Evidence map›Paper›PMID 32090509›Full record

ArticleObesity (Silver Spring, Md.)2020

Thirty-Year Risk of Cardiovascular Disease Events in Adolescents with Severe Obesity.

Justin R Ryder, Peixin Xu, Thomas H Inge, Changchun Xie, Todd M Jenkins, Chin Hur, Minyi Lee, Jin Choi, Marc P Michalsky, Aaron S Kelly and 1 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00474318 (Teen-Longitudinal Assessment of Bariatric Surgery), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.3field-weighted citation impact, top 5% 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.

NCT00474318 completednot on this map

Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Research Project

TypeobservationalSponsorAnn & Robert H Lurie Children's Hospital of ChicagoRan2007 to 2024Enrolled250ConditionsObesity
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 37 citations in OpenAlex.

  1. Effect of surgical versus medical therapy on estimated cardiovascular event risk among adolescents with type 2 diabetes and severe obesity.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021 · on this map
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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

11 authors at 7 institutions in 1 country.

Justin R RyderDepartment of Pediatrics, Center for Pediatric Obesity Medicine, University of Minnesota Medical School, University of Minnesota, Minneapolis, Minnesota, USA.ORCID 0000-0002-7506-9497
Peixin XuCollege of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Thomas H IngeDepartment of Pediatrics, University of Colorado Denver, Aurora, Colorado, USA.
Changchun XieCollege of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Todd M JenkinsDivision of Pediatric Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Chin HurDivision of Gastroenterology, Columbia University Medical Center, Columbia University, New York, New York, USA.
Minyi LeeDivision of Gastroenterology, Harvard University, Boston, Massachusetts, USA.
Jin ChoiDivision of Gastroenterology, Harvard University, Boston, Massachusetts, USA.
Marc P MichalskyDivision of Pediatric Surgery, Nationwide Children's Hospital, Columbus, Ohio, USA.
Aaron S KellyDepartment of Pediatrics, Center for Pediatric Obesity Medicine, University of Minnesota Medical School, University of Minnesota, Minneapolis, Minnesota, USA.ORCID 0000-0001-8530-107X
Elaine M UrbinaDivision of Pediatric Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Cincinnati Children's Hospital Medical Center · USHarvard University · USUniversity of Cincinnati Medical Center · USUniversity of Minnesota Medical Center · USChildren's Hospital Colorado · USColumbia University Irving Medical Center · USNationwide Children's Hospital · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Edward L Melanson · 1995 to 2026
$32.6M
Teen Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Research ProjectUM1DK072493 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI INGE, THOMAS HARRIS · 2011 to 2020
$10.5M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2012 to 2014
$9.9M
Adolescent Bariatrics: Assessing Health Benefits & RisksU01DK072493 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI INGE, THOMAS HARRIS · 2006 to 2010
$8.7M
Validation of Circulating Endothelial Cells and Microparticles in YouthR01HL110957 · NHLBI · UNIVERSITY OF MINNESOTA · PI KELLY, AARON S · 2012 to 2016
$3.2M
Accelerated CV Aging in Youth Related to CV Risk Factor ClustersR01HL105591 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI URBINA, ELAINE MOTT · 2011 to 2015
$2.7M
C/EBP-DELTA--ROLE IN MAMMARY GLAND GROWTH AND APOPTOSISK01RR000114 · NCRR · OHIO STATE UNIVERSITY · PI GIGLIOTTI, ANDREW P · 1996 to 2000
$16k
NCATS NIH HHS UL1 TR000077NCATS NIH HHS UL1 TR000114NCRR NIH HHS 8UL1TR000077NCRR NIH HHS UL1TR000114NHLBI NIH HHS F32-HL127881NHLBI NIH HHS R01 HL105591NHLBI NIH HHS R01-HL105591NHLBI NIH HHS R01 HL110957NHLBI NIH HHS R01-HL110957NIDDK NIH HHS P30 DK048520NIDDK NIH HHS U01 DK072493NIDDK NIH HHS U01DK072493/UM1 DK072493NIDDK NIH HHS UM1 DK072493
6 · The paper itself

Abstract

objectiveQuantifying risk for cardiovascular disease (CVD) events among adolescents is difficult owing to the long latent period between risk factor development and disease outcomes. This study examined the 30-year CVD event risk among adolescents with severe obesity treated with and without metabolic and bariatric surgery (MBS), compared with youths with moderate obesity, overweight, or normal weight.

methodsCross-sectional and longitudinal comparisons of five frequency-matched (age and diabetes status) groups were performed: normal weight (n = 247), overweight (n = 54), obesity (n = 131), severe obesity without MBS (n = 302), and severe obesity undergoing MBS (n = 215). A 30-year CVD event score developed by the Framingham Heart Study was the primary outcome. Data are mean (SD) with differences between time points for MBS examined using linear mixed models.

resultsPreoperatively, the likelihood of CVD events was higher among adolescents undergoing MBS (7.9% [6.7%]) compared with adolescents with severe obesity not referred for MBS (5.5% [4.0%]), obesity (3.9% [3.0%]), overweight (3.1% [2.4%]), and normal weight (1.8% [0.8%]; all P < 0.001). At 1 year after MBS, event risk was significantly reduced (7.9% [6.7%] to 4.0% [3.4%], P < 0.0001) and was sustained for up to 5 years after MBS (P < 0.0001, all years vs. baseline).

conclusionsAdolescents with severe obesity are at elevated risk for future CVD events. Following MBS, the predicted risk of CVD events was substantially and sustainably reduced.

Indexed as

Cardiovascular DiseasesCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedObesity, MorbidRisk FactorsTime Factors

Identifiers

PMID32090509
PMCPMC7045971
OpenAlexW3005482768

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Registered trials

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.