

Abstract

objectiveSevere obesity in adolescents is increasing and few effective treatments exist. Bariatric surgery is one option, but the extent to which surgery influences cardiovascular risk factors over time in youth is not clear. We hypothesized that Roux-en Y gastric bypass (RYGB) would be associated with sustained improvements in lipids over time (>5 years). PARTICIPANTS/

methodsYouth who underwent RYGB from 2001 to 2007 were recruited for the Follow-up of Adolescent Bariatric Surgery-5+ (FABS-5+) in 2011-2014. Baseline body mass index (BMI) and lipids were abstracted from medical records. Follow-up data were obtained at a research visit. Analyses included paired t-tests to assess changes in BMI and lipids over time. General linear models were used to evaluate predictors of high-density lipoprotein (HDL) and non-HDL-cholesterol at follow-up. A non-operative group was recruited for comparison.

resultsSurgical participants (n=58) were a mean±s.d. age of 17±2 years at baseline and 25±2 years at long-term follow-up. Eighty-six percent were Caucasian and 64% were female. At long-term follow-up BMI decreased by 29% and all lipids (except total cholesterol) significantly improved (P<0.01). Female sex was a significant predictor of non-HDL-cholesterol level at 1 year, while change in BMI from 1 year to long-term follow-up was a significant predictor of non-HDL-cholesterol and HDL-cholesterol during the same interval (P<0.05). In the non-operative group, BMI increased by 8% and lipid parameters were unchanged.

conclusionsThis is the longest and most complete follow-up of youth following RYGB. Weight loss maintenance over time was significantly associated with improvements in lipid profile over 5 years.

Indexed as

Gastric BypassAdolescentAdultBody Mass IndexCardiovascular DiseasesDyslipidemiasFemaleFollow-Up StudiesHumansLipidsMaleObesity, MorbidPredictive Value of TestsRetrospective StudiesSex FactorsTime FactorsLipids

Identifiers

PMID28634364
PMCPMC5626583
OpenAlexW2659005361

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.