Evidence map›Paper›PMID 29206339›Full record

ArticleDiabetes, obesity & metabolism2018

Reversibility of myocardial metabolism and remodelling in morbidly obese patients 6 months after bariatric surgery.

Jarna C Hannukainen, Riikka Lautamäki, Jussi Pärkkä, Marjatta Strandberg, Virva Saunavaara, Saija Hurme, Minna Soinio, Prince Dadson, Kirsi A Virtanen, Tove Grönroos and 4 more

Open access · hybridAbstract readControlled Clinical Trial
In one paragraph

Article in Diabetes, obesity & metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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  12. Energy substrate metabolism and oxidative stress in metabolic cardiomyopathy.Journal of molecular medicine (Berlin, Germany) · 2022
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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

14 authors at 4 institutions in 3 countries.

Jarna C HannukainenTurku PET Centre, University of Turku, Turku, Finland.ORCID 0000-0002-8692-4049
Riikka LautamäkiDepartment of Cardiology, Turku University Hospital, Turku, Finland.
Jussi PärkkäDepartment of Clinical Physiology, Turku University Hospital, Turku, Finland.
Marjatta StrandbergDepartment of Cardiology, Turku University Hospital, Turku, Finland.
Virva SaunavaaraTurku PET Centre, Turku University Hospital, Turku, Finland.
Saija HurmeDepartment of Biostatistics, University of Turku, Turku, Finland.
Minna SoinioDepartment of Endocrinology, Turku University Hospital, Turku, Finland.
Prince DadsonTurku PET Centre, University of Turku, Turku, Finland.
Kirsi A VirtanenTurku PET Centre, Turku University Hospital, Turku, Finland.
Tove GrönroosTurku PET Centre, Åbo Akademi University, Turku, Finland.
Sarita ForsbackTurku PET Centre, University of Turku, Turku, Finland.
Paulina SalminenDivision of Digestive Surgery and Urology, Department of Digestive Surgery, Turku University Hospital, Turku, Finland.
Patricia IozzoInstitute of Clinical Physiology, National Research Council, Pisa, Italy.
Pirjo NuutilaTurku PET Centre, University of Turku, Turku, Finland.
Turku University Hospital · FIUniversity of Turku · FIÅbo Akademi University · FIIstituto di Fisiologia Clinica · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo study myocardial substrate uptake, structure and function, before and after bariatric surgery, to clarify the interaction between myocardial metabolism and cardiac remodelling in morbid obesity.

methodsWe studied 46 obese patients (age 44 ± 10 years, body mass index [BMI] 42 ± 4 kg/m

resultsThe morbidly obese study participants, with or without T2D, had cardiac hypertrophy, impaired myocardial function and substrate metabolism compared with the control group. Surgery led to marked weight reduction and remission of T2D in most of the participants. Postoperatively, myocardial function and structure improved and myocardial substrate metabolism normalized. Intrathoracic fat, but not MTGC, was reduced. Before surgery, BMI and MFAU correlated with left ventricular hypertrophy, and BMI, age and intrathoracic fat mass were the main variables associated with cardiac function. The improvement in whole-body insulin sensitivity correlated positively with the increase in MGU and the decrease in MFAU.

conclusionsIn the present study, obesity and age, rather than myocardial substrate uptake, were the causes of cardiac remodelling in morbidly obese patients with or without T2D. Cardiac remodelling and impaired myocardial substrate metabolism are reversible after surgically induced weight loss and amelioration of T2D.

Indexed as

AdultAtrial RemodelingBariatric SurgeryCase-Control StudiesDiabetes Mellitus, Type 2FemaleFollow-Up StudiesHumansMaleMiddle AgedMyocardiumObesity, MorbidRecovery of FunctionVentricular Remodelingcardiac functioncardiac structuremyocardial free fatty acid uptakemyocardial glucose uptakemyocardial triglyceride contentpositron emission tomographytype 2 diabetes

Identifiers

PMID29206339
PMCPMC5888194
OpenAlexW2772602907

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.