Evidence map›Paper›PMID 33882682›Full record

ReviewCirculation2021

Obesity and Cardiovascular Disease: A Scientific Statement From the American Heart Association.

Tiffany M Powell-Wiley, Paul Poirier, Lora E Burke, Jean-Pierre Després, Penny Gordon-Larsen, Carl J Lavie, Scott A Lear, Chiadi E Ndumele, Ian J Neeland, Prashanthan Sanders and 2 more

3 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Circulation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 2,149 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2,149citing papers in PubMed, 8 pooled it
332.7field-weighted citation impact, top 1% 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.

NCT05792657 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The ABEL Feasibility Study (Adherence, Better Health, Exercise and Life Satisfaction): A Randomized Controlled Trial

TypeinterventionalSponsorNorges idrettshøgskoleRan2023 to 2023Enrolled200ConditionsObesityArmsHigh dosage in-person exercise coaching, Medium dosage in-person exercise coaching., Low dosage in-person exercise coaching
NCT06254339 completednot on this map

The Effect of MBS on Outcomes and Reduction of the 10-year and Lifetime Risks of MACE: Analysis of 224 Patients Undergoing OAGB and DJB-SG During a 7-year Period.

TypeobservationalSponsorNational Defense Medical Center, TaiwanRan2011 to 2023Enrolled830ConditionsObesityArmsOAGB, DJB-SG
NCT06950138 phase3completednot on this mapstarted 2023, after this paper: background citation

Efficacy of Triticum Aestivum Over Vascular Function in Mexican Obese Patients

TypeinterventionalSponsorCoordinación de Investigación en Salud, MexicoRan2023 to 2025Enrolled20ConditionsObesity, Vascular RiskArmsTriticum aestivum, calcined magnesia
3 · Its place in the literature

Who cites it

2,149 citing papers in PubMed, 8 syntheses or guidelines pooled it, 3,294 citations in OpenAlex.

  1. Pooled it
  2. Effect of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy on Male Sexual Function: A Systematic Review and Meta-Analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
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  8. Guideline
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  12. Improved assessment of coronary artery disease in obese patients with flurpiridaz-Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2026
    Trial
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  17. Article
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2,089 more citing papers are in PubMed but not listed here.

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 at 3 institutions in 1 country.

Tiffany M Powell-Wiley
Paul Poirier
Lora E Burke
Jean-Pierre Després
Penny Gordon-Larsen
Carl J Lavie
Scott A Lear
Chiadi E Ndumele
Ian J Neeland
Prashanthan Sanders
Marie-Pierre St-Onge
American Heart Association Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Epidemiology and Prevention; and Stroke Council
AbbVie (United States) · USBurke Foundation · USJohn Wiley & Sons (United States) · US

Funding

UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SUSAN M. SMITH · 1999 to 2026
$31.6M
Tailoring Mobile Health Technology to Reduce Obesity and ImproveCardiovascular Health in Resource-Limited Neighborhood Environments: A Multi-Level, Community-Based Physical Activity InterventionZIAHL006225 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI POWELL-WILEY, TIFFANY · 2017 to 2025
$9.7M
Intramural NIH HHS ZIA HL006225NIDDK NIH HHS P30 DK056350
6 · The paper itself

Abstract

The global obesity epidemic is well established, with increases in obesity prevalence for most countries since the 1980s. Obesity contributes directly to incident cardiovascular risk factors, including dyslipidemia, type 2 diabetes, hypertension, and sleep disorders. Obesity also leads to the development of cardiovascular disease and cardiovascular disease mortality independently of other cardiovascular risk factors. More recent data highlight abdominal obesity, as determined by waist circumference, as a cardiovascular disease risk marker that is independent of body mass index. There have also been significant advances in imaging modalities for characterizing body composition, including visceral adiposity. Studies that quantify fat depots, including ectopic fat, support excess visceral adiposity as an independent indicator of poor cardiovascular outcomes. Lifestyle modification and subsequent weight loss improve both metabolic syndrome and associated systemic inflammation and endothelial dysfunction. However, clinical trials of medical weight loss have not demonstrated a reduction in coronary artery disease rates. In contrast, prospective studies comparing patients undergoing bariatric surgery with nonsurgical patients with obesity have shown reduced coronary artery disease risk with surgery. In this statement, we summarize the impact of obesity on the diagnosis, clinical management, and outcomes of atherosclerotic cardiovascular disease, heart failure, and arrhythmias, especially sudden cardiac death and atrial fibrillation. In particular, we examine the influence of obesity on noninvasive and invasive diagnostic procedures for coronary artery disease. Moreover, we review the impact of obesity on cardiac function and outcomes related to heart failure with reduced and preserved ejection fraction. Finally, we describe the effects of lifestyle and surgical weight loss interventions on outcomes related to coronary artery disease, heart failure, and atrial fibrillation.

Indexed as

American Heart AssociationCardiovascular DiseasesHumansObesityUnited StatesAHA Scientific Statementsatrial fibrillationcardiovascular diseasescoronary artery diseasedeath, suddenheartheart failureobesity

Identifiers

PMID33882682
PMCPMC8493650
OpenAlexW3152705473

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.