Evidence map›Paper›PMID 24036384›Full record

ArticleCirculation. Cardiovascular imaging2013

Effects of age and aerobic fitness on myocardial lipid content.

Satyam Sarma, Graeme Carrick-Ranson, Naoki Fujimoto, Beverley Adams-Huet, Paul S Bhella, Jeffrey L Hastings, Keri M Shafer, Shigeki Shibata, Kara Boyd, Dean Palmer and 3 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Circulation. Cardiovascular imaging, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Society for Cardiovascular Magnetic Resonance reference values ("normal values") in cardiovascular magnetic resonance: 2025 update.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2025
    Guideline
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Heart Failure With Preserved Ejection Fraction In Perspective.Circulation research · 2019 · on this map
    Review
  8. Article
  9. Article
  10. Review
  11. Myocardial Fat Accumulation Is Independent of Measures of Insulin Sensitivity.The Journal of clinical endocrinology and metabolism · 2015
    Article
  12. Article
  13. Predictors of Ectopic Fat in Humans.Current obesity reports · 2014
    Article
  14. Article
  15. 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

13 authors at 1 institution in 1 country.

Satyam SarmaInstitute for Exercise and Environmental Medicine, Texas Health Prebysterian Hospital, Dallas, TX.
Graeme Carrick-Ranson
Naoki Fujimoto
Beverley Adams-Huet
Paul S Bhella
Jeffrey L Hastings
Keri M Shafer
Shigeki Shibata
Kara Boyd
Dean Palmer
Edward W Szczepaniak
Lidia S Szczepaniak
Benjamin D Levine
Institute for Exercise and Environmental Medicine · US

Funding

RESEARCH METHODS IN PEDIATRICS HEART DISEASET32HL007572 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI Sarah D DE FERRANTI, Jane W. Newburger · 1985 to 2026
$13.0M
Aging Fitness & Failure: Mechanisms of Diastolic DysfunctionR01AG017479 · NIA · UT SOUTHWESTERN MEDICAL CENTER · PI LEVINE, BENJAMIN D · 2001 to 2016
$7.8M
NHLBI NIH HHS T32 HL007572NIA NIH HHS R01 AG017479NIA NIH HHS R01-AG17479
6 · The paper itself

Abstract

backgroundAging and sedentary lifestyles lead to cardiac atrophy, ventricular stiffening, and impaired diastolic function. Both conditions are marked by increased adiposity, which can lead to ectopic fat deposition in nonadipocyte tissues including the myocardium. The effect of excess intramyocardial fat on cardiac function in nonobese individuals is unknown. METHODS AND

resultsCardiac lipid content was measured by magnetic resonance spectroscopy in 153 healthy nonobese subjects with varying fitness levels quantified by peak oxygen uptake during treadmill exercise. Cardiac function (echo) and left ventricular (LV) filling pressures (right heart catheterization) were measured under varying preloads. LV stiffness was calculated from a curve fit of the diastolic portion of the pressure-volume curve. The strongest clinical predictors of lipid content were body mass index (β=+0.03; 95% confidence interval, 0.001-0.06) and peak oxygen uptake (β=-0.02; 95% confidence interval, -0.03 to -0.009; R(2)=0.14; P<0.001). Subjects in the highest quintile had smaller LV end-diastolic volumes (68±13 versus 58±12 mL/m(2); P<0.01) and decreased peak early mitral annular and increased peak late mitral inflow velocities. There were no differences in LV stiffness, but a leftward shift in the pressure-volume curve suggested a less distensible ventricle with increasing myocardial lipid levels. After adjusting for age, fitness, and body mass index, echocardiographic and morphometric differences among groups were attenuated and no longer significant.

conclusionsBody mass index and fitness levels are the strongest predictors of myocardial lipid content in nonobese humans. Cardiac lipid content is associated with decreased ventricular distensibility, and it may provide a causal mechanism linking changes in LV function related to age and fitness.

Indexed as

AdultAgedAged, 80 and overAgingExerciseExercise TestFemaleHumansLipidsMagnetic Resonance Imaging, CineMagnetic Resonance SpectroscopyMaleMiddle AgedMyocardiumReference ValuesStroke VolumeLipidsagingexerciseventricular remodeling

Identifiers

PMID24036384
PMCPMC3923455
OpenAlexW2142138824

What OpenQuestion holds

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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 OpenQuestion graph.