Evidence map›Paper›PMID 29413821›Full record

ArticleEating behaviors2018

Posttraumatic stress disorder diagnosis and gender are associated with accelerated weight gain trajectories in veterans during the post-deployment period.

Eugenia Buta, Robin Masheb, Ralitza Gueorguieva, Harini Bathulapalli, Cynthia A Brandt, Joseph L Goulet

Abstract read
In one paragraph

Article in Eating behaviors, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
8.8field-weighted citation impact, top 3% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Clinically meaningful posttraumatic stress disorder (PTSD) improvement and incident hypertension, hyperlipidemia, and weight loss.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2020
    Article
  10. Women Veterans Experience with the VA MOVE! Weight Management Program.Women's health reports (New Rochelle, N.Y.) · 2020
    Article
  11. 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

6 authors at 2 institutions in 1 country.

Eugenia ButaPain Research, Informatics, Multimorbidities and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, CT, United States; Yale School of Public Health, Department of Biostatistics, New Haven, CT, United States. Electronic address: eugenia.buta@yale.edu.
Robin MashebPain Research, Informatics, Multimorbidities and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, CT, United States; Yale School of Medicine, Department of Psychiatry, New Haven, CT, United States.
Ralitza GueorguievaYale School of Public Health, Department of Biostatistics, New Haven, CT, United States; Yale School of Medicine, Department of Psychiatry, New Haven, CT, United States.
Harini BathulapalliPain Research, Informatics, Multimorbidities and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, CT, United States.
Cynthia A BrandtPain Research, Informatics, Multimorbidities and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, CT, United States; Yale School of Medicine, Department of Emergency Medicine, New Haven, CT, United States.
Joseph L GouletPain Research, Informatics, Multimorbidities and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, CT, United States; Yale School of Medicine, Department of Psychiatry, New Haven, CT, United States.
Yale University · USVA Connecticut Healthcare System · US

Funding

YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
Women Veterans Cohort Study 2I01HX000915 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI BRANDT, CYNTHIA A., HASKELL, SALLY · 2014 to 2019
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Musculoskeletal Diagnoses Cohort: Examining Pain and Pain Care in the VAI01HX000971 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI BRANDT, CYNTHIA A., GOULET, JOSEPH LUCIEN · 2013 to 2013
–
HSRD VA I01 HX000915HSRD VA I01 HX000971NCRR NIH HHS UL1 RR024139
6 · The paper itself

Abstract

backgroundVeterans are disproportionately affected by overweight/obesity and growing evidence suggests that post-deployment is a critical period of accelerated weight gain.

objectiveWe explored the relationship between posttraumatic stress disorder (PTSD) diagnosis, gender, and post-deployment weight trajectories among U.S. Operations Iraqi Freedom, Enduring Freedom, and New Dawn veterans.

designWe used Veterans Affairs electronic health record data from 248,089 veterans (87% men) who, after their last deployment, had at least one medical visit between October 2001 and January 2009 and more than one BMI recorded through September 2010. We analyzed repeated BMI measurements using linear mixed models, with demographics, PTSD and other relevant psychiatric diagnoses as predictors.

resultsAt the first recorded BMI, veterans' median age was 29, and 59% of women and 77% of men were overweight/obese. They had a median of 6 BMI measurements during a median follow-up of 2.4 years. Controlling for potential confounders, women with a PTSD diagnosis had a yearly BMI growth rate of 0.11 kg/m

conclusionsThe post-deployment period is critical for weight gain, particularly for veterans diagnosed with PTSD and women veterans with PTSD. Efforts are needed to engage post-deployment veterans in weight management services, and to determine whether tailored recruitment/treatment interventions will reduce disparities for veterans with PTSD.

Indexed as

Health Status DisparitiesAdultAfghan Campaign 2001-Cohort StudiesFemaleHumansIraq War, 2003-2011MaleObesityOverweightSex DistributionStress Disorders, Post-TraumaticUnited StatesVeteransBMI trajectoryGender differencesPTSDVeterans

Identifiers

PMID29413821
PMCPMC5935565
OpenAlexW2794437658

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.