Evidence map›Paper›PMID 33977184›Full record

ArticlePain reports2021

Circulating inflammatory biomarkers in adolescents: evidence of interactions between chronic pain and obesity.

Keri R Hainsworth, Pippa M Simpson, Hershel Raff, Mitchell H Grayson, Liyun Zhang, Steven J Weisman

Open access · goldAbstract read
In one paragraph

Article in Pain reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.7field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Probiotic and high-fat diet: effects on pain assessment, body composition, and cytokines in male and female adolescent and adult rats.American journal of physiology. Regulatory, integrative and comparative physiology · 2024
    Article
  4. Article
  5. Review
  6. Review
  7. Article
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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

6 authors at 4 institutions in 1 country.

Keri R HainsworthDepartment of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI, USA.
Pippa M SimpsonDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
Hershel RaffDepartments of Medicine, Surgery, and Physiology, Medical College of Wisconsin, Milwaukee, WI, USA.
Mitchell H GraysonDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
Liyun ZhangDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
Steven J WeismanDepartment of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI, USA.
Medical College of Wisconsin · USChildren's Hospital of Wisconsin · USNationwide Children's Hospital · USPain and Headache Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe negative effects of chronic pain and obesity are compounded in those with both conditions. Despite this, little research has focused on the pathophysiology in pediatric samples.

objectiveTo examine the effects of comorbid chronic pain and obesity on the concentration of circulating inflammatory biomarkers.

methodsWe used a multiple-cohort observational design, with 4 groups defined by the presence or absence of obesity and chronic pain: healthy controls, chronic pain alone, obesity alone, as well as chronic pain and obesity. Biomarkers measured were leptin, adiponectin, leptin/adiponectin ratio (primary outcome), tumor necrosis factor-alpha, interleukin 6, and C-reactive protein (CRP).

resultsData on 125 adolescents (13-17 years) were analyzed. In females, there was an interaction between chronic pain and obesity such that leptin and CRP were higher in the chronic pain and obesity group than in chronic pain or obesity alone. Within the chronic pain and obesity group, biomarkers were correlated with worsened pain attributes, and females reported worse pain than males. The highest levels of interleukin 6 and CRP were found in youth with elevated weight and functional disability. We conclude that in adolescents, chronic pain and obesity interact to cause dysregulation of the inflammatory system, and this effect is more pronounced in females.

conclusionThe augmented levels of inflammatory biomarkers are associated with pain and functional disability, and may be an early marker of future pain and disability.

Indexed as

Chronic painC-reactive proteinLeptinObesityPediatric

Identifiers

PMID33977184
PMCPMC8104468
OpenAlexW3155765716

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.