Evidence map›Paper›PMID 30571492›Full record

ArticleJournal of the American Heart Association2018

Body Mass Index From Early-, Mid-, and Older-Adulthood and Risk of Heart Failure and Atherosclerotic Cardiovascular Disease: MESA.

Michael Fliotsos, Di Zhao, Vishal N Rao, Chiadi E Ndumele, Eliseo Guallar, Gregory L Burke, Dhanajay Vaidya, Joseph Chris A Delaney, Erin D Michos

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
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  4. Weight of time: exploring the link between obesity and aging.Aging clinical and experimental research · 2025
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  6. Sexual identity differences in ideal cardiovascular health among cisgender adults in the All of Us Research Program.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
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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

9 authors at 3 institutions in 1 country.

Michael Fliotsos1 Ciccarone Center for the Prevention of Heart Disease Johns Hopkins School of Medicine Baltimore MD.
Di Zhao1 Ciccarone Center for the Prevention of Heart Disease Johns Hopkins School of Medicine Baltimore MD.
Vishal N Rao1 Ciccarone Center for the Prevention of Heart Disease Johns Hopkins School of Medicine Baltimore MD.
Chiadi E Ndumele1 Ciccarone Center for the Prevention of Heart Disease Johns Hopkins School of Medicine Baltimore MD.
Eliseo Guallar1 Ciccarone Center for the Prevention of Heart Disease Johns Hopkins School of Medicine Baltimore MD.
Gregory L Burke5 Division of Public Health Sciences Wake Forest School of Medicine Winston-Salem NC.
Dhanajay Vaidya2 Division of General Internal Medicine Johns Hopkins School of Medicine Baltimore MD.
Joseph Chris A Delaney6 Department of Epidemiology University of Washington Seattle WA.
Erin D Michos1 Ciccarone Center for the Prevention of Heart Disease Johns Hopkins School of Medicine Baltimore MD.
Johns Hopkins University · USUniversity of Washington · USWake Forest University · US

Funding

NHLBI NIH HHS HHSN268201500003CNHLBI NIH HHS HHSN268201500003I
6 · The paper itself

Abstract

Background Obesity contributes significantly to risk of atherosclerotic cardiovascular disease (ASCVD) and especially for heart failure (HF). An elevated body mass index (BMI) in older adults might not carry the same risk as in younger adults, but measured weights at other lifetime points are often not available. We determined the associations of self-reported weights from early- and mid-adulthood, after accounting for measured weight at older age, with incident HF/ASCVD risk. Methods and Results We studied 6437 MESA (Multi-Ethnic Study of Atherosclerosis) participants (aged 45-84, free of baseline HF/ASCVD) with self-reported weights at ages 20 and 40 years (by questionnaire), measured weights at up to 5 in-person examinations (2000-2012), and follow-up for adjudicated HF/ASCVD events. Participant mean±SD age at the baseline examination was 62.2±10.2 years. Over median follow-up of 13 years, 290 HF and 828 ASCVD events occurred. After adjustment for cardiovascular risk factors and baseline BMI, higher self-reported weights at ages 20 and 40 years were independently associated with increased risk of incident HF with hazard ratios (95% confidence interval) of 1.27 (1.07-1.50) and 1.36 (1.18-1.57), respectively, per 5-kg/m

Indexed as

Body Mass IndexAdultAgedAged, 80 and overAge FactorsCoronary Artery DiseaseFemaleHeart FailureHumansMaleMiddle AgedObesityRisk FactorsYoung Adultcardiovascular diseaseheart failurelifetime weightsobesityprevention

Identifiers

PMID30571492
PMCPMC6404455
OpenAlexW2901080177

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.