Evidence map›Paper›PMID 29663586›Full record

ArticleEuropean journal of heart failure2018

Adiposity, body composition and ventricular-arterial stiffness in the elderly: the Atherosclerosis Risk in Communities Study.

Miguel M Fernandes-Silva, Amil M Shah, Brian Claggett, Susan Cheng, Hirofumi Tanaka, Odilson M Silvestre, Wilson Nadruz, Barry A Borlaug, Scott D Solomon

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in European journal of heart failure, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.1field-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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Highlights in heart failure.ESC heart failure · 2019
    Pooled it
  2. Comparative prognostic value of non-invasive ventricular-arterial coupling metrics in the general population.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  3. Article
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  7. Review
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  13. Radiation exposure after myocardial perfusion imaging with Cadmium-Zinc-Telluride camera versus conventional camera.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
  14. Article
  15. Article
  16. Stiffness of aortic arch and carotid arteries increases inAmerican journal of translational research · 2021
    Article
  17. Review
  18. Obesity and the heart: The impact of obesity beyond the body mass index.European journal of preventive cardiology · 2020
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Miguel M Fernandes-SilvaCardiovascular Division, Brigham and Women's Hospital, Boston, MA, USA.
Amil M ShahCardiovascular Division, Brigham and Women's Hospital, Boston, MA, USA.
Brian ClaggettCardiovascular Division, Brigham and Women's Hospital, Boston, MA, USA.
Susan ChengCardiovascular Division, Brigham and Women's Hospital, Boston, MA, USA.
Hirofumi TanakaDepartment of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, USA.
Odilson M SilvestreCardiovascular Division, Brigham and Women's Hospital, Boston, MA, USA.
Wilson NadruzCardiovascular Division, Brigham and Women's Hospital, Boston, MA, USA.
Barry A BorlaugMayo Clinic College of Medicine, Rochester, MN, USA.
Scott D SolomonCardiovascular Division, Brigham and Women's Hospital, Boston, MA, USA.
Brigham and Women's Hospital · USMayo Clinic in Arizona · USThe University of Texas at Austin · US

Funding

Mapping the Progression to HFpEF in the Elderly through Longitudinal Changes in Cardiac FunctionR01HL135008 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI Amil M Shah · 2017 to 2026
$11.5M
Cardiac microstructure and the immune-inflammatory response to SARS-CoV-2R01HL131532 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI CHENG, SUSAN, LI, DEBIAO · 2016 to 2025
$6.6M
Changes in arterial stiffness, cognition and dementia risk in a diverse cohortR01AG053938 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MEYER, MICHELLE · 2016 to 2020
$2.9M
Inflammatory Mediators, Cardiovascular Health, and Longevity in WomenR01HL134168 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI CHENG, SUSAN · 2016 to 2019
$1.6M
Myocardial and Arterial Aging: Spectrum, Correlates, and PrognosisR00HL107642 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI CHENG, SUSAN · 2014 to 2016
$747k
Systolic & diastolic dysfunction in heart failure and preserved ejection fractionK08HL116792 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SHAH, AMIL M · 2013 to 2017
$735k
National Heart, Lung, and Blood Institute HHSN268201100005CNational Heart, Lung, and Blood Institute HHSN268201100006CNational Heart, Lung, and Blood Institute HHSN268201100007CNational Heart, Lung, and Blood Institute HHSN268201100008CNational Heart, Lung, and Blood Institute HHSN268201100009CNational Heart, Lung, and Blood Institute HHSN268201100010CNational Heart, Lung, and Blood Institute HHSN268201100012CNational Heart, Lung, and Blood Institute K08 HL116792National Heart, Lung, and Blood Institute R00 HL107642National Heart, Lung, and Blood Institute R01 HL131532National Heart, Lung, and Blood Institute R01 HL134168National Heart, Lung, and Blood Institute R01 HL135008National Institute on Aging R01 AG053938NHLBI NIH HHS HHSN268201100005CNHLBI NIH HHS HHSN268201100005GNHLBI NIH HHS HHSN268201100005INHLBI NIH HHS HHSN268201100006CNHLBI NIH HHS HHSN268201100007CNHLBI NIH HHS HHSN268201100007INHLBI NIH HHS HHSN268201100008CNHLBI NIH HHS HHSN268201100008INHLBI NIH HHS HHSN268201100009CNHLBI NIH HHS HHSN268201100009INHLBI NIH HHS HHSN268201100010CNHLBI NIH HHS HHSN268201100011CNHLBI NIH HHS HHSN268201100011INHLBI NIH HHS HHSN268201100012CNHLBI NIH HHS K08 HL116792NHLBI NIH HHS R00 HL107642
6 · The paper itself

Abstract

aimWeight gain appears to accelerate age-related ventricular-arterial stiffening, which has been implicated in the development of heart failure (HF), but it is unclear whether body fat accumulation underpins this association. We evaluated the relationship of adiposity, using measures of body composition, with ventricular-arterial stiffness among the elderly in the community. METHODS AND

resultsAdiposity was accessed through body mass index (BMI), waist circumference, and body fat percentage. We studied the association of these measures with carotid-femoral pulse wave velocity (cfPWV), arterial elastance index (EaI), left ventricular (LV) end-systolic elastance index (EesI) and LV end-diastolic elastance index (EedI) in 5520 community-based, elderly Atherosclerosis Risk in Communities (ARIC) Study participants, who underwent echocardiography between 2011 and 2013. BMI and waist circumference were directly associated with EaI, EedI and EesI even after adjusting for age, sex, race, hypertension, diabetes mellitus, heart rate, prevalent coronary heart disease and HF. After further adjustment for BMI, body fat percentage demonstrated significant independent linear relationships with EaI [standardized beta coefficient (β)=0.17, P<0.001], EesI (β=0.08, P=0.003) and EedI (β=0.20, P<0.001), and significant non-linear relationships with cfPWV (P=0.033).

conclusionIn this biracial community-based cohort, increased adiposity was associated with increased ventricular-arterial stiffness among the elderly and suggests a potential mechanism by which obesity might contribute to the development of HF.

Indexed as

Body Mass IndexAdiposityAgedAged, 80 and overAtherosclerosisEchocardiographyFemaleHeart VentriclesHumansMaleMiddle AgedObesityPulse Wave AnalysisRisk FactorsVascular StiffnessAdiposityAgingArterial stiffnessObesityVentricular stiffness

Identifiers

PMID29663586
PMCPMC6685543
OpenAlexW2801575953

What OpenQuestion holds

Textmetadata
LicenceTDM
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.