National Healthcare Quality and Disparities Report
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
126 to 150 of 250 Research Studies DisplayedGowey MA, Chandler-Laney PC
Children's food and satiety responsiveness in association with post-prandial glucose following a standardized liquid meal.
The objective of this study was to examine the association between children's post-prandial glucose responses and maternal report of their eating behaviours. The study’s results suggested that earlier and smaller post-prandial glucose excursions may be related to children's response to food cues.
AHRQ-funded; HS023009.
Citation: Gowey MA, Chandler-Laney PC .
Children's food and satiety responsiveness in association with post-prandial glucose following a standardized liquid meal.
Clin Obes 2018 Feb;8(1):39-42. doi: 10.1111/cob.12210..
Keywords: Children/Adolescents, Nutrition, Obesity
Gowey MA, Chandler-Laney PC
Children's food and satiety responsiveness in association with post-prandial glucose following a standardized liquid meal.
The objective of this study was to examine the association between children's post-prandial glucose responses and maternal report of their eating behaviours. The study’s results suggested that earlier and smaller post-prandial glucose excursions may be related to children's response to food cues.
AHRQ-funded; HS023009.
Citation: Gowey MA, Chandler-Laney PC .
Children's food and satiety responsiveness in association with post-prandial glucose following a standardized liquid meal.
Clin Obes 2018 Feb;8(1):39-42. doi: 10.1111/cob.12210..
Keywords: Children/Adolescents, Nutrition, Obesity
Goto T, Hirayama A, Faridi MK
Obesity and severity of acute exacerbation of chronic obstructive pulmonary disease.
A study was done to determine if there was an increase in severity and mortality with chronic obstructive pulmonary disease (COPD) patients who were also obese. Researchers used data from 2012-2013 State Inpatient Databases data of seven U.S. states. 17% of COPD patients in the database were defined as obese. Obesity was shown to increase use of ventilation, increased hospital stays but not in-hospital mortality.
AHRQ-funded; HS023305.
Citation: Goto T, Hirayama A, Faridi MK .
Obesity and severity of acute exacerbation of chronic obstructive pulmonary disease.
Ann Am Thorac Soc 2018 Feb;15(2):184-91. doi: 10.1513/AnnalsATS.201706-485OC..
Keywords: Chronic Conditions, Respiratory Conditions, Healthcare Cost and Utilization Project (HCUP), Hospitalization, Mortality, Obesity
Derose KP, Rios-Castillo I, Fulcar MA
Severe food insecurity is associated with overweight and increased body fat among people living with HIV in the Dominican Republic.
To explore the association between food insecurity and overweight and obesity among PLHIV in the Dominican Republic, the researchers conducted a cross-sectional study of 160 HIV-infected adults between March-December 2012. After controlling for age, gender, income, having children at home, education, and anti-retroviral therapy status, severe food insecurity was associated with increased body mass index (BMI) and body fat.
AHRQ-funded; HS000046.
Citation: Derose KP, Rios-Castillo I, Fulcar MA .
Severe food insecurity is associated with overweight and increased body fat among people living with HIV in the Dominican Republic.
AIDS Care 2018 Feb;30(2):182-90. doi: 10.1080/09540121.2017.1348597.
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Keywords: Human Immunodeficiency Virus (HIV), Nutrition, Obesity, Obesity: Weight Management, Social Determinants of Health
Lee BY, Ferguson MC, Hertenstein DL
Simulating the impact of sugar-sweetened beverage warning labels in three cities.
A number of locations have been considering sugar-sweetened beverage point-of-purchase warning label policies to help address rising adolescent overweight and obesity prevalence. This study exploring the impact of such policies concluded that agent-based simulations showed how warning labels may decrease overweight and obesity prevalence in a variety of circumstances with label efficacy and literacy rate identified as potential drivers.
AHRQ-funded; HS023317.
Citation: Lee BY, Ferguson MC, Hertenstein DL .
Simulating the impact of sugar-sweetened beverage warning labels in three cities.
Am J Prev Med 2018 Feb;54(2):197-204. doi: 10.1016/j.amepre.2017.11.003.
