Evidence map›Paper›PMID 32665534›Full record

Observational studyMenopause (New York, N.Y.)2020

The association between weight-promoting medication use and weight gain in postmenopausal women: findings from the Women's Health Initiative.

Fatima Cody Stanford, Hellas Cena, Ginevra Biino, Olivia Umoren, Monik Jimenez, Marlene P Freeman, Aladdin H Shadyab, Robert A Wild, Catherine R Womack, Hailey R Banack and 1 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Menopause (New York, N.Y.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. A Women's health perspective on managing obesity.Progress in cardiovascular diseases
    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

11 authors at 8 institutions in 3 countries.

Fatima Cody StanfordInternal Medicine - Neuroendocrine Division and Pediatric Endocrinology, MGH Weight Center, Nutrition Obesity Research Center at Harvard, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Hellas CenaDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.
Ginevra BiinoInstitute of Molecular Genetics, National Research Council of Italy, Pavia, Italy.
Olivia UmorenDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Monik JimenezDivision of Women's Health and Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Marlene P FreemanDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Aladdin H ShadyabDivision of Epidemiology, Department of Family Medicine and Public Health, University of California, San Diego School of Medicine, La Jolla, CA.
Robert A WildDepartments of Obstetrics and Gynecology, Biostatistics and Epidemiology, Family and Preventive Medicine, Oklahoma University Health Sciences Center, Oklahoma City, OK.
Catherine R WomackThe University of Tennessee Health Science Center, Memphis, TN.
Hailey R BanackDepartment of Epidemiology and Environmental Health, The State University of New York at Buffalo, Buffalo, NY.
JoAnn E MansonDivision of Women's Health and Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Harvard University · USMassachusetts General Hospital · USIstituti Clinici Scientifici Maugeri · ITNational Research Council · ITOU HealthUniversity at Buffalo, State University of New York · USUniversity of California, San Diego · USUniversity of Tennessee Health Science Center · US

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHRISTOPHER P DUGGAN · 1994 to 2026
$31.6M
Examining Racial Disparities in StrokeK01HL124391 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI JIMENEZ, MONIK CARMEN · 2014 to 2018
$761k
NHLBI NIH HHS K01 HL124391NIDDK NIH HHS L30 DK118710NIDDK NIH HHS P30 DK040561NIMHD NIH HHS L60 MD008320
6 · The paper itself

Abstract

objectiveWith the rise in obesity, there has been a concomitant increase in prescription medications associated with weight gain. The objective of this study is to quantify the magnitude of association between putative weight-promoting medications and 3-year weight change in a diverse cohort of postmenopausal women in the Women's Health Initiative (WHI).

methodsThis is a prospective observational cohort study, considering 40 sites in the WHI and a cohort of seventy six thousand two hundred fifty-two postmenopausal women aged 50-79 years, with weight measured at both baseline and 3 years, in the WHI-Observational Study. Body mass index (BMI) and waist circumference (WC) were measured at baseline and 3 years. An in-clinic medication inventory identified prescribed medications, including antidepressants, beta-blockers, insulin, and/or glucocorticosteroids. Generalized linear models evaluated if intermittent or persistent use of weight-promoting drugs was associated with increased BMI and WC during a 3-year follow up.

resultsWomen with overweight or obesity at baseline were more likely to be taking antidepressants, beta-blockers, and/or insulin. Taking at least one putative weight-promoting medication was associated with a greater increase in BMI (0.37 vs 0.27 kg/m, P = 0.0045) and WC (1.10 cm vs 0.89 cm, P = 0.0077) over the course of 3 years compared to women not on these medications. Both BMI and WC increased with the number of weight-promoting drugs prescribed (P for trend per medication used < 0.00001 for both variables). Those who took either antidepressants or insulin, or a combination of antidepressants and beta-blockers, were most likely to have a significant increase in BMI compared to nonusers.

conclusionsAntidepressants, beta-blockers, and insulin were associated with weight gain in postmenopausal women. This information may help to inform clinical decision-making and efforts to mitigate medication-related weight gain. : Video Summary:http://links.lww.com/MENO/A617.

Indexed as

PostmenopauseWeight GainAgedBody Mass IndexFemaleHumansMiddle AgedProspective StudiesRisk FactorsWaist CircumferenceWomen's Health

Identifiers

PMID32665534
PMCPMC9242823
OpenAlexW3043475561

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.