Evidence map›Paper›PMID 39155576›Full record

ArticleEuropean journal of heart failure2025

Anthropometric measures and long-term mortality in non-ischaemic heart failure with reduced ejection fraction: Questioning the obesity paradox.

Jawad H Butt, Jens Jakob Thune, Jens C Nielsen, Jens Haarbo, Lars Videbæk, Finn Gustafsson, Søren L Kristensen, Niels E Bruun, Hans Eiskjær, Axel Brandes and 9 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in European journal of heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00542945 (A DANish Randomized, Controlled, Multicenter Study to Assess the Efficacy of Implantable Cardioverter Defibrillator in Patients With Non-ischemic Systolic Heart Failure on Mortality. The DANISH Study), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

NCT00542945 nacompletednot on this map

A DANish Randomized, Controlled, Multicenter Study to Assess the Efficacy of Implantable Cardioverter Defibrillator in Patients With Non-ischemic Systolic Heart Failure on Mortality. The DANISH Study

TypeinterventionalSponsorDanish Study GroupRan2008 to 2016Enrolled1,116ConditionsHeart Failure, Dilated Cardiomyopathy, Reduced LVEFArmsICD, Optimal medical treatment
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Observational
  2. Review
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  4. Article
  5. Review
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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

19 authors.

Jawad H ButtDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Jens Jakob ThuneDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Jens C NielsenDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Jens HaarboDepartment of Cardiology, Copenhagen University Hospital - Herlev and Gentofte, Hellerup, Denmark.
Lars VidebækDepartment of Cardiology, Odense University Hospital, Svendborg, Denmark.
Finn GustafssonDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Søren L KristensenDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Niels E BruunDepartment of Cardiology, Zealand University Hospital, Roskilde, Denmark.
Hans EiskjærDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Axel BrandesDepartment of Regional Health Research, University of Southern Denmark, Esbjerg, Denmark.
Christian HassagerDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Jesper H SvendsenDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Dan E HøfstenDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Christian Torp-PedersenDepartment of Cardiology, Nordsjællands Hospital, Hillerød, Denmark.
Morten SchouDepartment of Cardiology, Copenhagen University Hospital - Herlev and Gentofte, Hellerup, Denmark.
Steen PehrsonDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Milton PackerBaylor Heart and Vascular Institute, Baylor University Medical Centre, Dallas, TX, USA.
John J V McMurrayBritish Heart Foundation Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Lars KøberDepartment of Cardiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.

Funding

Danish Heart FoundationMedtronic, St. Jude Medical, TrygFonden
6 · The paper itself

Abstract

aimsAlthough body mass index (BMI) is the most commonly used anthropometric measure to assess adiposity, alternative indices such as the waist-to-height ratio may better reflect the location and amount of ectopic fat as well as the weight of the skeleton. METHODS AND

resultsThe prognostic value of several alternative anthropometric measures was compared with that of BMI in 1116 patients with non-ischaemic heart failure with reduced ejection fraction (HFrEF) enrolled in DANISH. The association between anthropometric measures and all-cause death was adjusted for prognostic variables, including natriuretic peptides. Median follow-up was 9.5 years (25th-75th percentile, 7.9-10.9). Compared to patients with a BMI 18.5-24.9 kg/m

conclusionIn patients with non-ischaemic HFrEF, there was a clear association between greater adiposity and higher long-term mortality. CLINICAL

trial registrationClinicalTrials.gov NCT00542945.

Indexed as

AnthropometryHeart FailureObesityStroke VolumeAgedBody Mass IndexCause of DeathDenmarkFemaleFollow-Up StudiesHumansMaleMiddle AgedObesity ParadoxPrognosisRisk FactorsAnthropometric measuresBody mass indexClinical trialHeart failure with reduced ejection fraction

Identifiers

PMID39155576
PMCPMC11955318

What OpenQuestion holds

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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.