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Keywords: Policy, Nutrition, Obesity, Policy
Iyer AS, Dransfield MT
The "obesity paradox" in chronic obstructive pulmonary disease: can it be resolved?
This editorial discusses obesity and chronic obstructive pulmonary disease and comments on an article by Goto, T., et al, published, in 2018, in the Annals of the American Thoracic Society, entitled “Obesity and severity of acute exacerbation of chronic obstructive pulmonary disease."
AHRQ-funded; HS023009.
Citation: Iyer AS, Dransfield MT .
The "obesity paradox" in chronic obstructive pulmonary disease: can it be resolved?
Ann Am Thorac Soc 2018 Feb;15(2):158-59. doi: 10.1513/AnnalsATS.201711-901ED..
Keywords: Respiratory Conditions, Obesity
Biener AI, Decker SL
AHRQ Author: Biener AI, Decker SL
Medical care use and expenditures associated with adult obesity in the United States.
This infographic consists of bar charts and a line graph making the following points: (1) adult obesity is associated with higher prevalence of chronic conditions, (2) growth in total medical expenditures among obese adults is outpacing that of normal weight adults, and (3) most medical expenditures rise as body mass index increases to higher than normal levels.
AHRQ-authored.
Citation: Biener AI, Decker SL .
Medical care use and expenditures associated with adult obesity in the United States.
JAMA 2018 Jan 16;319(3):218. doi: 10.1001/jama.2017.21063.
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Keywords: Chronic Conditions, Healthcare Costs, Medical Expenditure Panel Survey (MEPS), Obesity
Gorski Findling MT, Werth PM, Musicus AA
Comparing five front-of-pack nutrition labels' influence on consumers' perceptions and purchase intentions.
In 2011, a National Academy of Medicine report recommended that packaged food in the U.S. display a uniform front-of-package nutrition label, using a system such as a 0-3 star ranking. This study compares five front-of-pack nutrition labels' influence on consumers' perceptions and purchase intentions. The authors indicated that results did not point to a clearly superior label design, but suggested that a 3-star label might not be best for educating consumers.
AHRQ-funded; HS000055.
Citation: Gorski Findling MT, Werth PM, Musicus AA .
Comparing five front-of-pack nutrition labels' influence on consumers' perceptions and purchase intentions.
Prev Med 2018 Jan;106:114-21. doi: 10.1016/j.ypmed.2017.10.022..
Keywords: Education, Nutrition, Obesity
Biener A, Cawley J, Meyerhoefer C
AHRQ Author: Biener A
The impact of obesity on medical care costs and labor market outcomes in the US.
The economic consequences of obesity are not well understood. Researchers analyzed data for 2001-2015 and estimated the percentage of healthcare costs that were associated with adult obesity. They found that a substantial and rising percentage of healthcare costs are associated with obesity. This is true for the US, for individual states, for each category of expenditure, and for each type of payer.
AHRQ-authored.
Citation: Biener A, Cawley J, Meyerhoefer C .
The impact of obesity on medical care costs and labor market outcomes in the US.
Clin Chem 2018 Jan;64(1):108-17. doi: 10.1373/clinchem.2017.272450.
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Keywords: Healthcare Costs, Medical Expenditure Panel Survey (MEPS), Obesity, Workforce
Powell-Wiley TM, Wong MS, Adu-Brimpong J
Simulating the impact of crime on African American women's physical activity and obesity.
The objective of this study was to quantify the impact of crime on physical activity location accessibility, leisure-time physical activity (LTPA), and obesity among African American women. The study’s simulations showed that crime may serve as a barrier to LTPA. Reducing crime and increasing propensity to exercise through multilevel interventions may promote greater than linear declines in obesity prevalence.
AHRQ-funded; HS023317.
Citation: Powell-Wiley TM, Wong MS, Adu-Brimpong J .
Simulating the impact of crime on African American women's physical activity and obesity.
Obesity 2017 Dec;25(12):2149-55. doi: 10.1002/oby.22040.
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Keywords: Health Status, Lifestyle Changes, Obesity, Racial and Ethnic Minorities
Pantalone KM, Hobbs TM, Chagin KM
Prevalence and recognition of obesity and its associated comorbidities: cross-sectional analysis of electronic health record data from a large US integrated health system.
