Evidence map›Paper›PMID 32390492›Full record

Observational studyJournal of the American Heart Association2020

Physical Activity and Incident Heart Failure in High-Risk Subgroups: The ARIC Study.

Roberta Florido, Lucia Kwak, Mariana Lazo, Erin D Michos, Vijay Nambi, Roger S Blumenthal, Gary Gerstenblith, Priya Palta, Stuart D Russell, Christie M Ballantyne and 4 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

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

  1. Pooled it
  2. Article
  3. HFpEF risk assessment using HFrontiers in cardiovascular medicine · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
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  12. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 1 country.

Roberta FloridoJohns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease Johns Hopkins University School of Medicine Baltimore MD.
Lucia KwakDepartment of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore MD.
Mariana LazoDepartment of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore MD.
Erin D MichosJohns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease Johns Hopkins University School of Medicine Baltimore MD.
Vijay NambiMichael E DeBakey Veterans Affairs Hospital Houston TX.
Roger S BlumenthalJohns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease Johns Hopkins University School of Medicine Baltimore MD.
Gary GerstenblithJohns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease Johns Hopkins University School of Medicine Baltimore MD.
Priya PaltaDivision of General Medicine Department of Medicine Columbia University New York NY.
Stuart D RussellDivision of Cardiology Department of Medicine Duke University School of Medicine Durham NC.
Christie M BallantyneDivision of Atherosclerosis and Vascular Medicine Baylor College of Medicine, and Center for Cardiovascular Disease Prevention Methodist DeBakey Heart and Vascular Center Houston TX.
Elizabeth SelvinDepartment of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore MD.
Aaron R FolsomDivision of Epidemiology & Community Health School of Public Health University of Minnesota Minneapolis MN.
Josef CoreshDepartment of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore MD.
Chiadi E NdumeleJohns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease Johns Hopkins University School of Medicine Baltimore MD.
Johns Hopkins University · USHouston Methodist · USColumbia University · USDuke University · USUniversity of Minnesota · US

Funding

Diabetes and Prediabetes in Older Adults in ARICR01DK089174 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SELVIN, ELIZABETH · 2011 to 2020
$6.4M
Elucidating the Role of Adipokines in Mediating and Predicting HF Associated with ObesityR01HL146907 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI NDUMELE, CHIADI E · 2019 to 2023
$4.0M
Profiling Cardiovascular Events and Biomarkers in the Very Old to Improve Personalized Approaches for the Prevention of Cardiac and Vascular DiseaseR01HL134320 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI BALLANTYNE, CHRISTIE MITCHELL, SELVIN, ELIZABETH · 2016 to 2019
$3.1M
Research and Mentoring in the Clinical Epidemiology of Type 2 DiabetesK24DK106414 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SELVIN, ELIZABETH · 2015 to 2019
$654k
NHLBI NIH HHS HHSN268201700001INHLBI NIH HHS HHSN268201700002INHLBI NIH HHS HHSN268201700003INHLBI NIH HHS HHSN268201700004INHLBI NIH HHS HHSN268201700005INHLBI NIH HHS R01 HL134320NHLBI NIH HHS R01 HL146907NIDDK NIH HHS K24 DK106414NIDDK NIH HHS R01 DK089174
6 · The paper itself

Abstract

Background Greater physical activity (PA) is associated with lower heart failure (HF) risk. However, it is unclear whether this inverse association exists across all subgroups at high risk for HF, particularly among those with preexisting atherosclerotic cardiovascular disease. Methods and Results We followed 13 810 ARIC (Atherosclerosis Risk in Communities) study participants (mean age 55 years, 54% women, 26% black) without HF at baseline (visit 1; 1987-1989). PA was assessed using a modified Baecke questionnaire and categorized according to American Heart Association guidelines: recommended, intermediate, or poor. We constructed Cox models to estimate associations between PA categories and incident HF within each high-risk subgroup at baseline, with tests for interaction. We performed additional analyses modeling incident coronary heart disease as a time-varying covariate. Over a median of 26 years of follow-up, there were 2994 HF events. Compared with poor PA, recommended PA was associated with lower HF risk among participants with hypertension, obesity, diabetes mellitus, and metabolic syndrome (all

Indexed as

ExerciseHealthy LifestyleRisk Reduction BehaviorAtherosclerosisComorbidityFemaleHeart Disease Risk FactorsHeart FailureHumansIncidenceMaleMiddle AgedPrimary PreventionPrognosisProspective StudiesProtective Factorsepidemiologyexerciseheart failurelifestyleprimary prevention

Identifiers

PMID32390492
PMCPMC7660876
OpenAlexW3023556145

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.