Evidence map›Paper›PMID 29214777›Full record

ArticleYonsei medical journal2018

Is There a Sex-Related Difference in the Obesity Paradox in Systolic Heart Failure? Sex-Related Difference in the Obesity Paradox.

Soonchang Hong, Ji Hyun Lee, Kyung Min Kim, Jun Won Lee, Young Jin Youn, Min Soo Ahn, Sung Gyun Ahn, Seung Hwan Lee, Junghan Yoon, Kyung Hoon Choe and 1 more

Open access · goldAbstract read
In one paragraph

Article in Yonsei medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 34 citations in OpenAlex.

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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

11 authors at 1 institution in 1 country.

Soonchang HongDepartment of Thoracic and Cardiovascular Surgery, Wonju College of Medicine, Yonsei University, Wonju, Korea.ORCID https://orcid.org/0000-0001-6415-8243
Ji Hyun LeeDepartment of Cardiology, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Kyung Min KimDepartment of Cardiology, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Jun Won LeeDepartment of Cardiology, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Young Jin YounDepartment of Cardiology, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Min Soo AhnDepartment of Cardiology, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Sung Gyun AhnDepartment of Cardiology, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Seung Hwan LeeDepartment of Cardiology, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Junghan YoonDepartment of Cardiology, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Kyung Hoon ChoeDepartment of Cardiology, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Byung Su YooDepartment of Cardiology, Wonju College of Medicine, Yonsei University, Wonju, Korea. yubs@yonsei.ac.kr.ORCID https://orcid.org/0000-0002-3395-4279
Yonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObesity is often associated with better clinical outcomes in heart failure (HF). This so-called obesity paradox remains controversial. The aim of present study was to investigate the prognostic value of obesity in patients hospitalized for systolic HF. MATERIALS AND

methodsWe performed a pooled analysis of data from two multicenter, observational HF studies. Patients hospitalized for systolic HF were eligible for the present study. We divided the subjects into two groups, a normal body mass index (BMI) group and a high BMI group. Study endpoints included all-cause mortality and any re-hospitalization within 1 year.

resultsWe enrolled 3145 patients (male, 1824; female, 1321). The high BMI group was significantly associated with lower 1-year mortality rate [odds ratio (OR), 0.543; 95% confidence interval (CI), 0.355-0.832] after adjusting for age, hypertension, diabetes, ischemic HF, previous myocardial infarction, serum creatinine level, anemia, and ejection fraction in men. After adjustment for clinical characteristics, high BMI was not significantly associated with 1-year mortality (OR, 0.739; 95% CI, 0.450-1.216) or 1-year re-hospitalization (OR, 0.958; 95% CI, 0.696-1.319) in women.

conclusionIn pooled analysis of data from two Korean HF registries, the high BMI group was independently associated with lower 1-year mortality rate from systolic HF, especially in men.

Indexed as

Sex CharacteristicsAgedBody Mass IndexDemographyEndpoint DeterminationFemaleHeart Failure, SystolicHumansIncidenceKaplan-Meier EstimateMaleMiddle AgedObesityTreatment Outcomeheart failureObesitysex differencesystolic

Identifiers

PMID29214777
PMCPMC5725365
OpenAlexW2775701774

What OpenQuestion holds

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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.