Evidence map›Paper›PMID 34571023›Full record

Trial reportThe Journal of pediatrics2022

Predictors of Changes in Height, Weight, and Body Mass Index After Initiation of Central Nervous System Stimulants in Children with Attention Deficit Hyperactivity Disorder.

James G Waxmonsky, William E Pelham, Raman Baweja, Daniel Hale, William E Pelham

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01109849 (Novel Approach to Stimulant Induced Weight Suppression and Its Impact on Growth), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 15% 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.

NCT01109849 phase3completednot on this map

Novel Approach to Stimulant Induced Weight Suppression and Its Impact on Growth

TypeinterventionalSponsorFlorida International UniversityRan2010 to 2016Enrolled230ConditionsADHD, GrowthArmsbehavior therapy, Extended release (ER) methylphenidate product, monitoring, drug holiday, caloric supplement
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Stimulant Medications and Bone Health.Current osteoporosis reports · 2026
    Review
  8. Article
  9. Review
  10. Ghrelin regulates hyperactivity-like behaviorsFrontiers in endocrinology · 2023
    Article
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

5 authors at 3 institutions in 1 country.

James G WaxmonskyDepartment of Psychiatry and Behavioral Health, Penn State College of Medicine, Hershey, PA. Electronic address: jwaxmonsky@pennstatehealth.psu.edu.
William E PelhamCenter for Human Development, UC San Diego, La Jolla, CA.
Raman BawejaDepartment of Psychiatry and Behavioral Health, Penn State College of Medicine, Hershey, PA.
Daniel HaleDepartment of Pediatric Endocrinology, Penn State College of Medicine, Hershey, PA.
William E PelhamDepartment of Psychology, Florida International University, Miami, FL.
Florida International University · USPennsylvania State University · USPenn State Milton S. Hershey Medical Center · US

Funding

Research training in substance use prevention: Closing the research-practice gapT32DA039772 · NIDA · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI Cady Berkel, Nancy A. Gonzales · 2015 to 2026
$4.2M
Examining Tolerance to CNS Stimulants in ADDR01MH099030 · NIMH · FLORIDA INTERNATIONAL UNIVERSITY · PI PELHAM, WILLIAM E, SWANSON, JAMES M · 2013 to 2017
$3.3M
A Novel Approach to Stimulant-Induced Weight Suppression and its Impact on GrowthR01MH083692 · NIMH · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI PELHAM, WILLIAM E, WAXMONSKY, JAMES GAIER · 2009 to 2014
$3.1M
Neural correlates of adult outcomes of childhood ADHD: Affect, reward and controlR01MH101096 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LADOUCEUR, CECILE D., MOLINA, BROOKE S.G. · 2014 to 2018
$3.0M
Mechanisms of Response to Substance Use Prevention Intervention for Adolescents with ADHDR01DA034731 · NIDA · FLORIDA INTERNATIONAL UNIVERSITY · PI PELHAM, WILLIAM E · 2014 to 2018
$2.9M
A Novel Multimodal Intervention for Children with ADHD and Impaired MoodR34MH080791 · NIMH · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI WAXMONSKY, JAMES GAIER · 2008 to 2010
$628k
Identifying Children and Teens at Risk for Early Onset Alcohol Use: An Innovative Application of Machine Learning Algorithms to PreventionF31AA026768 · NIAAA · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI PELHAM III, WILLIAM ELLERBE · 2018 to 2019
$88k
NIAAA NIH HHS F31 AA026768NIDA NIH HHS R01 DA034731NIDA NIH HHS T32 DA039772NIMH NIH HHS R01 MH083692NIMH NIH HHS R01 MH099030NIMH NIH HHS R01 MH101096NIMH NIH HHS R34 MH080791
6 · The paper itself

Abstract

objectiveTo identify predictors of changes in height, weight, and body mass index (BMI) in children with attention deficit hyperactivity disorder (ADHD) starting central nervous system (CNS) stimulants. STUDY

designThere were 230 medication-naïve children aged 5-12 years with ADHD who participated in a randomized trial evaluating the impact of CNS stimulants on growth over 30 months. This observational analysis focused on the 141 participants using study medication for 65 or more days in the first 6-months after starting medication. Biometric variables, ADHD, and oppositional defiant disorder symptom scores at medication initiation, and medication use over the study were examined as predictors of changes in standardized (z) height, weight, and BMI.

resultsMean changes in z-BMI, z-weight. and z-height were negative throughout the study. The most consistent predictors of change in z-BMI, z-weight, and z-height were percent days medicated and total medication exposure. Children with lower z-height and z-weight at medication initiation experienced greater z-BMI and z-weight decreases over the first 6 months on medication. Greater appetite suppression during dose optimization predicted greater decreases in z-weight over the entire study and a greater decrease in z-height over the first 6 months on medication. z-weight change correlated with z-height change. Behavioral symptoms did not predict changes in z-BMI, z-weight, or z-height.

conclusionsHow much and how often CNS stimulants are used predicts changes in z-BMI, z-weight, and z-height in children. Even smaller and lighter children may be at risk for decreases in z-weight and z-BMI. Parent ratings of appetite during dose titration may serve as feasible indicators of future weight and height change in children using CNS stimulants.

trial registrationClinicialtrials.gov: NCT01109849.

Indexed as

Body Mass IndexAdolescentAppetiteAttention Deficit Disorder with HyperactivityBody HeightBody WeightCentral Nervous System StimulantsChildChild, PreschoolFemaleHumansMaleCentral Nervous System StimulantsADHDchildrenCNS stimulantsgrowthweight loss

Identifiers

PMID34571023
PMCPMC8792191
OpenAlexW3202770885

What OpenQuestion holds

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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.