Evidence map›Paper›PMID 30677262›Full record

ReviewObesity (Silver Spring, Md.)2019

Clinical Considerations Regarding the Use of Obesity Pharmacotherapy in Adolescents with Obesity.

Gitanjali Srivastava, Claudia K Fox, Aaron S Kelly, Ania M Jastreboff, Allen F Browne, Nancy T Browne, Janey S A Pratt, Christopher Bolling, Marc P Michalsky, Stephen Cook and 2 more

Abstract readReview
In one paragraph

Review in Obesity (Silver Spring, Md.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
13.2field-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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 126 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Efficacy of Dapagliflozin Combined with Lifestyle Intervention in Obesity Control.Computational and mathematical methods in medicine · 2022
    Trial
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Psychosocial outcomes after adolescent metabolic and bariatric surgery: a narrative review of the literature.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025
    Review
  10. Assessment and medical management of weight regain after adolescent metabolic and bariatric surgery: a narrative review.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025
    Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. The need for increasing pediatric obesity advocacy.Complementary therapies in medicine · 2024
    Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

12 authors at 9 institutions in 1 country.

Gitanjali SrivastavaDepartment of Medicine, Section of Endocrinology, Diabetes, Nutrition and Weight Management, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts, USA.ORCID 0000-0002-8326-3089
Claudia K FoxDepartment of Pediatrics, Center for Pediatric Obesity Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Aaron S KellyDepartment of Pediatrics, Center for Pediatric Obesity Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA.ORCID 0000-0001-8530-107X
Ania M JastreboffDepartment of Internal Medicine, Section of Endocrinology and Metabolism and Department of Pediatrics, Section of Pediatric Endocrinology, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0003-1446-0991
Allen F BrowneDepartment of Surgery, Maine Medical Center, Portland, Maine, USA.
Nancy T BrowneDepartment of Pediatrics, Eastern Maine Medical Center, Bangor, Maine, USA.
Janey S A PrattDepartment of Surgery, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-6850-3427
Christopher BollingCincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.ORCID 0000-0002-2852-8427
Marc P MichalskyDepartment of Pediatric Surgery, Nationwide Children's Hospital and The Ohio State University, College of Medicine, Columbus, Ohio, USA.ORCID 0000-0002-7119-3634
Stephen CookDepartment of Pediatrics, Medicine & Center for Community Health, University of Rochester School of Medicine, Golisano's Children's Hospital, Rochester, New York, USA.
Carine M LendersDepartment of Pediatrics, Pediatric Nutrition and Fitness for Life, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts, USA.ORCID 0000-0002-2417-8570
Caroline M ApovianDepartment of Medicine, Section of Endocrinology, Diabetes, Nutrition and Weight Management, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts, USA.ORCID 0000-0002-8029-1922
Boston University · USUniversity of Minnesota Medical Center · USCincinnati Children's Hospital Medical Center · USEastern Maine Medical Center · USGolisano Children's Hospital · USMaine Medical Center · USNationwide Children's Hospital · USStanford University · USYale University · US

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Elizabeth Austen Lawson, Takara Leah Stanley · 1994 to 2026
$31.6M
Transgenic CoreP30DK046200 · NIDDK · TUFTS MEDICAL CENTER · PI HU, FRANK B · 1992 to 2021
$25.0M
NIDDK NIH HHS P30 DK040561NIDDK NIH HHS P30 DK046200
6 · The paper itself

Abstract

A growing number of youth suffer from obesity and in particular severe obesity for which intensive lifestyle intervention does not adequately reduce excess adiposity. A treatment gap exists wherein effective treatment options for an adolescent with severe obesity include intensive lifestyle modification or metabolic and bariatric surgery while the application of obesity pharmacotherapy remains largely underutilized. These youth often present with numerous obesity-related comorbid diseases, including hypertension, dyslipidemia, prediabetes/type 2 diabetes, obstructive sleep apnea, nonalcoholic fatty liver disease, musculoskeletal problems, and psychosocial issues such as depression, anxiety, and social stigmatization. Current pediatric obesity treatment algorithms for pediatric primary care providers focus primarily on intensive lifestyle intervention with escalation of treatment intensity through four stages of intervention. Although a recent surge in the number of Food and Drug Administration-approved medications for obesity treatment has emerged in adults, pharmacotherapy options for youth remain limited. Recognizing treatment and knowledge gaps related to pharmacological agents and the urgent need for more effective treatment strategies in this population, discussed here are the efficacy, safety, and clinical application of obesity pharmacotherapy in youth with obesity based on current literature. Legal ramifications, informed consent regulations, and appropriate off-label use of these medications in pediatrics are included, focusing on prescribing practices and prescriber limits.

Indexed as

AdolescentChildHumansPediatric ObesityTreatment Outcome

Identifiers

PMID30677262
PMCPMC6449849
OpenAlexW2913951823

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.