Evidence map›Paper›PMID 35726626›Full record

ArticleMilitary medicine2023

Depression, Insomnia, and Obesity Among Post-9/11 Veterans: Eating Pathology as a Distinct Health Risk Behavior.

Christine M Ramsey, Allison E Gaffey, Cynthia A Brandt, Sally G Haskell, Robin M Masheb

Open access · bronzeAbstract read
In one paragraph

Article in Military medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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.

Christine M RamseyMental Illness Research Education and Clinical Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA 19130, USA.
Allison E GaffeyPRIME Center of Innovation, VA Connecticut Healthcare System, West Haven, CT 06516, USA.
Cynthia A BrandtPRIME Center of Innovation, VA Connecticut Healthcare System, West Haven, CT 06516, USA.
Sally G HaskellPRIME Center of Innovation, VA Connecticut Healthcare System, West Haven, CT 06516, USA.
Robin M MashebPRIME Center of Innovation, VA Connecticut Healthcare System, West Haven, CT 06516, USA.
VA Connecticut Healthcare System · USYale University · USPhiladelphia VA Medical Center · US

Funding

Social Vulnerability, Sleep, and Early Hypertension Risk in Younger AdultsK23HL168233 · NHLBI · YALE UNIVERSITY · PI Allison Gaffey · 2023 to 2026
$517k
NHLBI NIH HHS K23 HL168233
6 · The paper itself

Abstract

introductionUnderstanding the interrelationships between co-occurring chronic health conditions and health behaviors is critical to developing interventions to successfully change multiple health behaviors and related comorbidities. The objective of the present study was to examine the effects of depression, insomnia, and their co-occurrence on risk of obesity and to examine the role of health risk behaviors as potential confounders of these relationships with an emphasis on eating pathologies.

methodsIraq and Afghanistan conflict era veterans (n = 1,094, 51.2% women) who participated in the Women Veterans Cohort Study between July 2014 and September 2019 were categorized as having depression, insomnia, both, or neither condition. Logistic regression models were used to examine group differences in the risk of obesity. Health risk behaviors (i.e., eating pathology, physical activity, smoking, and hazardous drinking) were then assessed as potential confounders of the effects of depression and insomnia on the likelihood of obesity.

resultsObesity was most prevalent in individuals with co-occurring insomnia and depression (53.2%), followed by depression only (44.6%), insomnia only (38.5%), and neither condition (30.1%). Importantly, maladaptive eating behaviors confounded the depression-obesity association but not the insomnia-obesity association. There was no evidence that insufficient physical activity, smoking, or hazardous drinking confounded the effects of insomnia or depression on obesity.

conclusionsThese findings exemplify the complex relationships between multiple health conditions and behaviors that contribute to obesity. Elucidating these associations can enhance the precision with which interventions are tailored to efficiently allocate resources and reduce the severe health impact of obesity among veterans.

Indexed as

Sleep Initiation and Maintenance DisordersStress Disorders, Post-TraumaticVeteransCohort StudiesCross-Sectional StudiesDepressionFemaleHealth Risk BehaviorsHumansMaleMultimorbidityObesity

Identifiers

PMID35726626
PMCPMC11494237
OpenAlexW4283215931

What OpenQuestion holds

Textmetadata
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.