ArticleJournal of geriatric cardiology : JGC2018
Obesity paradox among elderly patients with coronary artery disease undergoing non-cardiac surgery.
Article in Journal of geriatric cardiology : JGC, 2018. 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.
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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.
The trial behind it
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mortality risk in patients with underweight or obesity with peripheral artery disease: a meta-analysis including 5,735,578 individuals.International journal of obesity (2005) · 2022Pooled it
- Trial
- The Rate of Postoperative Mortality and Renal and Respiratory Complications are Increased in Patients with Extreme Obesity Undergoing Cardiac Surgery - A Retrospective Observational Cohort Study of 8848 Patients.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023Article
- Obesity paradox among patients undergoing total knee arthroplasty: a retrospective cohort study.BMC surgery · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh body mass index (BMI) is a risk factor for chronic cardiac disease. However, mounting evidence supports that high BMI is associated with less risk of cardiac morbidity and mortality compared with normal BMI, also known as the obesity paradox. Therefore, we sought to determine the existence of the obesity paradox in regard to perioperative 30-day cardiac events among elderly Chinese patients with known coronary artery disease undergoing non-cardiac surgery.
methodsA post-hoc analysis of a prospective, multi-institutional cohort study was performed. Patients aged > 60 years with a history of coronary artery disease and undergoing non-cardiac surgery were grouped according to BMI: underweight (< 18.5 kg/m
resultsWe identified 1202 eligible patients (BMI: 24.3 ± 3.8 kg/m
conclusionAlthough not statistically significant, the U-shaped relation between BMI and cardiac complications indicates the obesity paradox possibly exists.
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