Evidence map›Paper›PMID 18391168›Full record

ReviewPhysiological reviews2008

Cardiac remodeling in obesity.

E Dale Abel, Sheldon E Litwin, Gary Sweeney

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Physiological reviews, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02677558 (The Impact of Obesity on Cardiac Function in Pregnancy), which is not on this map. Cited by 347 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
347citing papers in PubMed, 1 pooled it
18.9field-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.

NCT02677558 completednot on this mapstarted 2016, after this paper: background citation

The Impact of Obesity on Cardiac Function in Pregnancy

TypeobservationalSponsorUniversity of Cape TownRan2016 to 2016Enrolled80ConditionsPregnancy, ObesityArmsTransthoracic Echocardiography
3 · Its place in the literature

Who cites it

347 citing papers in PubMed, 1 synthesis or guideline pooled it, 716 citations in OpenAlex.

  1. Pooled it
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  14. Combined antiretroviral therapy with low- or normal-protein, high-calorie diets appears to induce significant deleterious electrocardiographic changes in a rodent model.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
    Article
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  18. Endosomal Mechanisms in Heart Failure Pathophysiology.Current heart failure reports · 2025
    Review
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287 more citing papers are in PubMed but not listed here.

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

3 authors at 1 institution in 1 country.

E Dale AbelDepartment of Biology, York University, Toronto, Canada.
Sheldon E Litwin
Gary Sweeney
York University · CA

Funding

ANIMAL MODELS OF DIABETIC CARDIOVASCULAR COMPLICATIONSU01HL070525 · NHLBI · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A · 2001 to 2005
$3.7M
Insulin resistance and cardiac dysfunction in obesityR01HL073167 · NHLBI · UNIVERSITY OF UTAH · PI ABEL, EVAN DALE · 2003 to 2007
$2.0M
Modeling Diabetic Cardiomyopathy and Microangiopathy U01HL087947 · NHLBI · UNIVERSITY OF UTAH · PI ABEL, E DALE · 2006 to 2010
$1.8M
Insulin Signaling and the Heart in DiabetesR01HL070070 · NHLBI · UNIVERSITY OF UTAH · PI ABEL, EVAN DALE · 2004 to 2007
$1.5M
Insulin Signaling and the Heart in DiabetesR01DK092065 · NIDDK · UNIVERSITY OF UTAH · PI ABEL, E DALE · 2010 to 2011
$649k
NHLBI NIH HHS R01 HL070070NHLBI NIH HHS R01 HL073167NHLBI NIH HHS R01-HL-70070NHLBI NIH HHS R01-HL-73167NHLBI NIH HHS U01 HL070525NHLBI NIH HHS U01 HL087947NHLBI NIH HHS U01-HL-087947NHLBI NIH HHS U01-HL-70525NIDDK NIH HHS R01 DK092065
6 · The paper itself

Abstract

The dramatic increase in the prevalence of obesity and its strong association with cardiovascular disease have resulted in unprecedented interest in understanding the effects of obesity on the cardiovascular system. A consistent, but puzzling clinical observation is that obesity confers an increased susceptibility to the development of cardiac disease, while at the same time affording protection against subsequent mortality (termed the obesity paradox). In this review we focus on evidence available from human and animal model studies and summarize the ways in which obesity can influence structure and function of the heart. We also review current hypotheses regarding mechanisms linking obesity and various aspects of cardiac remodeling. There is currently great interest in the role of adipokines, factors secreted from adipose tissue, and their role in the numerous cardiovascular complications of obesity. Here we focus on the role of leptin and the emerging promise of adiponectin as a cardioprotective agent. The challenge of understanding the association between obesity and heart failure is complicated by the multifaceted interplay between various hemodynamic, metabolic, and other physiological factors that ultimately impact the myocardium. Furthermore, the end result of obesity-associated changes in the myocardial structure and function may vary at distinct stages in the progression of remodeling, may depend on the individual pathophysiology of heart failure, and may even remain undetected for decades before clinical manifestation. Here we summarize our current knowledge of this complex yet intriguing topic.

Indexed as

AdipokinesAnimalsDisease Models, AnimalHeartHumansMyocardiumObesityVentricular RemodelingAdipokines

Identifiers

PMID18391168
PMCPMC2915933
OpenAlexW2125861412

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.