Evidence map›Paper›PMID 28974742›Full record

ArticleInternational journal of obesity (2005)2018

The relative contribution of metabolic and structural abnormalities to diastolic dysfunction in obesity.

J J Rayner, R Banerjee, C J Holloway, A J M Lewis, M A Peterzan, J M Francis, S Neubauer, O J Rider

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in International journal of obesity (2005), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
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  12. Obesity and its management in primary care setting.Journal of diabetes and its complications · 2025
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  15. HyperpolarizedNMR in biomedicine · 2024
    Article
  16. Article
  17. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

J J RaynerOxford Centre for Clinical Magnetic Resonance Research, University of Oxford, Oxford, UK.
R BanerjeeOxford Centre for Clinical Magnetic Resonance Research, University of Oxford, Oxford, UK.
C J HollowayOxford Centre for Clinical Magnetic Resonance Research, University of Oxford, Oxford, UK.
A J M LewisOxford Centre for Clinical Magnetic Resonance Research, University of Oxford, Oxford, UK.
M A PeterzanOxford Centre for Clinical Magnetic Resonance Research, University of Oxford, Oxford, UK.
J M FrancisOxford Centre for Clinical Magnetic Resonance Research, University of Oxford, Oxford, UK.
S NeubauerOxford Centre for Clinical Magnetic Resonance Research, University of Oxford, Oxford, UK.
O J RiderOxford Centre for Clinical Magnetic Resonance Research, University of Oxford, Oxford, UK.
University of Oxford · GB

Funding

British Heart Foundation FS/08/074/26233British Heart Foundation FS/14/54/30946British Heart Foundation FS/16/70/32157
6 · The paper itself

Abstract

backgroundObesity causes diastolic dysfunction, and is one of the leading causes of heart failure with preserved ejection fraction. Myocardial relaxation is determined by both active metabolic processes such as impaired energetic status and steatosis, as well as intrinsic myocardial remodelling. However, the relative contribution of each to diastolic dysfunction in obesity is currently unknown.

methodsEighty adult subjects (48 male) with no cardiovascular risk factors across a wide range of body mass indices (18.4-53.0 kg m

resultsIncreasing visceral obesity was related to diastolic dysfunction (peak diastolic strain rate, r=-0.46, P=0.001). Myocardial triglyceride content (β=-0.2, P=0.008), PCr/ATP (β=-0.22, P=0.04) and LV mass:volume ratio (β=-0.61, P=0.04) all independently predicted peak diastolic strain rate (model R

conclusionsMyocardial energetics and steatosis are more important in determining LV diastolic function than concentric hypertrophy, accounting for more of the negative effect of obesity on diastolic function than LV geometric remodelling. Targeting these metabolic processes is an attractive strategy to treat diastolic dysfunction in obesity.

Indexed as

ObesityAdultBody Mass IndexCohort StudiesDiastoleFemaleHumansIntra-Abdominal FatMagnetic Resonance ImagingMaleTriglyceridesVentricular Dysfunction, LeftTriglycerides

Identifiers

PMID28974742
PMCPMC5880580
OpenAlexW2757870294

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.