Evidence map›Paper›PMID 29698016›Full record

SynthesisHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2018

Association between posttraumatic stress disorder and lack of exercise, poor diet, obesity, and co-occuring smoking: A systematic review and meta-analysis.

Carissa van den Berk-Clark, Scott Secrest, Jesse Walls, Ellen Hallberg, Patrick J Lustman, F David Schneider, Jeffrey F Scherrer

Open access · hybridAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 5 pooled it
17.6field-weighted citation impact, top 1% 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

103 citing papers in PubMed, 5 syntheses or guidelines pooled it, 204 citations in OpenAlex.

  1. Pooled it
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  6. Trial
  7. Insights Following Implementation of an Exercise Intervention in Older Veterans with PTSD.International journal of environmental research and public health · 2019
    Trial
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43 more citing papers are in PubMed but not listed here.

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

7 authors at 2 institutions in 2 countries.

Carissa van den Berk-ClarkDepartment of Family and Community Medicine, Saint Louis University School of Medicine.ORCID 0000-0001-7712-3787
Scott SecrestDepartment of Family and Community Medicine, Saint Louis University School of Medicine.
Jesse WallsDepartment of Family and Community Medicine, Saint Louis University School of Medicine.
Ellen HallbergDepartment of Family and Community Medicine, Saint Louis University School of Medicine.
Patrick J LustmanDepartment of Psychiatry, Washington University in St. Louis.
F David SchneiderDepartment of Family and Community Medicine, Saint Louis University School of Medicine.
Jeffrey F ScherrerDepartment of Family and Community Medicine, Saint Louis University School of Medicine.ORCID 0000-0002-9148-2863
UCLouvain Saint-Louis Brussels · BEWashington University in St. Louis · US

Funding

PTSD Treatment: Effects on Health Behavior, Cardiovascular and Metabolic DiseaseR01HL125424 · NHLBI · SAINT LOUIS UNIVERSITY · PI SCHERRER, JEFFREY F. · 2016 to 2019
$2.3M
National Institutes of Health; National Heart, Lung and Blood InstituteNHLBI NIH HHS R01 HL125424
6 · The paper itself

Abstract

objectivesResearch has shown that posttraumatic stress disorder (PTSD) increases the risk of development of cardiometabolic disease (CMD) including cardiovascular disease and diabetes. Whether PTSD is also associated with behavioral risk factors (e.g., diet, exercise, smoking and obesity) for CMD, is less clear.

methodsPubMed, Web of Science, and Scopus databases were searched to obtain papers published between 1980-2016. Studies were reviewed for quality using the Quality of Cohort screen. Significance values, odds ratios (OR), 95% confidence intervals (CI), and tests of homogeneity of variance were calculated. PRINCIPAL

findingsA total of 1,349 studies were identified from our search and 29 studies met all eligibility criteria. Individuals with PTSD were 5% less likely to have healthy diets (pooled adjusted OR = 0.95; 95% CI: 0.92, 0.98), 9% less likely to engage in physical activity (pooled adjusted OR = 0.91; 95% CI: 0.88, 0.93), 31% more likely to be obese (pooled adjusted OR = 1.31; 95% CI:1.25, 1.38), and about 22% more likely to be current smokers (pooled adjusted OR = 1.22; 95% CI: 1.19, 1.26), than individuals without PTSD.

conclusionsEvidence shows PTSD is associated with reduced healthy eating and physical activity, and increased obesity and smoking. The well-established association between PTSD and metabolic and cardiovascular disease may be partly due to poor diet, sedentary lifestyle, high prevalence of obesity, and co-occurring smoking in this population. The well-established association of PTSD with CMD is likely due in part to poor health behaviors in this patient population. (PsycINFO Database Record

Indexed as

AdultDietExerciseFemaleHealth BehaviorHumansMaleMiddle AgedObesityRisk FactorsSmokingStress Disorders, Post-Traumatic

Identifiers

PMID29698016
PMCPMC5922789
OpenAlexW2800479499

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.