Evidence map›Paper›PMID 33841884›Full record

ArticleObesity science & practice2021

Body mass index trajectories among people with obesity and association with mortality: Evidence from a large Israeli database.

Orna Reges, Dror Dicker, Christiane L Haase, Nick Finer, Tomas Karpati, Morton Leibowitz, Altynai Satylganova, Becca Feldman

Open access · goldAbstract read
In one paragraph

Article in Obesity science & practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact, top 77% 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

5 citing papers in PubMed, 3 citations in OpenAlex.

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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

8 authors at 5 institutions in 3 countries.

Orna RegesClalit Research Institute Clalit Health Services Ramat Gan Israel.
Dror DickerInternal Medicine D Department and EASO Collaborating Center for Obesity Management Rabin Medical Center Hasharon Hospital Petach Tikva Israel.
Christiane L HaaseNovo Nordisk A/S Søborg Denmark.ORCID https://orcid.org/0000-0002-9992-3571
Nick FinerNovo Nordisk A/S Søborg Denmark.ORCID https://orcid.org/0000-0003-2468-6804
Tomas KarpatiClalit Research Institute Clalit Health Services Ramat Gan Israel.
Morton LeibowitzClalit Research Institute Clalit Health Services Ramat Gan Israel.
Altynai SatylganovaNovo Nordisk A/S Søborg Denmark.
Becca FeldmanClalit Research Institute Clalit Health Services Ramat Gan Israel.ORCID https://orcid.org/0000-0002-9535-2249
Novo Nordisk (Denmark) · DKClalit Health Services · ILHolon Institute of Technology · ILNorthwestern University · USTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrevious studies using longitudinal weight data to characterize obesity are based on populations of limited size and mostly include individuals of all body mass index (BMI) levels, without focusing on weight changes among people with obesity. This study aimed to identify BMI trajectories over 5 years in a large population with obesity, and to determine the trajectories' association with mortality.

methodsFor inclusion, individuals aged 30-74 years at index date (1 January 2013) with continuous membership in Clalit Health Services from 2008 to 2012 were required to have ≥1 BMI measurement per year in ≥3 calendar years during this period, of which at least one was ≥30 kg/m

resultsIn total, 367,141 individuals met all inclusion criteria. Mean age was 57.2 years; 41% were men. The optimal model was a quadratic model with four classes of BMI clusters. Most individuals (90.0%) had stable high BMI over time. Individuals in this cluster had significantly lower mortality than individuals in the other trajectory clusters (

conclusionsThe results of the current study show that people with stable high weight had the lowest mortality of all four BMI trajectories identified. These findings help to expand the scientific understanding of the impact that weight trajectories have on health outcomes, while demonstrating the challenges of discerning the cumulative effects of obesity and weight change, and suggest that dynamic historical measures of BMI should be considered when assessing patients' future risk of obesity-related morbidity and mortality, and when choosing a treatment strategy.

Indexed as

body mass indexdatabasesmortalityobesitypopulation studiesweight change

Identifiers

PMID33841884
PMCPMC8019279
OpenAlexW3111466869

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.