Evidence map›Paper›PMID 30082081›Full record

Trial reportMayo Clinic proceedings2018

Bidirectional Relationships Between Weight Change and Sleep Apnea in a Behavioral Weight Loss Intervention.

Christopher E Kline, Lora E Burke, Susan M Sereika, Christopher C Imes, Bonny Rockette-Wagner, Dara D Mendez, Patrick J Strollo, Yaguang Zheng, Stephen L Rathbun, Eileen R Chasens

Abstract readClinical Trial
In one paragraph

Trial report in Mayo Clinic proceedings, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

14 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Designing a program to support weight loss for patients attending the sleep medicine clinic: a qualitative study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Article
  7. Body weight and obstructive sleep apnea: a mathematical relationship between body mass index and apnea-hypopnea index in veterans.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  8. Article
  9. Change in Objectively Measured Activity Levels Resulting from the EMPOWER Study Lifestyle Intervention.Translational journal of the American College of Sports Medicine · 2022
    Article
  10. Article
  11. Sleep and Metabolic Syndrome.The Nursing clinics of North America · 2021
    Review
  12. Observational
  13. Article
  14. 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

10 authors at 3 institutions in 1 country.

Christopher E KlineDepartment of Health and Physical Activity, University of Pittsburgh, Pittsburgh, PA. Electronic address: chriskline@pitt.edu.
Lora E BurkeSchool of Nursin, University of Pittsburgh, Pittsburgh, PA; Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA.
Susan M SereikaSchool of Nursin, University of Pittsburgh, Pittsburgh, PA; Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA; Department of Biostatistics, University of Pittsburgh, Pittsburgh, PA.
Christopher C ImesSchool of Nursin, University of Pittsburgh, Pittsburgh, PA.
Bonny Rockette-WagnerDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA.
Dara D MendezDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA.
Patrick J StrolloDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA; VA Pittsburgh Health System, Pittsburgh, PA.
Yaguang ZhengConnell School of Nursing, Boston College, Boston, MA.
Stephen L RathbunDepartment of Epidemiology and Biostatistics, University of Georgia, Athens, GA.
Eileen R ChasensSchool of Nursin, University of Pittsburgh, Pittsburgh, PA.
University of Pittsburgh · USBoston College · USUniversity of Georgia · US

Funding

Technology Research in Chronic & Critical IllnessT32NR008857 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Young Ji Lee · 2005 to 2026
$4.0M
Patient-Centered Outcomes Research (PCOR) Scholars ProgramK12HS022989 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAPOOR, WISHWA N · 2014 to 2018
$3.9M
Real Time Data Collection with Adaptive Sampling and Innovative TechnologiesR01HL107370 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BURKE, LORA EMILIE, RATHBUN, STEPHEN L · 2011 to 2015
$3.0M
A Novel Risk Factor for Cardiovascular Disease: The Insomnia-Short Sleep PhenotypK23HL118318 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KLINE, CHRISTOPHER EDWARD · 2014 to 2018
$776k
Self-Management, Insomnia, and Glucose Control in Adults with DiabetesK24NR016685 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHASENS, EILEEN R · 2017 to 2019
$367k
AHRQ HHS K12 HS022989NHLBI NIH HHS K23 HL118318NHLBI NIH HHS R01 HL107370NINR NIH HHS K24 NR016685
6 · The paper itself

Abstract

objectiveTo examine the bidirectional relationship between weight change and obstructive sleep apnea (OSA) in the context of a behavioral weight loss intervention. PATIENTS AND

methodsAdults who were overweight or obese (N=114) participated in a 12-month behavioral weight loss intervention from April 17, 2012, through February 9, 2015. The apnea-hypopnea index (AHI), a marker of the presence and severity of OSA, was assessed at baseline, 6 months, and 12 months. Linear mixed models evaluated the effect of weight change on the AHI and the effect of OSA (AHI ≥5) on subsequent weight loss. Secondary analyses evaluated the effect of OSA on intervention attendance, meeting daily calorie goals, and accelerometer-measured physical activity.

resultsAt baseline, 51.8% of the sample (n=59) had OSA. Adults who achieved at least 5% weight loss had an AHI reduction that was 2.1±0.9 (adjusted mean ± SE) events/h greater than those with less than 5% weight loss (P<.05). Adults with OSA lost a mean ± SE of 2.2%±0.9% less weight during the subsequent 6-month interval compared with those without OSA (P=.02). Those with OSA were less adherent to daily calorie goals (mean ± SE: 25.2%±3.3% vs 34.8%±3.4% of days; P=.006) and had a smaller increase in daily activity (mean ± SE: 378.3±353.7 vs 1060.1±377.8 steps/d; P<.05) over 12 months than those without OSA.

conclusionBehaviorally induced weight loss in overweight/obese adults was associated with significant AHI reduction. However, the presence of OSA was associated with blunted weight loss, potentially via reduced adherence to behaviors supporting weight loss. These results suggest that OSA screening before attempting weight loss may be helpful to identify who may benefit from additional behavioral counseling.

Indexed as

Weight LossWeight Reduction ProgramsAdultAgedFemaleHumansLinear ModelsLongitudinal StudiesMaleMiddle AgedObesityOverweightSleep Apnea, ObstructiveTreatment Outcome

Identifiers

PMID30082081
PMCPMC6129208
OpenAlexW2885031393

What OpenQuestion holds

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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.