Evidence map›Paper›PMID 30763595›Full record

ArticlePhysiology & behavior2019

The effects of roux en y gastric bypass surgery on neurobehavioral symptom domains associated with severe obesity.

Dominique Musselman, Neeta Shenvi, Amita Manatunga, Andrew H Miller, Edward Lin, Nana Gletsu-Miller

Open access · greenAbstract read
In one paragraph

Article in Physiology & behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Depressive symptoms at short-, medium-, and long-term follow-up after bariatric surgical procedures: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
  2. Observational
  3. Observational
  4. 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 3 institutions in 1 country.

Dominique MusselmanUniversity of Miami Leonard H. Miller School of Medicine, Department of Psychiatry and Behavioral Sciences, Miami, FL, United States.
Neeta ShenviEmory University School of Public Health, Department of Biostatistics, Atlanta, GA, United States.
Amita ManatungaEmory University School of Public Health, Department of Biostatistics, Atlanta, GA, United States.
Andrew H MillerEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, Atlanta, GA, United States.
Edward LinEmory University School of Medicine, Department of Surgery, Atlanta, GA, United States.
Nana Gletsu-MillerDepartment of Nutrition Science, College of Health and Human Sciences, Purdue University, West Lafayette, IN, United States. Electronic address: ngletsum@purdue.edu.
Emory University · USPurdue University West Lafayette · USUniversity of Miami · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Insulin resistance in severely obese patientsR03DK067167 · NIDDK · EMORY UNIVERSITY · PI GLETSU MILLER, NANA · 2004 to 2006
$450k
Plasma Proteome Profiling of Insulin ResistanceR21DK075745 · NIDDK · EMORY UNIVERSITY · PI GLETSU MILLER, NANA · 2007 to 2008
$417k
NCRR NIH HHS UL1 RR025008NIDDK NIH HHS R03 DK067167NIDDK NIH HHS R21 DK075745
6 · The paper itself

Abstract

backgroundNeurobehavioral symptoms and cognitive dysfunction related to mood disorders are present in individuals with severe obesity. We sought to determine acute improvements in these symptoms and relationships with adiposity, inflammation, and insulin sensitivity after roux-en-y gastric bypass (RYGB) surgery.

methodsThe self-report Zung Depression Rating (ZDRS) and Neurotoxicity Rating (NRS) scales were administered before, and at 6-months after RYGB surgery in severely obese women (body mass index > 35 kg/m

resultsBy 6-months after RYGB, VAT, SAT, Si, CRP, and IL-6 had improved (p < .05). Anxiety, somatic, and neurovegetative symptoms domains improved (p < .05), but depressed mood/suicidal ideation and cognitive domains did not. Reductions in VAT were associated with decreases in neurovegetative symptoms (beta = 295 ± 85, p < .01). We also found significant positive longitudinal associations between IL-6 concentrations and minor changes in cognitive symptoms.

conclusionAnxiety, somatic and neurovegetative symptoms, improved within 6 months after RYGB, but depressed mood/suicidal ideation and cognitive symptoms did not improve. Associations between visceral adiposity, IL-6 concentrations and neurovegetative and cognitive symptoms support links between obesity, inflammation and distinct neurobehavioral symptoms.

Indexed as

AdipokinesAdiposityAdultAffectAnastomosis, Roux-en-YBlood GlucoseCognitionDepressionFemaleHumansInterleukin-6Middle AgedObesity, MorbidSubcutaneous FatSuicidal IdeationYoung AdultAdipokinesBlood GlucoseInterleukin-6CognitionDepressionInflammationSuicide riskVisceral adipose tissue

Identifiers

PMID30763595
PMCPMC6475463
OpenAlexW2912597519

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.