The purpose of the study was to determine the prevalence of obesity and its related comorbidities among patients being actively managed at a US academic medical centre, and to examine the frequency of a formal diagnosis of obesity. This cross-sectional summary from a large US integrated health system found that three out of every four patients had overweight or obesity based on BMI. Less than half of patients who were identified as having obesity according to BMI received a formal diagnosis via ICD-9 documentation.
AHRQ-funded; HS024128.
Citation: Pantalone KM, Hobbs TM, Chagin KM .
Prevalence and recognition of obesity and its associated comorbidities: cross-sectional analysis of electronic health record data from a large US integrated health system.
BMJ Open 2017 Nov 16;7(11):e017583. doi: 10.1136/bmjopen-2017-017583..
Keywords: Diagnostic Safety and Quality, Electronic Health Records (EHRs), Health Systems, Obesity, Patient-Centered Outcomes Research
Varban OA, Cassidy RB, Bonham A
Factors associated with achieving a body mass index of less than 30 after bariatric surgery.
This study identified predictors for achieving a BMI of less than 30 after bariatric surgery. Patients who had a sleeve gastrectomy, gastric bypass, or duodenal switch were more likely to achieve a BMI of less than 30 compared with those who underwent adjustable gastric banding. Only 8.5 percent of patients with a BMI greater than 50 achieved a BMI of less than 30 after bariatric surgery.
AHRQ-funded; HS023621.
Citation: Varban OA, Cassidy RB, Bonham A .
Factors associated with achieving a body mass index of less than 30 after bariatric surgery.
JAMA Surg 2017 Nov;152(11):1058-64. doi: 10.1001/jamasurg.2017.2348.
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Keywords: Health Status, Obesity, Outcomes, Obesity: Weight Management
Halbert CH, Jefferson M, Melvin CL
Provider advice about weight loss in a primary care sample of obese and overweight patients.
In this study the investigators examined receipt of provider advice to lose weight among primary care patients who were overweight and obese. The investigators found that patient beliefs about their weight status and perceptions about shared decision-making are important to receiving provider advice about weight loss/management among primary care patients.
AHRQ-funded; HS023047.
Citation: Halbert CH, Jefferson M, Melvin CL .
Provider advice about weight loss in a primary care sample of obese and overweight patients.
J Prim Care Community Health 2017 Oct;8(4):239-46. doi: 10.1177/2150131917715336..
Keywords: Decision Making, Obesity, Obesity: Weight Management, Practice Patterns, Primary Care
Fallah-Fini S, Adam A, Cheskin LJ
The additional costs and health effects of a patient having overweight or obesity: a computational model.
This paper estimates specific additional disease outcomes and costs that could be prevented by helping a patient go from an obesity or overweight category to a normal weight category at different ages.
AHRQ-funded; HS023317.
Citation: Fallah-Fini S, Adam A, Cheskin LJ .
The additional costs and health effects of a patient having overweight or obesity: a computational model.
Obesity 2017 Oct;25(10):1809-15. doi: 10.1002/oby.21965.
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Keywords: Healthcare Costs, Obesity, Outcomes
Wong MS, Jones-Smith JC, Colantuoni E
The longitudinal association between early childhood obesity and fathers' involvement in caregiving and decision-making.
This study assessed the longitudinal association between changes in obesity among children aged 2 to 4 years and changes in fathers' involvement with raising children. Children whose fathers increased their frequency of taking children outside and involvement with physical childcare experienced a decrease in their odds of obesity from age 2 to age 4.
AHRQ-funded; HS000029.
Citation: Wong MS, Jones-Smith JC, Colantuoni E .
The longitudinal association between early childhood obesity and fathers' involvement in caregiving and decision-making.
Obesity 2017 Oct;25(10):1754-61. doi: 10.1002/oby.21902.
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Keywords: Caregiving, Children/Adolescents, Family Health and History, Obesity, Patient-Centered Healthcare
Pellegrini CA, Ledford G, Hoffman SA
Preferences and motivation for weight loss among knee replacement patients: implications for a patient-centered weight loss intervention.
