Evidence map›Paper›PMID 34860539›Full record

ArticleCirculation2022

Diabetes Status Modifies the Association Between Different Measures of Obesity and Heart Failure Risk Among Older Adults: A Pooled Analysis of Community-Based NHLBI Cohorts.

Kershaw V Patel, Matthew W Segar, Carl J Lavie, Nitin Kondamudi, Ian J Neeland, Jaime P Almandoz, Corby K Martin, Salvatore Carbone, Javed Butler, Tiffany M Powell-Wiley and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Circulation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 32 citations in OpenAlex.

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  14. Lipotoxicity as a therapeutic target in obesity and diabetic cardiomyopathy.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2024
    Review
  15. Influence of BMI on virtual coronary artery calcium scoring.The international journal of cardiovascular imaging · 2023
    Article
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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

11 authors at 9 institutions in 1 country.

Kershaw V Patel *Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, TX (K.V.P.).ORCID 0000-0003-2002-4096
Matthew W Segar *Department of Cardiology, Texas Heart Institute, Houston (M.W.S.).ORCID 0000-0001-6100-0897
Carl J LavieDepartment of Internal Medicine, Ochsner Clinical School-University of Queensland School of Medicine, New Orleans, LA (C.J.L.).ORCID 0000-0003-3906-1911
Nitin KondamudiDivision of Cardiology (N.K., A.P.), Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas.
Ian J NeelandUniversity Hospitals Harrington Heart and Vascular Institute and Case Western Reserve University School of Medicine, Cleveland, OH (I.J.N.).ORCID 0000-0003-2831-3618
Jaime P AlmandozDivision of Endocrinology (J.P.A.), Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas.ORCID 0000-0002-0462-0843
Corby K MartinPennington Biomedical Research Center, Louisiana State University, Baton Rouge (C.K.M.).ORCID 0000-0002-8125-4015
Salvatore CarboneDepartment of Kinesiology and Health Sciences, College of Humanities and Sciences (S.C.), Virginia Commonwealth University Pauley Heart Center, Division of Cardiology, Virginia Commonwealth University, Richmond.ORCID 0000-0002-8163-0527
Javed ButlerDepartment of Medicine, University of Mississippi Medical Center, Jackson (J.B.).ORCID 0000-0001-7683-4720
Tiffany M Powell-WileySocial Determinants of Obesity and Cardiovascular Risk Laboratory, Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute (T.M.P.-W.), National Institutes of Health, Bethesda, MD.ORCID 0000-0001-9488-4131
Ambarish PandeyDivision of Cardiology (N.K., A.P.), Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas.ORCID 0000-0001-9651-3836
The University of Texas Southwestern Medical Center · USHouston Methodist · USJackson Memorial Hospital · USNational Heart Lung and Blood Institute · USOchsner Health System · USPennington Biomedical Research Center · USTwitter (United States) · USUniversity Hospitals of Cleveland · USVirginia Commonwealth University · US

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI JUDD E SHELLITO · 2012 to 2026
$69.1M
Research BaseP30DK072476 · NIDDK · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Sujoy Ghosh · 2005 to 2026
$26.5M
Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
Cardiovascular Health and Needs Assessment in Washington D.C.ZIAHL006168 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI POWELL-WILEY, TIFFANY · 2013 to 2025
$8.1M
Evaluation of Racial Differences in Cardiorespiratory Fitness Decline with Aging & Underlying Biological MechanismsR03AG067960 · NIA · UT SOUTHWESTERN MEDICAL CENTER · PI PANDEY, AMBARISH · 2020 to 2021
$327k
NCATS NIH HHS UL1 TR002649NIA NIH HHS R03 AG067960NIDDK NIH HHS P30 DK072476NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

backgroundObesity and diabetes are associated with a higher risk of heart failure (HF). The interrelationships between different measures of adiposity-overall obesity, central obesity, fat mass (FM)-and diabetes status for HF risk are not well-established.

methodsParticipant-level data from the ARIC study (Atherosclerosis Risk in Communities; visit 5) and the CHS (Cardiovascular Health Study; visit 1) cohorts were obtained from the National Heart, Lung, and Blood Institute Biologic Specimen and Data Repository Information Coordinating Center, harmonized, and pooled for the present analysis, excluding individuals with prevalent HF. FM was estimated in all participants using established anthropometric prediction equations additionally validated using the bioelectrical impedance-based FM in the ARIC subgroup. Incident HF events on follow-up were captured across both cohorts using similar adjudication methods. Multivariable-adjusted Fine-Gray models were created to evaluate the associations of body mass index (BMI), waist circumference (WC), and FM with risk of HF in the overall cohort as well as among those with versus without diabetes at baseline. The population attributable risk of overall obesity (BMI≥30 kg/m

resultsThe study included 10 387 participants (52.9% ARIC; 25.1% diabetes; median age, 74 years). The correlation between predicted and bioelectrical impedance-based FM was high (

conclusionsHigher BMI, WC, and FM are strongly associated with greater risk of HF among older adults, particularly among those with prevalent diabetes.

Indexed as

AgedCohort StudiesDiabetes MellitusFemaleHeart FailureHumansMaleNational Heart, Lung, and Blood Institute (U.S.)ObesityRisk FactorsUnited Statesbody mass indexdiabetes mellitusfat massheart failurewaist circumference

Identifiers

PMID34860539
PMCPMC8792339
OpenAlexW3214863379

What OpenQuestion holds

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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.