Evidence map›Paper›PMID 29033626›Full record

ArticlePragmatic and observational research2017

The presence of obesity paradox in Greek patients with chronic heart failure.

Efstratios Vlaras, Konstantinos Giakoumidakis, Nikolaos V Fotos, Anastasia A Chatziefstratiou, Hero Brokalaki

Abstract read
In one paragraph

Article in Pragmatic and observational research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Assessment of anthropometric indices other than BMI to evaluate arterial stiffness.Hypertension research : official journal of the Japanese Society of Hypertension · 2019
    Article
  4. Observational
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

5 authors.

Efstratios VlarasDepartment of Nursing, School of Health Sciences, National & Kapodistrian University of Athens, Athens, Greece.
Konstantinos GiakoumidakisCardiac Surgery Intensive Care Unit, "Evangelismos" General Hospital of Athens, Athens, Greece.
Nikolaos V FotosDepartment of Nursing, School of Health Sciences, National & Kapodistrian University of Athens, Athens, Greece.
Anastasia A ChatziefstratiouDepartment of Nursing, School of Health Sciences, National & Kapodistrian University of Athens, Athens, Greece.
Hero BrokalakiDepartment of Nursing, School of Health Sciences, National & Kapodistrian University of Athens, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the effect of body mass index (BMI) values on 1- and 2-year mortality rates in patients with chronic heart failure (HF). PATIENTS AND

methodsWe conducted a retrospective cohort study of 112 patients with confirmed HF who visited the HF outpatient unit of a tertiary hospital of Athens, Greece, during a 5-month period (December 2012 - April 2013). These patients were assigned to four groups based on their BMI category. Data collection was carried out through a review of the medical patient records and the filling in of a structured questionnaire, including information on the demographic and clinical patient variables. Additionally, 1- and 2-year patient mortality was recorded. The statistical significance was two-tailed, and

resultsObese patients had significantly lower 1-year (13% vs 34.6%,

conclusionObesity paradox seems to be present in our study, translating to significantly lower long-term mortality rates of obese patients compared to those with normal BMI. The significantly higher left ventricular ejection fraction and hematocrit levels among obese HF patients could justify our study findings. Further research is needed due to the inherent weaknesses of BMI and the other study limitations.

Indexed as

heart failuremortalityobesityretrospective studies

Identifiers

PMID29033626
PMCPMC5614796

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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.