The purpose of this study was to identify knee replacement patient preferences for weight loss programs and qualitatively understand previous motives for weight loss attempts as well as strategies used to facilitate behavior changes. It provides a preliminary examination into the motives for weight loss, strategies utilized during past weight loss attempts, and preferences for future weight loss programs as described by knee replacement patients.
AHRQ-funded; HS023011.
Citation: Pellegrini CA, Ledford G, Hoffman SA .
Preferences and motivation for weight loss among knee replacement patients: implications for a patient-centered weight loss intervention.
BMC Musculoskelet Disord 2017 Aug 1;18(1):327. doi: 10.1186/s12891-017-1687-x.
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Keywords: Patient-Centered Healthcare, Surgery, Obesity, Obesity: Weight Management
Wong MS, Showell NN, Bleich SN
The association between parent-reported provider communication quality and child obesity status: variation by parent obesity and child race/ethnicity.
This study examined the association between healthcare provider communication quality and child obesity status, and the role of parent obesity and child race/ethnicity regarding this association. It found that parents of obese children experienced better communication if parents were non-obese or children were non-Hispanic Black or Asian.
AHRQ-funded; HS000029.
Citation: Wong MS, Showell NN, Bleich SN .
The association between parent-reported provider communication quality and child obesity status: variation by parent obesity and child race/ethnicity.
Patient Educ Couns 2017 Aug;100(8):1588-97. doi: 10.1016/j.pec.2017.03.015.
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Keywords: Children/Adolescents, Medical Expenditure Panel Survey (MEPS), Obesity, Clinician-Patient Communication, Racial and Ethnic Minorities
Quattrin Wilfley, DE
The promise and opportunities for screening and treating childhood obesity: USPSTF recommendation statement.
This editorial discusses the updated recommendation statement and evidence review released by the United States Preventive Services Task Force (USPSTF) on screening for obesity in children. The Task Force recommendations are called ‘a call to arms’ against a condition that has immediate as well as long-term consequences for the health of the children affected. The authors note that the evaluation techniques for screening for obesity carry very few risks. Family-based behavioral treatment and the effectiveness of behavioral interventions, as well as pharmacotherapies, are also discussed.
AHRQ-funded; HS022816.
Citation: Quattrin Wilfley, DE .
The promise and opportunities for screening and treating childhood obesity: USPSTF recommendation statement.
JAMA Pediatr 2017 Aug;171(8):733-35. doi: 10.1001/jamapediatrics.2017.1604..
Keywords: Children/Adolescents, Guidelines, Obesity, Prevention, Screening, U.S. Preventive Services Task Force (USPSTF)
Li W, Ayers DC, Lewis CG
Functional gain and pain relief after total joint replacement according to obesity status.
The researchers examined the changes between preoperative and postoperative function and pain in a large representative U.S. cohort to determine if there was a relationship to obesity status. They found that six months after total joint replacement, severely or morbidly obese patients reported excellent pain relief and substantial functional gain that was similar to the findings in other patients.
AHRQ-funded; HS018910.
Citation: Li W, Ayers DC, Lewis CG .
Functional gain and pain relief after total joint replacement according to obesity status.
J Bone Joint Surg Am 2017 Jul 19;99(14):1183-89. doi: 10.2106/jbjs.16.00960.
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Keywords: Obesity, Surgery, Pain, Arthritis, Patient-Centered Outcomes Research
Fiechtner L, Puente GC, Sharifi M
A community resource map to support clinical-community linkages in a randomized controlled trial of childhood obesity, eastern Massachusetts, 2014-2016.
The researchers describe the process by which they created an online interactive community resources map for use in the Connect for Health randomized controlled trial. The trial was conducted in the 6 pediatric practices that cared for the highest percentage of children with overweight or obesity. Parents and community partners identified several community resources that could help support behavior change.
AHRQ-funded; HS024332.
Citation: Fiechtner L, Puente GC, Sharifi M .
A community resource map to support clinical-community linkages in a randomized controlled trial of childhood obesity, eastern Massachusetts, 2014-2016.
Prev Chronic Dis 2017 Jul 6;14:E53. doi: 10.5888/pcd14.160577.
