Evidence map›Paper›PMID 33680495›Full record

ArticleObesity science & practice2021

The relationship between abdominal fat and change in left ventricular ejection fraction in cancer patients.

Kerryn W Reding, Khristine Ghemigian, Salvatore Carbone, Ralph D'Agostino, Jennifer H Jordan, Giselle Meléndez, Zanetta S Lamar, Heidi D Klepin, Alexandra Thomas, Dale Langford and 2 more

Abstract read
In one paragraph

Article in Obesity science & practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

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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

12 authors.

Kerryn W RedingDepartment of Biobehavioral Nursing and Health Informatics University of Washington School of Nursing Washington Seattle USA.ORCID https://orcid.org/0000-0001-5179-8559
Khristine GhemigianDepartment of Internal Medicine Section on Cardiovascular Medicine Wake Forest University Winston-Salem North Carolina USA.
Salvatore CarboneDepartment of Internal Medicine VCU Pauley Heart Center Virginia Commonwealth University School of Medicine Richmound Virginia USA.
Ralph D'AgostinoDepartment of Biostatistical Sciences Wake Forest University Winston-Salem North Carolina USA.
Jennifer H JordanDepartment of Internal Medicine VCU Pauley Heart Center Virginia Commonwealth University School of Medicine Richmound Virginia USA.
Giselle MeléndezDepartment of Internal Medicine Section on Cardiovascular Medicine Wake Forest University Winston-Salem North Carolina USA.
Zanetta S LamarDepartment of Internal Medicine Section on Hematology and Oncology Wake Forest University Winston-Salem North Carolina USA.
Heidi D KlepinDepartment of Internal Medicine Section on Hematology and Oncology Wake Forest University Winston-Salem North Carolina USA.
Alexandra ThomasDepartment of Internal Medicine Section on Hematology and Oncology Wake Forest University Winston-Salem North Carolina USA.
Dale LangfordDepartment of Anesthesiology and Pain Medicine University of Washington School of Medicine Washington Seattle USA.
Sujethra VasuDepartment of Internal Medicine Section on Cardiovascular Medicine Wake Forest University Winston-Salem North Carolina USA.
W Gregory HundleyDepartment of Internal Medicine Section on Cardiovascular Medicine Wake Forest University Winston-Salem North Carolina USA.

Funding

Preventing Anthracycline Cardiovascular Toxicity with StatinsR01HL118740 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUNDLEY, WILLIAM GREGORY · 2013 to 2018
$4.2M
Understanding and Predicting Fatigue, CV Decline & Events After Breast CA TreatmentR01CA199167 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUNDLEY, WILLIAM GREGORY · 2015 to 2022
$3.2M
Early Imaging Detection of CV Injury after CancerR01CA167821 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUNDLEY, WILLIAM GREGORY, JOLLY, MARIE-PIERRE · 2012 to 2016
$2.5M
Optimized CMR imaging of chemotherapy cardiotoxicityR33CA121296 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUNDLEY, WILLIAM GREGORY · 2007 to 2009
$716k
NCI NIH HHS R01 CA167821NCI NIH HHS R01 CA199167NCI NIH HHS R33 CA121296NHLBI NIH HHS R01 HL118740
6 · The paper itself

Abstract

objectivesPrior studies have identified a relationship between body mass index (BMI) and intraperitoneal (IP) fat with heart failure; however, in prior studies of cancer patients receiving potentially cardiotoxic chemotherapy, elevations in BMI have not necessarily been associated with decrements in heart function. This study tested the hypothesis that IP fat may be associated with left ventricular ejection fraction (LVEF) decline among cancer patients receiving potentially cardiotoxic chemotherapy.

methodsIn this prospective study of 61 cancer patients (23 breast cancer, 32 lymphoma, and 6 sarcoma), IP fat and other assessments of body composition, and changes in LVEF from pre- to postcancer treatment using noninvasive magnetic resonance imaging was ascertained.

resultsAfter accounting for age, baseline LVEF, and confounding variables, pre- to 24-month post-treatment LVEF changes were inversely correlated with IP fat (

conclusionAmong patients receiving potentially cardiotoxic chemotherapy, pretreatment IP fat was associated with subsequent declines in LVEF. There was no association between BMI and LVEF decline. These findings may be related to a potential protective effect of SQ fat.

Indexed as

body compositionvisceral fat

Identifiers

PMID33680495
PMCPMC7909597

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Registered trials

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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.