Evidence map›Paper›PMID 38195831›Full record

ArticleInternational journal of obesity (2005)2024

Clinical characteristics and outcomes of children, adolescents and young adults with overweight or obesity and mental health disorders.

Angela Galler, Angelika Thönnes, Jens Joas, Christine Joisten, Antje Körner, Thomas Reinehr, Markus Röbl, Gerd Schauerte, Wolfgang Siegfried, Daniel Weghuber and 5 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of obesity (2005), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
18.5field-weighted citation impact, top 1% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 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

15 authors at 11 institutions in 1 country.

Angela Galler *Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Sozialpädiatrisches Zentrum, Paediatric Endocrinology and Diabetology, Berlin, Germany. angela.galler@charite.de.ORCID 0000-0002-2334-6392
Angelika Thönnes *Universitätsklinikum des Saarlandes, Psychosomatische Medizin und Psychotherapie and Klinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, Homburg, Germany.
Jens JoasUniversitätsklinikum des Saarlandes, Klinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, Homburg, Germany.
Christine JoistenDeutsche Sporthochschule Köln, Institut für Bewegungs- und Neurowissenschaft, Köln, Germany.
Antje KörnerUniversitätsklinikum Leipzig, Klinik und Poliklinik für Kinder- und Jugendmedizin, Leipzig, Germany.ORCID 0000-0001-6001-0356
Thomas ReinehrVestische Kinderklinik Datteln, Datteln, Germany.ORCID 0000-0002-4351-1834
Markus RöblUniversitätsmedizin Göttingen, Georg-August-Universität, Klinik für Kinder und Jugendmedizin, Göttingen, Germany.
Gerd SchauerteCJD Berchtesgaden, Berchtesgaden, Germany.
Wolfgang SiegfriedVorsorgeklinik INSULA/ Müttergenesungswerk, Bischofswiesen, Germany.
Daniel WeghuberUniversitätskinderklinik Salzburg, Salzburg, Austria.
Susann Weihrauch-BlüherUniversitätsklinikum Halle/S., Dept. f. Pädiatrie I, Halle/Saale, Germany.
Susanna WiegandCharité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Sozialpädiatrisches Zentrum, Paediatric Endocrinology and Diabetology, Berlin, Germany.ORCID 0000-0001-8341-9533
Reinhard W HollUniversity of Ulm, Institute of Epidemiology and Medical Biometry, ZIBMT, Ulm, Germany.ORCID 0000-0003-1395-4842
Nicole PrinzUniversity of Ulm, Institute of Epidemiology and Medical Biometry, ZIBMT, Ulm, Germany.ORCID 0000-0002-7570-9095
APV Initiative
Universitätsklinikum des Saarlandes · DEUniversität Ulm · DECharité - Universitätsmedizin Berlin · DEGerman Sport University Cologne · DEHumboldt-Universität zu Berlin · DEKlinikum Mutterhaus der Borromäerinnen · DEKlinik und Poliklinik für Kinder- und Jugendmedizin · DESchön Klinik Berchtesgadener Land · DEUniversitätsmedizin Göttingen · DEUniversity Hospital in Halle · DEVestische Caritas-Kliniken · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental disorders are important comorbidities in youth with obesity. Aim was to describe the clinical characteristics and outcome of youth with overweight or obesity having comorbid mental disorders.

methodsData from children, adolescents, and young adults (age 6-30 years) with overweight or obesity and mental disorders (depression, anxiety disorder, eating disorder, attention deficit disorder (ADHD)) from 226 centers in Germany and Austria participating in the Adiposity Patient Registry (APV) were analyzed and compared with those without reported mental disorders using regression modeling.

resultsMental health comorbidity was reported in a total of 3969 out of 114,248 individuals with overweight or obesity: 42.5% had ADHD, 31.3% anxiety disorders, 24.3% depression, and 12.9% eating disorders. Being male (OR 1.39 (95%CI 1.27;1.52)), of older age (1.42 (1.25;1.62)), or with extreme obesity (1.45 (1.30;1.63)) were most strongly associated with mental health comorbidity. Regression analysis showed that mean BMI-SDS was significantly higher in the group of individuals with depression and eating disorders (BMI-SDS 2.13 (lower; upper mean:2.09;2.16) and 2.22 (2.17;2.26)) compared to those without reported mental health comorbidity (BMI-SDS 2.008 (2.005;2.011); p < 0.001). In youth with ADHD, BMI-SDS was lower compared to those without reported mental disorders (BMI-SDS 1.91 (1.89;1.93) vs 2.008 (2.005;2.011); p < 0.001). Proportion of severe obesity was higher in individuals with depression (23.7%), anxiety disorders (17.8%), and eating disorders (33.3%), but lower in ADHD (10.3%), compared to those without reported mental disorders (13.5%, p < 0.002). Proportions of dyslipidaemia and abnormal carbohydrate metabolism were not different in youth with and without reported mental health comorbidity. BMI-SDS change after one year of lifestyle intervention program ranged between -0.22 and -0.16 and was similar in youth without and with different mental disorders.

conclusionHealth care professionals caring for youth with overweight or obesity should be aware of comorbid mental disorders and regular mental health screening should be considered.

Indexed as

Attention Deficit Disorder with HyperactivityObesity, MorbidAdolescentAdultChildComorbidityFemaleHumansMaleMental HealthObesityOverweightYoung Adult

Identifiers

PMID38195831
PMCPMC10896720
OpenAlexW4390706636

What OpenQuestion holds

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LicenceCC BY
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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.