Evidence map›Paper›PMID 36904231›Full record

ArticleNutrients2023

Body Mass Index Measured Repeatedly over 42 Years as a Risk Factor for Ischemic Stroke: The HUNT Study.

Jens W Horn, Tingting Feng, Bjørn Mørkedal, Dagfinn Aune, Linn Beate Strand, Julie Horn, Kenneth J Mukamal, Imre Janszky

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Article in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Association between the newly introduced Diet Index for Gut Microbiota (DI-GM) and stroke prevalence: potential indirect associations via phenotypic age and body mass index (BMI).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  15. Joint Modifiable Risk Factor Control and Incident Stroke in Hypertensive Patients.Journal of clinical hypertension (Greenwich, Conn.) · 2024
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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

8 authors.

Jens W HornDepartment of Public Health and Nursing, Norwegian University of Science and Technology, 7034 Trondheim, Norway.ORCID 0000-0003-1220-9998
Tingting FengDepartment of Public Health and Nursing, Norwegian University of Science and Technology, 7034 Trondheim, Norway.
Bjørn MørkedalDepartment of Cardiology, Oslo University Hospital, Rikshospitalet, 0372 Oslo, Norway.
Dagfinn AuneDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St. Mary's Campus, Norfolk Place, Paddington, London W2 1PG, UK.ORCID 0000-0002-4533-1722
Linn Beate StrandDepartment of Public Health and Nursing, Norwegian University of Science and Technology, 7034 Trondheim, Norway.
Julie HornDepartment of Public Health and Nursing, Norwegian University of Science and Technology, 7034 Trondheim, Norway.ORCID 0000-0003-1344-9707
Kenneth J MukamalDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Imre JanszkyDepartment of Public Health and Nursing, Norwegian University of Science and Technology, 7034 Trondheim, Norway.

Funding

Liaison Committee for education, research, and innovation in Central Norway 2016/29014
6 · The paper itself

Abstract

backgroundHigher BMI in middle age is associated with ischemic stroke, but little is known about BMI over adulthood, and the risk for ischemic stroke as most studies relied on a single measurement of BMI.

methodsBMI was measured four times over a period of 42 years. We calculated average BMI values and group-based trajectory models and related these to the prospective risk of ischemic stroke after the last examination in Cox models with a follow-up time of 12 years.

resultsA total of 14,139 participants, with a mean age of 65.2 years and 55.4% women, had information on BMI from all four examinations, and we observed 856 ischemic strokes. People with overweight and obesity over adulthood had a higher risk for ischemic stroke with a multivariable-adjusted hazard ratio of 1.29 (95% CI 1.11-1.48) and 1.27 (95% CI 0.96-1.67), respectively, when compared to normal weight participants. Excess weight tended to have stronger effects earlier than later in life. A trajectory of developing obesity throughout life was associated with higher risk than other trajectories.

conclusionsHigh average BMI, especially at an early age, is a risk factor for ischemic stroke. Early weight control and long-term weight reduction for those with high BMI may decrease the later occurrence of ischemic stroke.

Indexed as

Ischemic StrokeStrokeAdultAgedBody Mass IndexFemaleHumansMaleMiddle AgedObesityOverweightProspective StudiesRisk FactorsBMIbody mass indexepidemiologyischemic strokeobesityoverweightpopulation-based cohort study

Identifiers

PMID36904231
PMCPMC10005195

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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.