Evidence map›Paper›PMID 27165194›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2016

Cardiac remodeling and dysfunction in childhood obesity: a cardiovascular magnetic resonance study.

Linyuan Jing, Cassi M Binkley, Jonathan D Suever, Nivedita Umasankar, Christopher M Haggerty, Jennifer Rich, Gregory J Wehner, Sean M Hamlet, David K Powell, Aurelia Radulescu and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

43 citing papers in PubMed, 79 citations in OpenAlex.

  1. Article
  2. Childhood obesity: The threatening apprentice of the adiposity empire.Reviews in endocrine & metabolic disorders · 2025
    Review
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  20. Age-Related Development of Cardiac Remodeling and Dysfunction in Young Black and White Adults: The Coronary Artery Risk Development in Young Adults Study.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2021
    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 3 institutions in 1 country.

Linyuan JingDepartments of Pediatrics, University of Kentucky, Lexington, KY, USA.
Cassi M BinkleyDepartment of Physiology and Medicine, University of Kentucky, Lexington, KY, USA.
Jonathan D SueverDepartments of Pediatrics, University of Kentucky, Lexington, KY, USA.
Nivedita UmasankarDepartment of Physiology and Medicine, University of Kentucky, Lexington, KY, USA.
Christopher M HaggertyDepartments of Pediatrics, University of Kentucky, Lexington, KY, USA.
Jennifer RichCenter for Health Research, Geisinger Health System, Danville Pennsylvania, PA, USA.
Gregory J WehnerDepartment of Biomedical Engineering, University of Kentucky, Lexington, KY, USA.
Sean M HamletDepartment of Electrical Engineering, University of Kentucky, Lexington, KY, USA.
David K PowellDepartment of Biomedical Engineering, University of Kentucky, Lexington, KY, USA.
Aurelia RadulescuDepartments of Pediatrics, University of Kentucky, Lexington, KY, USA.
H Lester KirchnerCenter for Health Research, Geisinger Health System, Danville Pennsylvania, PA, USA.
Frederick H EpsteinDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA.
Brandon K FornwaltDepartments of Pediatrics, University of Kentucky, Lexington, KY, USA. bkf@gatech.edu.
University of Kentucky · USGeisinger Health System · USUniversity of Virginia · US

Funding

The role of IKKß in linking obesity to adipose tissue inflammation and adipogeneP20GM103527 · NIGMS · UNIVERSITY OF KENTUCKY · PI CASSIS, LISA A · 2012 to 2017
$13.7M
Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
NCATS NIH HHS UL1 TR000117NIGMS NIH HHS P20 GM103527
6 · The paper itself

Abstract

backgroundObesity affects nearly one in five children and is associated with increased risk of premature death. Obesity-related heart disease contributes to premature death. We aimed to use cardiovascular magnetic resonance (CMR) to comprehensively characterize the changes in cardiac geometry and function in obese children. METHODS AND

resultsForty-one obese/overweight (age 12 ± 3 years, 56 % female) and 29 healthy weight children (age 14 ± 3 years, 41 % female) underwent CMR, including both standard cine imaging and displacement encoded imaging, for a complete assessment of left ventricular (LV) structure and function. After adjusting for age, LV mass index was 23 % greater (27 ± 4 g/m(2.7) vs 22 ± 3 g/m(2.7), p <0.001) and the LV myocardium was 10 % thicker (5.6 ± 0.8 mm vs 5.1 ± 0.8 mm, p <0.001) in the obese/overweight children. This evidence of cardiac remodeling was present in obese children as young as age 8. Twenty four percent of obese/overweight children had concentric hypertrophy, 59 % had normal geometry and 17 % had either eccentric hypertrophy or concentric remodeling. LV mass index, thickness, ejection fraction and peak longitudinal and circumferential strains all correlated with epicardial adipose tissue after adjusting for height and gender (all p <0.05). Peak longitudinal and circumferential strains showed a significant relationship with the type of LV remodeling, and were most impaired in children with concentric hypertrophy (p <0.001 and p = 0.003, respectively).

conclusionsObese children show evidence of significant cardiac remodeling and dysfunction, which begins as young as age 8. Obese children with concentric hypertrophy and impaired strain may represent a particularly high risk subgroup that demands further investigation.

Indexed as

Magnetic Resonance Imaging, CineVentricular Function, LeftVentricular RemodelingAdiposityAdolescentAge of OnsetBiomechanical PhenomenaCase-Control StudiesChildCross-Sectional StudiesFemaleHumansHypertrophy, Left VentricularMaleMyocardial ContractionObserver VariationCardiac magnetic resonanceCardiac mechanicsCardiac remodelingPediatric obesity

Identifiers

PMID27165194
PMCPMC4863365
OpenAlexW2383054361

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.