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Keywords: Children/Adolescents, Obesity, Community Partnerships
Lv N, Azar KMJ, Rosas LG
Behavioral lifestyle interventions for moderate and severe obesity: a systematic review.
This study reviews evidence of behavioral lifestyle interventions for weight loss in this population. Evidence for the effectiveness of behavioral interventions versus pharmacological or surgical treatment was limited. Comprehensive and intensive behavioral interventions can result in clinically significant, albeit modest, weight loss in this obese subpopulation but may not result in significant improvements in other cardiometabolic risk factors.
AHRQ-funded; HS022702.
Citation: Lv N, Azar KMJ, Rosas LG .
Behavioral lifestyle interventions for moderate and severe obesity: a systematic review.
Prev Med 2017 Jul;100:180-93. doi: 10.1016/j.ypmed.2017.04.022.
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Keywords: Behavioral Health, Lifestyle Changes, Obesity, Obesity: Weight Management
Kass AE, Theim Hurst K, Kolko RP
Psychometric evaluation of the youth eating disorder examination questionnaire in children with overweight or obesity.
This study evaluated the psychometric properties of the Youth Eating Disorder Examination Questionnaire (YEDE-Q) and its utility for detecting loss of control (LOC) eating . It concluded that the YEDE-Q may not have utility as a screener for identifying true cases of LOC eating among school-age children with overweight or obesity.
AHRQ-funded; HS000078.
Citation: Kass AE, Theim Hurst K, Kolko RP .
Psychometric evaluation of the youth eating disorder examination questionnaire in children with overweight or obesity.
Int J Eat Disord 2017 Jul;50(7):776-80. doi: 10.1002/eat.22693.
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Keywords: Behavioral Health, Children/Adolescents, Nutrition, Obesity, Screening
Kass AE, Wilfley DE, Eddy KT
Secretive eating among youth with overweight or obesity.
This study evaluated the prevalence and correlates of secretive eating in youth with overweight or obesity. It found that youth who endorsed secretive eating had higher eating-related psychopathology and were more likely to endorse loss of control eating and purging than their counterparts who did not endorse secretive eating. Groups did not differ in excessive exercise or behavioral problems.
AHRQ-funded; HS000078.
Citation: Kass AE, Wilfley DE, Eddy KT .
Secretive eating among youth with overweight or obesity.
Appetite 2017 Jul 1;114:275-81. doi: 10.1016/j.appet.2017.03.042.
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Keywords: Behavioral Health, Children/Adolescents, Obesity
Beckman AL, Herrin J, Nasir K
Trends in cardiovascular health of US adults by income, 2005-2014.
This research letter discusses the trends in cardiovascular health of US adults by income from 2005-2014. The investigators assessed national trends in cardiovascular risk factors by income level among adults aged 25 years and older using data from the National Health and Nutrition Examination Surveys, a nationally representative, multistage probability sample of the US population, across 5 periods: 2005 to 2006, 2007 to 2008, 2009 to 2010, 2011 to 2012, and 2013 to 2014.
AHRQ-funded; HS023000.
Citation: Beckman AL, Herrin J, Nasir K .
Trends in cardiovascular health of US adults by income, 2005-2014.
JAMA Cardiol 2017 Jul;2(7):814-16. doi: 10.1001/jamacardio.2017.1654..
Keywords: Cardiovascular Conditions, Risk, Disparities, Health Status, Blood Pressure, Obesity, Diabetes, Low-Income, Tobacco Use
Ibrahim AM, Ghaferi AA, Thumma JR
Variation in outcomes at bariatric surgery centers of excellence.
This review describes the variation in surgical outcomes across bariatric centers of excellence and the geographic availability of high-quality centers. Even among accredited bariatric surgery centers, wide variation exists in rates of postoperative serious complications across geographic location and operative volumes.
AHRQ-funded; HS02362; HS024403.
Citation: Ibrahim AM, Ghaferi AA, Thumma JR .
Variation in outcomes at bariatric surgery centers of excellence.
JAMA Surg 2017 Jul;152(7):629-36. doi: 10.1001/jamasurg.2017.0542.
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Keywords: Healthcare Cost and Utilization Project (HCUP), Obesity, Surgery, Outcomes, Adverse Events