Evidence map›Paper›PMID 39896248›Full record

ArticleJACC. Asia2025

Combination of Body Mass Index and Waist Circumference Burden Determines the Risk of Atrial Fibrillation.

Tae-Min Rhee, Kyung-Do Han, Eue-Keun Choi, Bong-Seong Kim, Kyung-Yeon Lee, JungMin Choi, Hyo-Jeong Ahn, Soonil Kwon, So-Ryoung Lee, Seil Oh and 1 more

Abstract read
In one paragraph

Article in JACC. Asia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Semaglutide as adjunctive therapy to catheter ablation in obesity-related paroxysmal atrial fibrillation.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
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  5. 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

11 authors.

Tae-Min RheeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Kyung-Do HanDepartment of Statistics and Actuarial Science, Soongsil University, Seoul, Republic of Korea.
Eue-Keun ChoiDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Bong-Seong KimDepartment of Statistics and Actuarial Science, Soongsil University, Seoul, Republic of Korea.
Kyung-Yeon LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
JungMin ChoiDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Hyo-Jeong AhnDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Soonil KwonDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
So-Ryoung LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Seil OhDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Gregory Y H LipDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is limited evidence regarding the significance of the combination or cumulative burden of waist circumference (WC) with body mass index (BMI) to predict future atrial fibrillation (AF) risks. Objectives: The authors investigated the impact of the cumulative burden of BMI and WC and their combination on the incident AF risk. Methods: We included subjects 20 years of age and older who underwent 4 consecutive national health check-ups annually (between 2009 and 2013), excluding those with previous AF. The 4-year cumulative burden of BMI and WC was categorized as a burden-score, derived from the sum of the BMI and WC scores from yearly check-ups. Incident nonvalvular AFs were identified using claims data from the Korean National Health Insurance Service (median 5.2 years of follow-up). Results: A total of 3,726,172 subjects (age 44.5 ± 11.1 years, men 69.5% [n = 2,590,986 of 3,726,172]) were analyzed. Compared to a zero burden score, maximum burden score of BMI increased AF risk with an incidence rate of 1.56 of 1,000 person-years (adjusted HR: 1.32; 95% CI: 1.27-1.37). The risk of AF was markedly increased for those with the highest WC burden-score (incidence rate: 2.26/1,000 person-years; adjusted HR = 1.52; 95% CI: 1.46-1.58). Different BMI burdens within the same WC burden group did not affect the risk of AF, whereas increasing WC burden within each BMI burden group significantly elevated the AF risk. AF risk was particularly high in individuals with a moderate BMI burden with a high WC burden. Conclusions: The cumulative burden of WC was a more potent indicator of AF risk than either a single BMI measurement or the overall BMI burden.

Indexed as

atrial fibrillationbody mass indexburdencentral obesitywaist circumference

Identifiers

PMID39896248
PMCPMC11782094

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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.