Evidence map›Paper›PMID 25838943›Full record

ArticleJournal of obesity2015

Obesity and metabolic phenotypes (metabolically healthy and unhealthy variants) are significantly associated with prevalence of elevated C-reactive protein and hepatic steatosis in a large healthy Brazilian population.

Sameer Shaharyar, Lara L Roberson, Omar Jamal, Adnan Younus, Michael J Blaha, Shozab S Ali, Kenneth Zide, Arthur A Agatston, Roger S Blumenthal, Raquel D Conceição and 2 more

Abstract read
In one paragraph

Article in Journal of obesity, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Why primary obesity is a disease?Journal of translational medicine · 2019
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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.

Sameer ShaharyarAventura Hospital and Medical Center, Aventura, FL 33180, USA.
Lara L RobersonCenter for Prevention and Wellness Research, Baptist Health South Florida, Miami, FL 33139, USA.
Omar JamalCenter for Prevention and Wellness Research, Baptist Health South Florida, Miami, FL 33139, USA.
Adnan YounusCenter for Prevention and Wellness Research, Baptist Health South Florida, Miami, FL 33139, USA.
Michael J BlahaDepartment of Epidemiology, Robert Stempel College of Public Health, Florida International University, Miami, FL 33199, USA.
Shozab S AliCenter for Prevention and Wellness Research, Baptist Health South Florida, Miami, FL 33139, USA.
Kenneth ZideAventura Hospital and Medical Center, Aventura, FL 33180, USA.
Arthur A AgatstonCenter for Prevention and Wellness Research, Baptist Health South Florida, Miami, FL 33139, USA.
Roger S BlumenthalJohns Hopkins Ciccarone Center for Preventive Cardiology, Johns Hopkins University, Baltimore, MD 21287, USA.
Raquel D ConceiçãoPreventive Medicine Center, Avenida Albert Einstein 627/701, 05652-900 Morumbi, SP, Brazil.
Raul D SantosPreventive Medicine Center, Avenida Albert Einstein 627/701, 05652-900 Morumbi, SP, Brazil ; Heart Institute (InCor) University of São Paulo Medical School Hospital & Preventive Medicine Center, Hospital Israelita Albert Einstein, 05652-900 São Paulo, SP, Brazil.
Khurram NasirCenter for Prevention and Wellness Research, Baptist Health South Florida, Miami, FL 33139, USA ; Department of Epidemiology, Robert Stempel College of Public Health, Florida International University, Miami, FL 33199, USA ; Johns Hopkins Ciccarone Center for Preventive Cardiology, Johns Hopkins University, Baltimore, MD 21287, USA ; Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmong the obese, the so-called metabolically healthy obese (MHO) phenotype is thought to confer a lower CVD risk as compared to obesity with typical associated metabolic changes. The present study aims to determine the relationship of different subtypes of obesity with inflammatory-cardiometabolic abnormalities.

methodsWe evaluated 5,519 healthy, Brazilian subjects (43 ± 10 years, 78% males), free of known cardiovascular disease. Those with <2 metabolic risk factors (MRF) were considered metabolically healthy, and those with BMI ≥ 25 kg/m(2) and/or waist circumference meeting NCEP criteria for metabolic syndrome as overweight/obese (OW). High sensitivity C reactive protein (hsCRP) was measured to assess underlying inflammation and hepatic steatosis (HS) was determined via abdominal ultrasound.

resultsOverall, 40% of OW individuals were metabolically healthy, and 12% normal-weight had ≥2 MRF. The prevalence of elevated CRP (≥3 mg/dL) and HS in MHO versus normal weight metabolically healthy group was 22% versus 12%, and 40% versus 8% respectively (P < 0.001). Both MHO individuals and metabolically unhealthy normal weight (MUNW) phenotypes were associated with elevated hsCRP and HS.

conclusionOur study suggests that MHO and MUNW phenotypes may not be benign and physicians should strive to treat individuals in these subgroups to reverse these conditions.

Indexed as

AbdomenAdultBlood GlucoseBody Mass IndexBrazilCardiovascular DiseasesC-Reactive ProteinFastingFemaleHumansInflammationMaleMetabolic SyndromeObesityPhenotypePrevalenceBlood GlucoseC-Reactive Protein

Identifiers

PMID25838943
PMCPMC4369939

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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.