Evidence map›Paper›PMID 33145394›Full record

ArticleInternational journal of cardiology. Heart & vasculature2020

Association between cardiorespiratory fitness, obesity, and incidence of atrial fibrillation.

Shirit Kamil-Rosenberg, Peter Kokkinos, Christina Grune de Souza E Silva, Win Leth Shwe Yee, Joshua Abella, Khin Chan, Jonathan Myers

Open access · goldAbstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.2field-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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Sleep apnea and atrial fibrillation: Update 2020.International journal of cardiology. Heart & vasculature · 2020
    Article
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

7 authors at 2 institutions in 1 country.

Shirit Kamil-RosenbergCardiology Division, Veterans Affairs Palo Alto Health Care System and Stanford University, Stanford, CA, United States.
Peter KokkinosCardiology Division, Veterans Affairs Medical Center, Washington, DC and Georgetown University School of Medicine, Washington, DC, United States.
Christina Grune de Souza E SilvaCardiology Division, Veterans Affairs Palo Alto Health Care System and Stanford University, Stanford, CA, United States.
Win Leth Shwe YeeCardiology Division, Veterans Affairs Palo Alto Health Care System and Stanford University, Stanford, CA, United States.
Joshua AbellaCardiology Division, Veterans Affairs Palo Alto Health Care System and Stanford University, Stanford, CA, United States.
Khin ChanCardiology Division, Veterans Affairs Palo Alto Health Care System and Stanford University, Stanford, CA, United States.
Jonathan MyersCardiology Division, Veterans Affairs Palo Alto Health Care System and Stanford University, Stanford, CA, United States.
VA Palo Alto Health Care System · USGeorgetown University · US

Funding

RRD VA IK6 RX002477
6 · The paper itself

Abstract

backgroundThe interaction between cardiorespiratory fitness (CRF) and incidence of atrial fibrillation (AF) and the interaction between obesity and incidence of AF have been explored separately. Therefore, we evaluated the association between CRF, body mass index (BMI), and risk of developing AF in a cohort of middle-aged and older US Veterans.

methodsSymptom limited exercise tests (ETT) were conducted among 16,397 Veterans (97% male) from January 9,1987 to December 31,2017. No history of AF was evident at the time of the ETTs. CRF was expressed as quartiles of peak metabolic equivalents (METs) achieved within each age decile. Weight status was classified as normal (BMI < 25 kg/m

resultsOver a median follow-up of 10.7 years, 2,155 (13.1%) developed AF. Obese and severely obese subjects had 13% and 32% higher risks for incidence of AF, respectively, vs. normal weight subjects. Overweight and obese subjects in the most fit quartile had 50% decline in AF risk compared to the least-fit subjects. Severely obese subjects had marked increases in AF risk (~50-60%) regardless of fitness level. Risk of developing AF increases with higher BMI and lower CRF.

conclusionImproving CRF should be advocated when assessing those at risk for developing AF.

Indexed as

AF, Atrial fibrillationArrhythmiasBMIBMI, Body mass indexCardiopulmonary fitnessCPRS, Computerized patient record systemCRF, Cardiorespiratory fitnessCVD, Cardiovascular diseaseDM, Diabetes mellitusETT, Exercise tolerance testHR, Hazard ratioHTN, HypertensionMET, Metabolic equivalentPA, Physical activityRisk factorsVA, Veterans affairs

Identifiers

PMID33145394
PMCPMC7596185
OpenAlexW3097559103

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.