Evidence map›Paper›PMID 39438799›Full record

ArticleBMC cardiovascular disorders2024

Global burden of ischemic stroke attributable to high body mass index in 204 countries and territories, 1990-2021.

Xiucai Guo, Ziping Zhang, Xueyan Yin, QirongXu, Feng Li, Feng Zhu

Abstract read
In one paragraph

Article in BMC cardiovascular disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
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  5. Article
  6. Exploring the Association Between Serum Neurogranin, Nardilysin, and Ischemic Stroke: A Case-Control Study Conducted in the Emergency Department.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  7. Article
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

6 authors.

Xiucai GuoDrug Clinical Trial Institutions, Guangzhou Twelfth People's Hospital, Guangzhou, China.
Ziping ZhangDrug Clinical Trial Institutions, Guangzhou Twelfth People's Hospital, Guangzhou, China.
Xueyan YinDrug Clinical Trial Institutions, Guangzhou Twelfth People's Hospital, Guangzhou, China.
QirongXuDrug Clinical Trial Institutions, Guangzhou Twelfth People's Hospital, Guangzhou, China.
Feng LiPharmaceutical Department, Guangzhou Twelfth People's Hospital, Guangzhou, China.
Feng ZhuCentral Laboratory, Tianqiang St, Guangzhou Twelfth People's Hospital, No. 1 West Huangpu Rd, Guangzhou, 510620, China. chifengzhu@hotmail.com.

Funding

Guangzhou Municipal Science and Technology Project 2024A03J0427, 2023A03J0508, and 201704030132Major Science and Technology Project of Guangzhou Municipal Health Commission 2021A031003
6 · The paper itself

Abstract

backgroundA high body mass index (hBMI) is one of the major risk factors for ischemic stroke (IS), although independent estimates of the global burden and trend of IS attributable to hBMI are unclear.

methodsStudy data were extracted from the Global Burden of Diseases, Injuries, and Risk Factors Study and analysed by age, sex, year, and geographical location. The sociodemographic index (SDI) and the human development index (HDI) were used as indicators of national socioeconomic status. Geographic distributions and trends were assessed by calculating the estimated annual percentage change (EAPC). Associations between the age-standardized death rate (ASMR) or disability-adjusted life year rate (DALY) and socioeconomic status were analysed.

resultsDeaths and DALYs increased worldwide from 1990-2021, with increases of 95.74% for the former and 133.00% for the latter; the ASMR and ASDR decreased, with an ASMR and ASDR-related EAPCs of -1.10 (95% CI: -1.24--0.96) and 0.04 (95% CI:-0.47-0.55), respectively; women had greater numbers of deaths and DALYs, and the majority of deaths and DALYs were shared by those aged ≥ 70. The highest burden rates were shared by Eastern Europe, North Africa, the Middle East, and Central Asia. The ASMR-related EAPCs were associated with the ASMR in 1990 (R = -0.35, P < 0.001) and the SDI in 2021 in different countries (R = -0.66, P < 0.001); these patterns were similar to those of the ASDR; the HDI in 2021 was associated with the ASMR-related EAPC (R = -0.71, P < 0.001) and the ASDR-related EAPC in different countries (R = -0.71, P < 0.001).

conclusionsThe number of deaths and DALYs from ischemic stroke attributable to hBMI worldwide increased substantially from 1990-2021. Successful population-wide initiatives targeting hBMI may mitigate a wide range of burdens on this disease. Taking into account variations in the SDI burden, future prevention and control strategies must be developed and implemented according to country-specific development status.

Indexed as

Body Mass IndexGlobal Burden of DiseaseIschemic StrokeAdultAgedAged, 80 and overDisability-Adjusted Life YearsFemaleGlobal HealthHumansMaleMiddle AgedObesityRisk AssessmentRisk FactorsSex DistributionBody mass indexDisability-adjusted life yearsEstimated annual percentage changeIschemic strokeMortalityPrevention

Identifiers

PMID39438799
PMCPMC11494805

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LicenceCC BY-NC-ND
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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.