Evidence map›Paper›PMID 34486528›Full record

Trial reportJournal of the Academy of Nutrition and Dietetics2022

Changes in Cardiometabolic Risk Among Older Adults with Obesity: An Ancillary Analysis of a Randomized Controlled Trial Investigating Exercise Plus Weight Maintenance and Exercise Plus Intentional Weight Loss by Caloric Restriction.

Anna E Bragg, Kristi M Crowe-White, Amy C Ellis, Matthew Studer, Frank Phillips, Steven Samsel, Jason Parton, Julie L Locher, Jamy D Ard

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the Academy of Nutrition and Dietetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-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.

NCT00955903 phase3completednot on this map

Calorie Restriction and Changes in Body Composition, Disease, Function, and Quality of Life in Older Adults

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2010 to 2014Enrolled167ConditionsObesity, Diabetes, Hypertension, HyperlipidemiaArmsExercise, Reduced Calorie Diet, Weight Maintenance Diet
NCT07180485 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

The Effectiveness of Whole Body Vibration Training in Improving Brain Activity, Bone Mineral Density, Quality of Life, and Biomarkers for the Older People With Dynapenic Abdominal Obesity

TypeinterventionalSponsorDalin Tzu Chi General HospitalRan2025 to 2027Enrolled120ConditionsDynapenia, Abdominal ObesityArmswhole body vibration training, control group
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
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

9 authors at 2 institutions in 1 country.

Anna E BraggDepartment of Human Nutrition, The University of Alabama, Tuscaloosa.
Kristi M Crowe-WhiteDepartment of Human Nutrition, The University of Alabama, Tuscaloosa. Electronic address: kcrowe@ches.ua.edu.
Amy C EllisDepartment of Human Nutrition, The University of Alabama, Tuscaloosa.
Matthew StuderInstitute of Business Analytics, The University of Alabama, Tuscaloosa.
Frank PhillipsInstitute of Business Analytics, The University of Alabama, Tuscaloosa.
Steven SamselInstitute of Business Analytics, The University of Alabama, Tuscaloosa.
Jason PartonInstitute of Business Analytics, The University of Alabama, Tuscaloosa.
Julie L LocherInstitute of Business Analytics, The University of Alabama at Birmingham.
Jamy D ArdDepartment of Epidemiology and Prevention, The Wake Forest University School of Medicine, Winston-Salem, NC.
University of Alabama · USUniversity of Alabama at Birmingham · US

Funding

Why is the prevalence of obesity so high in U.S. Southern States? Regional predictors of BMI and obesity treatment response.P30DK056336 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI James O Hill · 2000 to 2026
$31.9M
Translational Nutrition and Aging Research Academic Career Leadership AwardK07AG043588 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LOCHER, JULIE L. · 2012 to 2016
$583k
NIA NIH HHS K07 AG043588NIDDK NIH HHS P30 DK056336
6 · The paper itself

Abstract

backgroundObesity imposes risk to cardiometabolic health; however, intentional weight loss among older adults with obesity remains controversial.

objectiveTo explore the influence of exercise plus weight maintenance and exercise plus intentional weight loss by caloric restriction on changes in cardiometabolic risk among older adults with obesity assessed by four risk-scoring tools.

designUsing longitudinal data from the Calorie Restriction and Changes in Body Composition, Disease, Function, and Quality of Life in Older Adults study (CROSSROADS) (ClinicalTrials.gov identifier: NCT00955903; May 2009 to October 2014), scores were calculated using baseline and 12-month data according to criteria from the International Diabetes Federation, National Cholesterol Education Program's Adult Treatment Panel, Framingham Risk Score, and Cardiometabolic Disease Staging. PARTICIPANTS AND

settingParticipants (39% men, 23% African American, aged 70.2 ± 4.7 years) were randomized to exercise (n = 48), exercise plus nutrient-dense weight maintenance diet (n = 44), or exercise plus weight loss by moderate caloric restriction (n = 42).

main outcome measuresTo evaluate effects of exercise plus weight maintenance and exercise plus intentional weight loss on changes in cardiometabolic risk. STATISTICAL ANALYSES PERFORMED: Generalized estimating equations were used to assess changes in risk with ethnicity, biological sex, and age as covariates.

resultsGroup-time interaction was only significant for Framingham and Cardiometabolic Disease Staging (P = 0.005 and 0.041, respectively). Upon post hoc analysis, significant within-group improvements in Framingham scores were observed for exercise plus weight maintenance (P < 0.001; r = -1.682) and exercise plus weight loss (P = 0.020; r = -0.881). In analysis of between-group differences in Framingham scores, significant decreases were observed in the exercise plus weight maintenance group (P = 0.001; r = -1.723) compared with the exercise group. For Cardiometabolic Disease Staging, the exercise plus weight loss group had significant within-group improvements (P = 0.023; r = -0.102). For between-group differences in Cardiometabolic Disease Staging, the exercise plus weight loss group showed significant risk reduction (P = 0.012; r = -0.142) compared with the exercise group.

conclusionsAmong risk scores evaluated, Framingham and Cardiometabolic Disease Staging showed significantly greater sensitivity to change in cardiometabolic risk. Older adults with obesity can significantly lower cardiometabolic risk through exercise plus weight maintenance or exercise plus weight loss by moderate caloric restriction.

Indexed as

Caloric RestrictionExerciseAgedBody CompositionBody Weight MaintenanceCardiometabolic Risk FactorsFemaleHumansLongitudinal StudiesMaleObesityObesity ManagementRisk FactorsWeight LossCardiometabolic riskExerciseObesityOlder adultsWeight loss

Identifiers

PMID34486528
PMCPMC8792147
OpenAlexW3189587275

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

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 Socratic graph.