Evidence map›Paper›PMID 28724650›Full record

ArticleJournal of the American Heart Association2017

Dynamic Relation of Changes in Weight and Indices of Fat Distribution With Cardiac Structure and Function: The Dallas Heart Study.

Bryan Wilner, Sonia Garg, Colby R Ayers, Christopher D Maroules, Roderick McColl, Susan A Matulevicius, James A de Lemos, Mark H Drazner, Ronald Peshock, Ian J Neeland

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Review
  18. 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

10 authors at 1 institution in 1 country.

Bryan WilnerDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX.
Sonia GargDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX.
Colby R AyersDepartment of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX.
Christopher D MaroulesDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, TX.
Roderick McCollDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, TX.
Susan A MatuleviciusDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX.
James A de LemosDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX.
Mark H DraznerDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX.
Ronald PeshockDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, TX.
Ian J NeelandDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX ian.neeland@utsouthwestern.edu.
The University of Texas Southwestern Medical Center · US

Funding

UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
NCATS NIH HHS UL1 TR001105
6 · The paper itself

Abstract

backgroundObesity may increase heart failure risk through cardiac remodeling. Cross-sectional associations between adiposity and cardiac structure and function have been elucidated, but the impact of longitudinal changes in adiposity on cardiac remodeling is less well understood. METHODS AND

resultsParticipants in the Dallas Heart Study without cardiovascular disease or left ventricular dysfunction underwent assessment of body weight, anthropometrics, and cardiac magnetic resonance imaging at baseline and 7 years later. Associations between changes in indices of generalized and central adiposity with changes in left ventricular mass, volume, mass/volume ratio (concentricity), wall thickness, and ejection fraction were assessed using multivariable linear regression. The study cohort (n=1262) mean age was 44 years with 57% women, 44% black, and 36% obese participants. At follow-up, 41% had ≥5% weight gain, and 15% had ≥5% weight loss. Greater weight gain was associated with younger age, lower risk factor burden, and lower body mass index at baseline. In multivariable models adjusting for age, sex, race, comorbid conditions at baseline and follow-up, baseline adiposity, and cardiac measurement, increasing weight was associated with increases in left ventricular mass (β=0.10,

conclusionsConcentric left ventricular remodeling is the predominant phenotype linked to increasing adiposity in middle age. Our findings support the importance of weight management to prevent secular changes in adiposity, concentric remodeling, and eventual heart failure over time.

Indexed as

AdiposityVentricular Function, LeftVentricular RemodelingWeight GainAdultAnthropometryCross-Sectional StudiesFemaleHeart FailureHumansHypertrophy, Left VentricularIntra-Abdominal FatLinear ModelsMagnetic Resonance Imaging, CineMaleMiddle Agedadipose tissuebody mass indexcardiac remodelingdual x‐ray absorptiometrymagnetic resonance imagingobesityvisceral adipose tissuewaist circumference

Identifiers

PMID28724650
PMCPMC5586303
OpenAlexW2737770486

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.